Silva Paula Corrêa Silveira, Cosme-Silva Leopoldo, Araújo Leandro Borges, Costa E Silva Lidiane Lucas, Sakai Vivien Thiemy
Gen Dent. 2018 Jul-Aug;66(4):46-50.
Permanent maxillary central incisor impaction is a rare condition of multifactorial etiology that should be treated on diagnosis. This article describes multidisciplinary treatment of an 11-year-old patient presenting with a permanent maxillary right central incisor that was impacted due to the presence of 2 supernumerary teeth. The diagnosis was reached through clinical evaluation, radiography, and cone beam computed tomography. Treatment involved the surgical removal of the supernumerary teeth followed by traction of the impacted tooth through a combination of removable and fixed orthodontic appliances. Orthodontic treatment was completed after 18 months, resulting in adequate positioning of the right central incisor in the arch. Periodic follow-up visits were scheduled for prophylaxis and oral hygiene reinforcement. After 2 years, the teeth were adequately aligned, the gingiva was healthy, and the patient was esthetically satisfied. The multidisciplinary approach allowed functional and esthetic oral rehabilitation, thus helping the patient to avoid the psychological impact of a missing anterior tooth.
恒牙上颌中切牙阻生是一种病因多因素的罕见病症，一经诊断即应进行治疗。本文描述了一名11岁患者的多学科治疗情况，该患者因存在两颗多生牙导致恒牙上颌右中切牙阻生。通过临床评估、影像学检查和锥形束计算机断层扫描做出诊断。治疗包括手术拔除多生牙，随后通过活动和固定正畸矫治器联合牵引阻生牙。18个月后完成正畸治疗，使右中切牙在牙弓中获得了合适的位置。安排了定期随访以进行预防和加强口腔卫生。2年后，牙齿排列整齐，牙龈健康，患者对美观效果满意。多学科方法实现了功能性和美观性的口腔修复，从而帮助患者避免了前牙缺失带来的心理影响。
