Surgical exposure and orthodontic traction of impacted maxillary central incisor after alteration of eruption sequence: A case report

Delayed diagnosis of tooth eruption disturbances may result in the impaction of permanent teeth. This case report describes the clinical management of an impacted maxillary permanent central incisor in an 8-year-old boy with good general health, skeletal Class I relationship (ANB = 2°), posterior cr...

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Main Authors: Gabriela Leite Pedroso, Gustavo Lopes Puls, Ana Paula Valladares De Almeida, Fabiana Cardoso Pereira Valera, Fábio Lourenço Romano
Format: Article
Language:English
Published: Arbu Academic Publishing 2025-04-01
Series:Contemporary Pediatric Dentistry
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Online Access:https://contemppediatrdent.org/surgical-exposure-and-orthodontic-traction-of-impacted-maxillarycentral-incisor-after-alteration-of-eruption-sequence-a-case-report/
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author Gabriela Leite Pedroso
Gustavo Lopes Puls
Ana Paula Valladares De Almeida
Fabiana Cardoso Pereira Valera
Fábio Lourenço Romano
author_facet Gabriela Leite Pedroso
Gustavo Lopes Puls
Ana Paula Valladares De Almeida
Fabiana Cardoso Pereira Valera
Fábio Lourenço Romano
author_sort Gabriela Leite Pedroso
collection DOAJ
description Delayed diagnosis of tooth eruption disturbances may result in the impaction of permanent teeth. This case report describes the clinical management of an impacted maxillary permanent central incisor in an 8-year-old boy with good general health, skeletal Class I relationship (ANB = 2°), posterior crossbite, and transverse maxillary deficiency. The patient underwent rapid palatal expansion, followed by orthodontic traction of the impacted incisor. Eruption was achieved within six months, and by the end of the mixed dentition stage, the patient exhibited a stable occlusion with successful alignment of the incisor. This case highlights the importance of early orthodontic assessment and continuous follow-up from the primary to permanent dentition. Timely diagnosis and treatment planning during growth can facilitate favorable outcomes and reduce the risk of future occlusal complications.
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series Contemporary Pediatric Dentistry
spelling doaj-art-e01a7ebedfd042f0b2215381b89ce5362025-08-20T03:36:12ZengArbu Academic PublishingContemporary Pediatric Dentistry2757-57052025-04-0161707810.51463/cpd.2025.5Surgical exposure and orthodontic traction of impacted maxillary central incisor after alteration of eruption sequence: A case reportGabriela Leite Pedroso0https://orcid.org/0000-0001-7735-9271Gustavo Lopes Puls1https://orcid.org/0000-0002-4838-8935Ana Paula Valladares De Almeida2https://orcid.org/0000-0001-8414-1334Fabiana Cardoso Pereira Valera3https://orcid.org/0000-0002-6605-5317Fábio Lourenço Romano4https://orcid.org/0000-0003-1419-3520University of São PauloUniversity of São PauloUniversity of São PauloUniversity of São PauloUniversity of São PauloDelayed diagnosis of tooth eruption disturbances may result in the impaction of permanent teeth. This case report describes the clinical management of an impacted maxillary permanent central incisor in an 8-year-old boy with good general health, skeletal Class I relationship (ANB = 2°), posterior crossbite, and transverse maxillary deficiency. The patient underwent rapid palatal expansion, followed by orthodontic traction of the impacted incisor. Eruption was achieved within six months, and by the end of the mixed dentition stage, the patient exhibited a stable occlusion with successful alignment of the incisor. This case highlights the importance of early orthodontic assessment and continuous follow-up from the primary to permanent dentition. Timely diagnosis and treatment planning during growth can facilitate favorable outcomes and reduce the risk of future occlusal complications.https://contemppediatrdent.org/surgical-exposure-and-orthodontic-traction-of-impacted-maxillarycentral-incisor-after-alteration-of-eruption-sequence-a-case-report/correctivedelayed diagnosisimpactedorthodonticstooth eruption
spellingShingle Gabriela Leite Pedroso
Gustavo Lopes Puls
Ana Paula Valladares De Almeida
Fabiana Cardoso Pereira Valera
Fábio Lourenço Romano
Surgical exposure and orthodontic traction of impacted maxillary central incisor after alteration of eruption sequence: A case report
Contemporary Pediatric Dentistry
corrective
delayed diagnosis
impacted
orthodontics
tooth eruption
title Surgical exposure and orthodontic traction of impacted maxillary central incisor after alteration of eruption sequence: A case report
title_full Surgical exposure and orthodontic traction of impacted maxillary central incisor after alteration of eruption sequence: A case report
title_fullStr Surgical exposure and orthodontic traction of impacted maxillary central incisor after alteration of eruption sequence: A case report
title_full_unstemmed Surgical exposure and orthodontic traction of impacted maxillary central incisor after alteration of eruption sequence: A case report
title_short Surgical exposure and orthodontic traction of impacted maxillary central incisor after alteration of eruption sequence: A case report
title_sort surgical exposure and orthodontic traction of impacted maxillary central incisor after alteration of eruption sequence a case report
topic corrective
delayed diagnosis
impacted
orthodontics
tooth eruption
url https://contemppediatrdent.org/surgical-exposure-and-orthodontic-traction-of-impacted-maxillarycentral-incisor-after-alteration-of-eruption-sequence-a-case-report/
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