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Impaction and apical root angulation of the maxillary central incisors due to supernumerary teeth: combined surgical and orthodontic treatment.

Kolokitha OE, Papadopoulou AK

Department of Orthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece. okolok@dent.auth.gr

This case report describes the treatment of a boy with both central maxillary incisors impacted because of 2 supernumerary teeth. Therapeutic management of the impacted teeth was combined with orthodontic treatment of a Class II Division 1 malocclusion. A sequential approach of surgical removal of the supernumerary teeth with 2 stages of surgical exposure and orthodontic traction of the impacted teeth resulted in proper incisor positioning. Close monitoring and multidisciplinary cooperation during the various treatment phases led to a successful esthetic result, with good periodontal health and functional occlusion.

Published 11 July 2008 in Am J Orthod Dentofacial Orthop, 134(1): 153-60.
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