Interceptive management for multiple eruption disturbances: a follow-up evaluation

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ABSTRACT

Aim

The aim of this report was to show the management of a case with an impacted central maxillary incisor caused by
odontoma in a young patient with two mesiodentes in the region of the nasal floor. CASE REPORT: A 9-year-old girl was seen in the
Department of Orthodontics of the University of Rome 'Tor Vergata'. Radiographic images showed intraosseous impaction of the
maxillary right central incisor due to an odontoma. The treatment plan consisted of three stages: removal of the odontoma; rapid
maxillary expansion (RME) in order to improve the intraosseous tooth position; surgical exposure and orthodontic traction of the
impacted central incisor to its right position. At the end of the treatment the patient showed stable occlusal, functional, and periodontal
results. In our therapeutic strategy the application of RME may improve the intraosseous position of incisor, minimizing space loss and
surgical intervention to recover the impacted tooth. A three-year follow-up of the stability and periodontal health showed that the tooth
placed in the occlusion maintained both esthetics and function.

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