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Case Reports
. 2013 Jan 17:2013:bcr2012007748.
doi: 10.1136/bcr-2012-007748.

Surgical-orthodontic management of bilateral multiple impactions in non-syndromic patient

Jiwanasha Manish Agrawal  1 , Manish Suresh Agrawal, Lalita Girish Nanjannawar
Affiliations
Case Reports

Surgical-orthodontic management of bilateral multiple impactions in non-syndromic patient

Jiwanasha Manish Agrawal et al. BMJ Case Rep. .

Abstract

Several surgical and orthodontic treatment options are available to disimpact the impacted teeth. But the closed eruption technique has the best long-term prognosis. The tooth is surgically exposed, an attachment is bonded to it, flap is resutured over it and an orthodontic extrusive force is delivered to bring the tooth into occlusion. This case report presents a case with multiple impacted teeth in which no syndrome or systemic conditions were detected. A 20-year-old female patient reported for orthodontic treatment with chief complaint of multiple unerupted permanent teeth and retained primary teeth. Radiographic examination revealed impacted 14, 15, 24, 25, 33, 34, 43 and 44. Surgical exposure of the impacted teeth was done after extraction of retained primary teeth. Forced eruption of these teeth was done by applying traction with closed eruption technique. After careful treatment planning followed by guided eruption of impacted teeth, patient finished with a significantly improved functional and aesthetic result.

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Figures

Figure 1
Figure 1
Pretreatment photographs.
Figure 2
Figure 2
Pretreatment radiographs.
Figure 3
Figure 3
Surgical exposure and placement of brackets on impacted 33, 34, 43 and 44.
Figure 4
Figure 4
Treatment progress.
Figure 5
Figure 5
Post-treatment photographs.
Figure 6
Figure 6
Post-treatment OPG.
See this image and copyright information in PMC

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