Science Letters

A Case Report on Clinical Management of Impacted Maxillary Cuspid and Bicuspid through Surgical Exposure and Orthodontic Alignment

Mehjabeen Al Jabri, Shuyu Guo, Lin Wang, Junqing Ma*

Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, 210029, Nanjing, China

Abstract

The term impacted tooth refers to any tooth, which fails to erupt in the oral cavity. Impacted canines are usually examined in the oral cavity by an orthodontist during day to day practice and it can be corrected through an interdisciplinary approach. It is advisable to do the early diagnosis and treatment plan for impacted teeth in order to acquire descent post treatment results. It is quite challenging for an orthodontist to do the treatment of impacted teeth and acquire stable results. This case report addresses the orthodontic management of a 14 year old female patient with unilateral palatally impacted maxillary canine and buccally impacted first premolar impaction. The treatment protocol involved two phases of which one was surgical orthodontic intervention and the other was orthodontic intervention. In phase I, exposure of impacted canine by raising periodontal flap was carried out and the Nance palatal appliance was used to guide the eruption of canine. In phase II, fixed orthodontic appliance was used. The total time required for active treatment was 24 months. The purpose of this case study was to address the early diagnosis of impacted teeth and also to achieve proper alignment, occlusion and esthetics by an interdisciplinary approach to treatment by utilizing various mechanical tactics.