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Surgical exposure and orthodontic treatment of impacted or unerupted maxillary central incisor: case report

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Abstract


Impacted or unerupted maxillary central incisor has many problem in making a diagnosis and treatment plan in dental clinics.
This is apparent at the dental age of about eight years and over, when the patient is in the early mixed dentition state. The adjacent teeth may tilt toward the site of te missing tooth with resulting space closure and midline deviation.
There are several methods to treat impacted central incisor. Surgical exposure of impacted central incisor and orthodontic treatment to bring the tooth into the line of occlusion is considered the most desirable approach.
Three cases are reported, which were treated with surgical intervention and orthodontic tooth movement.
For the successful treatment, we should avoid loss of attached gingiva in surgical exposure, excessive orthodontic force in traction and unnecessary extraction of inverted Mx. Incisor.

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