Orthodontic traction of impacted upper central incisor associated with odontoma – case report

Vol. 16 – Number 63 – 2023 Case report Page 55-63 Orthodontic traction of impacted upper central incisor associated with odontoma – case report Taís Morais Alves Cunha¹ Jéssica Oliveira¹ Abstract Dental impaction, an irruptive disorder characterized by the impediment of spontaneous tooth eruption, presents a very low prevalence for maxillary central incisors. The etiological factors are the presence of supernumerary teeth, odontogenic tumor, and primary dentition injuries. The impaction of the upper central incisor causes great aesthetic and psychosocial impairment. The orthodontic intervention success depends on early diagnosis, tooth location, and relationship with adjacent teeth. Therefore, careful diagnosis, individualized treatment planning, and careful radiographic follow-up are essential. This study aimed to report the clinical case of a patient with a central incisor impacted by the presence of an odontoma. Orthodontic traction was performed by the closed eruption technique with anchorage in posterior teeth. Tooth root integrity was maintained, as well as that of adjacent teeth. In addition, adequate gingival margin was obtained. It was concluded that an accurate traction of impacted upper central incisors promotes satisfactory aesthetics and function, with consequent improvement in the patients self-esteem and psychosocial interaction. Descriptors: Odontoma, impacted tooth, Interceptive Orthodontics. ¹ Orthodontics – Instituto Prime de Ensino – Salvador/BA. DOI: 10.24077/2023;1663-02000138