Impacted post-traumatic maxillary central incisor: A multidisciplinary approach

Authors

  • MM Attardo Parrinello Department of Biomedical, Surgical and Dental Sciences, University of Milan, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano
  • D Lucarelli Department of Biomedical, Surgical and Dental Sciences, University of Milan, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano
  • S Colombo Department of Paediatric Dentistry, Istituto Stomatologico Italiano (ISI), Milan
  • GE Mancini Department of Biomedical, Surgical and Dental Sciences, University of Milan, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano
  • AB Giannì Head Department of Biomedical, Surgical and Dental Sciences, University of Milan, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milano

DOI:

https://doi.org/10.23804/ejpd.2020.21.03.10

Keywords:

Childhood trauma, Impacted incisor, Orthodontic traction

Abstract

AIM: The aim of this paper is to provide clinicians useful information for the management of impacted central incisor due to early childhood trauma. CASE REPORT: It is reported the case of an impacted right maxillary central incisor in an 8-year-old male patient who had an intrusive luxation trauma of primary tooth at the age of 4. After clinical and radiographic evaluation, a multidisciplinary treatment plan was planned. Therapy involved a surgical and orthodontic approach in order to expose the tooth and move the incisor in the normal position with a self-ligating appliance system. CONCLUSION: When a permanent tooth is impacted, the multidisciplinary approach of surgery and orthodontic treatment is the best way to obtain a suitable outcome in terms of gingival contour, occlusal plane and aesthetics, when compared with other treatment options.