alexa Impacted Maxillary Central Incisors Associated with Bilateral Mesiodentes: A Case Report | OMICS International | Abstract
ISSN: 0974-8369

Biology and Medicine
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Case Report

Impacted Maxillary Central Incisors Associated with Bilateral Mesiodentes: A Case Report

Mine Gecgelen Cesur1, Elcin Esenlik2* and Yavuz Findik3

1Adnan Menderes University, Faculty of Dentistry, Department of Orthodontics, Aydin, Turkey

2Associate Professor, Suleyman Demirel University, Faculty of Dentistry, Department of Orthodontics, Isparta, Turkey

3Assistant Professor, Suleyman Demirel University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Isparta, Turkey

Corresponding Author:
Elcin Esenlik
Faculty of Dentistry , Department of Orthodontics
The Peace Envoy, Süleyman Demirel University, Istanbul, TURKEY
Tel: +90 2462118807
E-mail: [email protected]

Received Date: May 22, 2014; Accepted Date:June 27, 2014; Published Date: July 4, 2014

Citation: Mine Gecgelen Cesur, Elcin Esenlik, Yavuz Findik (2014) Impacted Maxillary Central Incisors Associated with Bilateral Mesiodentes: A Case Report. Biol Med 6:204. doi: 10.4172/0974-8369.1000204

Copyright: © 2014 Esenlik E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited


The purpose of this paper was to present the surgical exposure and orthodontic treatment of an 11-year-old boy with horizontally impacted permanent maxillary central incisors associated with bilateral mesiodentes. Panaromic and upper anterior occlusal radiographs showed horizontally impacted maxillary central incisors, vertically impacted molariform mesiodens, and rotated mesiodens located at the site of the maxillary right central incisor. The treatment plan included extraction of the erupted mesiodens, surgical extraction of the impacted mesiodens, surgical exposure of the permanent central incisors, and orthodontic traction and alignment to achieve a normal occlusion. After 14 months of treatment, the central incisors erupted into the oral cavity. The impacted maxillary central incisors were successfully positioned to their proper alignment via surgical crown exposure and orthodontic traction. Ideal overjet, overbite, and Class I molar and canine relationships were also achieved. At the completion of treatment, the exposed incisors exhibited an acceptable gingival contour and attached gingiva. After 2 years of follow-up, a stable occlusion was maintained with only minor relapse at the right central incisor.


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