Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment

Malformed central incisors with poor prognosis could be candidates for extraction especially in crowded dental arches. This case report refers to a 12-year-old boy who suffered from malformed upper central incisors associated with severe attrition. Upper lateral incisors were positioned palatally an...

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Main Authors: Zohreh Hedayati, Maryam Zare, Fateme Bahramnia
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2014/268590
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author Zohreh Hedayati
Maryam Zare
Fateme Bahramnia
author_facet Zohreh Hedayati
Maryam Zare
Fateme Bahramnia
author_sort Zohreh Hedayati
collection DOAJ
description Malformed central incisors with poor prognosis could be candidates for extraction especially in crowded dental arches. This case report refers to a 12-year-old boy who suffered from malformed upper central incisors associated with severe attrition. Upper lateral incisors were positioned palatally and canines were rotated and positioned in the high buccal area. The patient had class II malocclusion and space deficiency in both dental arches. Due to incisal wear and malformed short maxillary central incisors and the need for root canal therapy with a major crown build-up, these teeth were extracted. The maxillary lateral incisors were substituted. Thus the maxillary canines were substituted for lateral incisors and the first premolars were substituted for canines. In the lower dental arch the first bicuspids were extracted. Composite resin build-up was performed on the maxillary lateral incisors and canines. This allowed for the crowding and the malocclusion to be corrected. Subsequent gingivectomy improved the patient's gingival margins and smile esthetics one month after orthodontic therapy.
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spelling doaj-art-914b56ae03f541ecb7362c8d63a1637e2025-08-20T02:09:44ZengWileyCase Reports in Dentistry2090-64472090-64552014-01-01201410.1155/2014/268590268590Extraction of Maxillary Central Incisors: An Orthodontic-Restorative TreatmentZohreh Hedayati0Maryam Zare1Fateme Bahramnia2Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Ghom Abad, Ghasrodasht, Shiraz 71866-77764, IranOrthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Ghom Abad, Ghasrodasht, Shiraz 71866-77764, IranOrthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Ghom Abad, Ghasrodasht, Shiraz 71866-77764, IranMalformed central incisors with poor prognosis could be candidates for extraction especially in crowded dental arches. This case report refers to a 12-year-old boy who suffered from malformed upper central incisors associated with severe attrition. Upper lateral incisors were positioned palatally and canines were rotated and positioned in the high buccal area. The patient had class II malocclusion and space deficiency in both dental arches. Due to incisal wear and malformed short maxillary central incisors and the need for root canal therapy with a major crown build-up, these teeth were extracted. The maxillary lateral incisors were substituted. Thus the maxillary canines were substituted for lateral incisors and the first premolars were substituted for canines. In the lower dental arch the first bicuspids were extracted. Composite resin build-up was performed on the maxillary lateral incisors and canines. This allowed for the crowding and the malocclusion to be corrected. Subsequent gingivectomy improved the patient's gingival margins and smile esthetics one month after orthodontic therapy.http://dx.doi.org/10.1155/2014/268590
spellingShingle Zohreh Hedayati
Maryam Zare
Fateme Bahramnia
Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment
Case Reports in Dentistry
title Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment
title_full Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment
title_fullStr Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment
title_full_unstemmed Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment
title_short Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment
title_sort extraction of maxillary central incisors an orthodontic restorative treatment
url http://dx.doi.org/10.1155/2014/268590
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AT maryamzare extractionofmaxillarycentralincisorsanorthodonticrestorativetreatment
AT fatemebahramnia extractionofmaxillarycentralincisorsanorthodonticrestorativetreatment