Surgical and Orthodontic Management of Impacted Maxillary Central Incisor Associated with Supernumerary Tooth

Abstract

 Impaction refers to the complete or partial failure of a tooth to erupt beyond the typical age of eruption . In mixed dentition, permanent tooth impaction is uncommon; nonetheless, central incisor impaction is typically identified when the tooth fails to emerge

Impaction of maxillary central incisors is frequent in dental practice. However its management is challenging because of its importance in aesthetics. Supernumerary teeth are the most common dental anomaly that can cause impaction of adjacent teeth, crowding,   rotation and displacement of teeth. We report a case of 10,5 year old male with an impacted supernumerary tooth in the maxillary anterior region, which was interfering with the eruption of the permanent, left central incisor. The impacted supernumerary tooth was surgically removed. With the application of an orthodontic traction, impacted left maxillary central incisor was brought down to its proper position in the dental arch.