Premature loss of maxillary primary incisor and delayed eruption of its successor: report of a case

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ABSTRACT

Aim

Traumatic injuries to primary teeth represent one of the most common aetiologic factors of time-related
eruption disturbances of permanent teeth. These include premature eruption, delayed eruption or impactions. CASE
REPORT: A case of a 7.5-year-old male with delayed eruption of the maxillary permanent left incisor is presented. The case
history revealed a trauma around the age of 3 involving its primary tooth predecessor, and its extraction by a dentist about
one year later, due to frequent abscesses. The clinical examination showed an early mixed dentition and the single presence
of tooth 11 in the dental arch, with an obvious aesthetic problem that affected the child's self image. The periapical x-ray ruled
out any dimorphism on the impacted tooth, and it showed a root developed by two thirds. About 2 months after the
examination, a simple gingivectomy was carried out, and the tooth could erupt completely 3 months later without any need
for orthodontic traction. One year after surgery, a complete root development could be observed, as well as the presence of
the lateral incisors with a moderate crowding.

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