Unilaterally impacted maxillary central incisor and canine with ipsilateral transposed canine-lateral incisor.

This article describes the treatment of a teenager who had impactions of the left maxillary central incisor and canine as well as ipsilateral canine-lateral incisor transposition. Treatment alternatives and effective orthodontic techniques are delineated. To optimize the treatment results, the impacted maxillary canine was surgically exposed and orthodontically distalized with an innovative cantilever. Subsequently, the deeply impacted maxillary central incisor was uncovered and orthodontically mesialized into the arch. Finally, the displaced maxillary lateral incisor was brought into its normal position. The combined surgical-orthodontic approach resolved a difficult clinical issue and avoided additional restorations. An esthetic, functional outcome was achieved and satisfied the patient.
PMID: 23560978 [PubMed - as supplied by publisher]

Source: The Angle Orthodontist - April 5, 2013 Category: Dentistry Authors: Fu PS, Wang JC, Wu YM, Huang TK, Chen WC, Tseng YC, Tseng CH, Hung CC Tags: Angle Orthod Source Type: research