Traction of maxillary central incisors and its positive impact on self-esteem: case report
DOI:
https://doi.org/10.22456/2177-0018.132608Keywords:
Orthodontics, Tooth, impacted, Tooth, supernumeraryAbstract
Aim: To present a case report of orthodontic traction of impacted incisors that promoted occlusion correction, aesthetic and functional improvement and self-esteem increase. Case report: A 13-year-old patient, dissatisfied with her smile due to the absence of upper central incisors, presented 5 supernumerary teeth, posterior dental crossbite, Class III molar relationship and Class I canine relationship. The treatment consisted of extracting the supernumerary teeth, orthodontic traction of the upper central incisors, transverse interarch adjustment and sagittal correction with Class III intermaxillary elastics. After 5 years, there was an ideal occlusion pattern with Class I molar and canine relationships, coincident midlines, satisfactory overbite, and overjet, and mutually protected bilateral occlusion. Discussion: Even though there is another possible treatment plan for this case, the orthodontic traction was chosen due to the possibility of solving more immediately the patient's occlusal and aesthetic complaints. Conclusion: Orthodontic treatment with traction of impacted incisors promoted satisfactory occlusion, significant improvement in the smile aesthetics and in her self-esteem.
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Chokron A, Reveret S, Salmon B, Vermelin L. Strategies for treating an impacted maxillary central incisor. Int Orthod. 2010 Jun;8(2):152-76. doi: 10.1016/j.ortho.2010.03.001.
Yordanova G, Gurgurova G. Impacted upper central incisors: frequency and factors complicating the treatment protocol. Folia Med (Plovdiv). 2021 Jun 30;63(3):405-12. doi: 10.3897/folmed.63.e55145.
Ajith SD, Shetty S, Hussain H, Nagaraj T, Srinath M. Management of multiple impacted teeth: a case report and review. J Int Oral Health. 2014 Jun;6(3):93-8.
Noorollahian S, Shirban F. Chair time saving method for treatment of an impacted maxillary central incisor with 15-month follow-up. Dent Res J (Isfahan). 2018 Mar-Apr;15(2):150-4.
Abreu LG. Orthodontics in children and impact of malocclusion on adolescents' quality of life. Pediatr Clin North Am. 2018 Oct;65(5):995-1006. doi: 10.1016/j.pcl.2018.05.008.
Oosterhaven SP, Westert GP, Schaub RM. Perception and significance of dental appearance: the case of missing teeth. Community Dent Oral Epidemiol. 1989 Jun;17(3):123-6. doi: 10.1111/j.1600-0528.1989.tb00004.x.
de Couto Nascimento V, de Castro Ferreira Conti AC, de Almeida Cardoso M, Valarelli DP, de Almeida-Pedrin RR. Impact of orthodontic treatment on self-esteem and quality of life of adult patients requiring oral rehabilitation. Angle Orthod. 2016 Sep;86(5):839-45. doi: 10.2319/072215-496.1.
Garvey MT, Barry HJ, Blake M. Supernumerary teeth--an overview of classification, diagnosis and management. J Can Dent Assoc. 1999 Dec;65(11):612-6.
He D, Mei L, Wang Y, Li J, Li H. Association between maxillary anterior supernumerary teeth and impacted incisors in mixed dentition. J Am Dent Assoc. 2017 Aug;148(8):595-603. doi: 10.1016/j.adaj.2017.05.017.
Rossini G, Parrini S, Castroflorio T, Fortini A, Deregibus A, Debernardi CL. Children's perceptions of smile esthetics and their influence on social judgment. Angle Orthod. 2016 Nov;86(6):1050-5. doi: 10.2319/102715-722.
Pithon MM, Nascimento CC, Barbosa GC, Coqueiro Rda S. Do dental esthetics have any influence on finding a job? Am J Orthod Dentofacial Orthop. 2014 oct;146(4):423-9. doi: 10.1016/j.ajodo.2014.07.001.
Cardaropoli D, Debernardi C, Cardaropoli G. Immediate placement of implant into impacted maxillary canine extraction socket. Int J Periodontics Restorative Dent. 2007 Feb;27(1):71-7.
