Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report
The inclusion of both maxillary permanent central incisors is uncommon. This condition compromises face aesthetics, phonation and masticatory function. Therefore, early diagnosis is essential to avoid complications and failures. There are various reasons for inclusion, but supernumerary teeth are th...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/12/5/2657 |
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| author | Giuseppina Malcangi Alessio Danilo Inchingolo Assunta Patano Giovanni Coloccia Sabino Ceci Mariagrazia Garibaldi Angelo Michele Inchingolo Fabio Piras Filippo Cardarelli Vito Settanni Biagio Rapone Alberto Corriero Antonio Mancini Massimo Corsalini Ludovica Nucci Ioana Roxana Bordea Felice Lorusso Antonio Scarano Delia Giovanniello Gianna Dipalma Vito Marino Posa Daniela Di Venere Francesco Inchingolo |
| author_facet | Giuseppina Malcangi Alessio Danilo Inchingolo Assunta Patano Giovanni Coloccia Sabino Ceci Mariagrazia Garibaldi Angelo Michele Inchingolo Fabio Piras Filippo Cardarelli Vito Settanni Biagio Rapone Alberto Corriero Antonio Mancini Massimo Corsalini Ludovica Nucci Ioana Roxana Bordea Felice Lorusso Antonio Scarano Delia Giovanniello Gianna Dipalma Vito Marino Posa Daniela Di Venere Francesco Inchingolo |
| author_sort | Giuseppina Malcangi |
| collection | DOAJ |
| description | The inclusion of both maxillary permanent central incisors is uncommon. This condition compromises face aesthetics, phonation and masticatory function. Therefore, early diagnosis is essential to avoid complications and failures. There are various reasons for inclusion, but supernumerary teeth are the leading cause. Early causes of removal and rapid expansion of the palate determine a high probability of success with the spontaneous eruption of the impacted elements. However, it is often necessary to proceed with a surgical–orthodontic treatment. The inclination of teeth in relation to the midline and the root maturation degree determine prognosis and therapeutic timing. In this case report, the orthopantomogram (OPG) X-ray of a 9-year-old boy revealed two impacted supernumerary teeth in the anterior maxillary region, preventing the eruption of the permanent upper central incisors. The impacted supernumerary teeth were surgically removed at different times. A straight wire multibrackets technique associated with a fixed palatal appliance was used. The palatal appliance featured an osteomucous resin support at the level of the retroincisal papilla. Subsequently, surgical exposure was carried out using the closed eruption technique and elastic traction, bringing 11 and 21 back into the arch. |
| first_indexed | 2024-03-09T20:46:30Z |
| format | Article |
| id | doaj.art-4122db6494744a89844844383ddbb6f4 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-09T20:46:30Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-4122db6494744a89844844383ddbb6f42023-11-23T22:44:18ZengMDPI AGApplied Sciences2076-34172022-03-01125265710.3390/app12052657Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case ReportGiuseppina Malcangi0Alessio Danilo Inchingolo1Assunta Patano2Giovanni Coloccia3Sabino Ceci4Mariagrazia Garibaldi5Angelo Michele Inchingolo6Fabio Piras7Filippo Cardarelli8Vito Settanni9Biagio Rapone10Alberto Corriero11Antonio Mancini12Massimo Corsalini13Ludovica Nucci14Ioana Roxana Bordea15Felice Lorusso16Antonio Scarano17Delia Giovanniello18Gianna Dipalma19Vito Marino Posa20Daniela Di Venere21Francesco Inchingolo22Department of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80138 Naples, ItalyDepartment of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, RomaniaDepartment of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Toracic Surgery, Hospital San Camillo Forlanini, 00152 Rome, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyPolymedical Clinic Peucezia, 70023 Gioia del Colle, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, ItalyThe inclusion of both maxillary permanent central incisors is uncommon. This condition compromises face aesthetics, phonation and masticatory function. Therefore, early diagnosis is essential to avoid complications and failures. There are various reasons for inclusion, but supernumerary teeth are the leading cause. Early causes of removal and rapid expansion of the palate determine a high probability of success with the spontaneous eruption of the impacted elements. However, it is often necessary to proceed with a surgical–orthodontic treatment. The inclination of teeth in relation to the midline and the root maturation degree determine prognosis and therapeutic timing. In this case report, the orthopantomogram (OPG) X-ray of a 9-year-old boy revealed two impacted supernumerary teeth in the anterior maxillary region, preventing the eruption of the permanent upper central incisors. The impacted supernumerary teeth were surgically removed at different times. A straight wire multibrackets technique associated with a fixed palatal appliance was used. The palatal appliance featured an osteomucous resin support at the level of the retroincisal papilla. Subsequently, surgical exposure was carried out using the closed eruption technique and elastic traction, bringing 11 and 21 back into the arch.https://www.mdpi.com/2076-3417/12/5/2657impacted incisorssupernumerariesdental inclusionorthodontic treatmentclosed-eruption surgical techniqueguided eruption |
| spellingShingle | Giuseppina Malcangi Alessio Danilo Inchingolo Assunta Patano Giovanni Coloccia Sabino Ceci Mariagrazia Garibaldi Angelo Michele Inchingolo Fabio Piras Filippo Cardarelli Vito Settanni Biagio Rapone Alberto Corriero Antonio Mancini Massimo Corsalini Ludovica Nucci Ioana Roxana Bordea Felice Lorusso Antonio Scarano Delia Giovanniello Gianna Dipalma Vito Marino Posa Daniela Di Venere Francesco Inchingolo Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report Applied Sciences impacted incisors supernumeraries dental inclusion orthodontic treatment closed-eruption surgical technique guided eruption |
| title | Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report |
| title_full | Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report |
| title_fullStr | Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report |
| title_full_unstemmed | Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report |
| title_short | Impacted Central Incisors in the Upper Jaw in an Adolescent Patient: Orthodontic-Surgical Treatment—A Case Report |
| title_sort | impacted central incisors in the upper jaw in an adolescent patient orthodontic surgical treatment a case report |
| topic | impacted incisors supernumeraries dental inclusion orthodontic treatment closed-eruption surgical technique guided eruption |
| url | https://www.mdpi.com/2076-3417/12/5/2657 |
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