Multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cyst

Supernumerary teeth are the most common developmental dental anomaly resulting from hyperactivity of dental lamina, dichotomy, environmental factor, or polygenetic process of atavism. Supernumerary teeth present classical oral complication such as impaction of adjacent teeth, crowding, diastema form...

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Main Authors: Ritesh R Kalaskar, Ashita R Kalaskar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:http://www.contempclindent.org/article.asp?issn=0976-237X;year=2011;volume=2;issue=1;spage=53;epage=58;aulast=Kalaskar
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spelling doaj-2e5b6219e0f543e887c0d669ce9f50d42020-11-24T22:53:27ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612011-01-0121535810.4103/0976-237X.79297Multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cystRitesh R KalaskarAshita R KalaskarSupernumerary teeth are the most common developmental dental anomaly resulting from hyperactivity of dental lamina, dichotomy, environmental factor, or polygenetic process of atavism. Supernumerary teeth present classical oral complication such as impaction of adjacent teeth, crowding, diastema formation, rotation, displacement of teeth, and occlusal interference. A dentigerous cyst associated with anterior supernumerary teeth (mesiodens) is rare and accounts for 5% of all dentigerous cysts. The present case reports describe the successful management of the impacted permanent maxillary central incisor positioned high in the vestibule. A combination of surgical and orthodontic techniques was employed to improve treatment outcome with greater hard and soft tissue preservation and to prevent psychological problems. In the surgical phase, supernumerary teeth and dentigerous cyst were removed. Subsequently traction was employed by bonding bracket on the labial surface using closed and open eruption techniques. Successively, fixed orthodontic treatment was started to align permanent maxillary central incisors in an occlusal plane. Thus, combination of surgical and orthodontic method can be the treatment of choice over surgical extraction, implant placement, and surgical repositioning.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2011;volume=2;issue=1;spage=53;epage=58;aulast=KalaskarDentigerous cystfollicular space impacted toothmanagement of for impacted central incisorsorthodontic interventionsupernumerary toothsurgical
collection DOAJ
language English
format Article
sources DOAJ
author Ritesh R Kalaskar
Ashita R Kalaskar
spellingShingle Ritesh R Kalaskar
Ashita R Kalaskar
Multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cyst
Contemporary Clinical Dentistry
Dentigerous cyst
follicular space impacted tooth
management of for impacted central incisors
orthodontic intervention
supernumerary tooth
surgical
author_facet Ritesh R Kalaskar
Ashita R Kalaskar
author_sort Ritesh R Kalaskar
title Multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cyst
title_short Multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cyst
title_full Multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cyst
title_fullStr Multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cyst
title_full_unstemmed Multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cyst
title_sort multidisciplinary management of impacted central incisors due to supernumerary teeth and an associated dentigerous cyst
publisher Wolters Kluwer Medknow Publications
series Contemporary Clinical Dentistry
issn 0976-237X
0976-2361
publishDate 2011-01-01
description Supernumerary teeth are the most common developmental dental anomaly resulting from hyperactivity of dental lamina, dichotomy, environmental factor, or polygenetic process of atavism. Supernumerary teeth present classical oral complication such as impaction of adjacent teeth, crowding, diastema formation, rotation, displacement of teeth, and occlusal interference. A dentigerous cyst associated with anterior supernumerary teeth (mesiodens) is rare and accounts for 5% of all dentigerous cysts. The present case reports describe the successful management of the impacted permanent maxillary central incisor positioned high in the vestibule. A combination of surgical and orthodontic techniques was employed to improve treatment outcome with greater hard and soft tissue preservation and to prevent psychological problems. In the surgical phase, supernumerary teeth and dentigerous cyst were removed. Subsequently traction was employed by bonding bracket on the labial surface using closed and open eruption techniques. Successively, fixed orthodontic treatment was started to align permanent maxillary central incisors in an occlusal plane. Thus, combination of surgical and orthodontic method can be the treatment of choice over surgical extraction, implant placement, and surgical repositioning.
topic Dentigerous cyst
follicular space impacted tooth
management of for impacted central incisors
orthodontic intervention
supernumerary tooth
surgical
url http://www.contempclindent.org/article.asp?issn=0976-237X;year=2011;volume=2;issue=1;spage=53;epage=58;aulast=Kalaskar
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