Zuiderveld EG, Meijer HJ, Vissink A, Raghoebar GM. Immediate placement and provisionalization of an implant after removal of an impacted maxillary canine: two case reports. Int J Implant Dent. 2015 Dec;1(1):13. doi: 10.1186/s40729-015-0013-3.
Sfeir E, Gholmieh M, Skaf Z, Mourad A. Alveolar bone and epithelial attachment status following two different closed-eruption surgical techniques for impacted maxillary central incisors. Int J Clin Pediatr Dent. 2018 Jul-Aug;11(4):317-322. doi: 10.5005/jp-journals-10005-1532.
Frank CA. Treatment options for impacted teeth. J Am Dent Assoc. 2000 May;131(5):623-32. doi: 10.14219/jada.archive.2000.0236.
Leyland L, Batra P, Wong F, Llewelyn R. A retrospective evaluation of the eruption of impacted permanent incisors after extraction of supernumerary teeth. J Clin Pediatr Dent. 2006 Spring;30(3):225-31. doi: 10.17796/jcpd.30.3.60p6533732v56827.
Yeluri R, Hegde M, Baliga S, Munshi AK. Multiple supernumerary teeth associated with an impacted maxillary central incisor: Surgical and orthodontic management. Contemp Clin Dent. 2012 Apr;3(2):219-22. doi: 10.4103/0976-237X.96844.
Baumrind S, Korn EL, Boyd RL. Apical root resorption in orthodontically treated adults. Am J Orthod Dentofacial Orthop. 1996 Sep;110(3):311-20. doi: 10.1016/s0889-5406(96)80016-3.
Jiang RP, McDonald JP, Fu MK. Root resorption before and after orthodontic treatment: a clinical study of contributory factors. Eur J Orthod. 2010 Dec;32(6):693-7. doi: 10.1093/ejo/cjp165.
Ho KH, Liao YF. Pre-treatment radiographic features predict root resorption of treated impacted maxillary central incisors. Orthod Craniofac Res. 2012 Aug;15(3):198-205. doi: 10.1111/j.1601-6343.2012.01545.x.
Paduano S, Spagnuolo G, Franzese G, Pellegrino G, Valletta R, Cioffi I. Use of cantilever mechanics for impacted teeth: case series. Open Dent J. 2013 Dec 30;7:186-97. doi: 10.2174/1874210601307010186.
Viecilli AF, Freitas MPM. The T-loop in details. Dental Press J Orthod. 2018 Jan;23(1):108-17. doi: 10.1590/2177-6709.23.1.108-117.sar.
Kučera J, Littlewood SJ, Marek I. Fixed retention: pitfalls and complications. Br Dent J. 2021 Jun;230(11):703-8. doi: 10.1038/s41415-021-2892-4.
Katheria BC, Kau CH, Tate R, Chen JW, English J, Bouquot J. Effectiveness of impacted and supernumerary tooth diagnosis from traditional radiography versus cone beam computed tomography. Pediatr Dent. 2010 Jul-Aug;32(4):304-9.
Gurgel CV, Costa AL, Kobayashi TY, Rios D, Silva SM, Machado MA, et al. Cone beam computed tomography for diagnosis and treatment planning of supernumerary teeth. Gen Dent. 2012 May-Jun;60(3):e131-5.
Sharma R, Drummond R, Wiltshire W, Schroth R, Lekic M, Bertone M, et al. Quality of life in an adolescent orthodontic population. Angle Orthod. 2021 Nov 1;91(6):718-24. doi: 10.2319/062820-592.1.
Elyaskhil M, Shafai NAA, Mokhtar N. Effect of malocclusion severity on oral health related quality of life in Malay adolescents. Health Qual Life Outcomes. 2021 Mar 3;19(1):71. doi: 10.1186/s12955-021-01710-2.
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Copyright (c) 2024 Samuel Matos Souza, Maria de Fátima Silva, Giovanni Modesto Vieira, Carlos Henrique Guimarães Júnior, Janine Della Valle Araki

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