Orthodontic management of impacted central incisor: A clinical challenge

Abstract

Multiple treatment options are available for patients who have impacted incisor. This paper shows a case in which orthodontic as well as surgical considerations in 10-year-old female child were presented in the management of impacted central incisor. The orthodontic treatment plan included three steps – creation of space, exposure of crown, and forced eruption. A unique and innovative technique for orthodontic traction (0.017 × 0.025 TMA wire with palatal extension) was employed to move the maxillary incisor into arch, with minimum injury to neighboring soft tissue. After the successful management of impacted teeth, it is very important to periodically review the periodontal condition and stability.