Ortodontic extrusion

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Case 13 ORTHODONTIC EXTRUSION OF IMPACTED LEFT CENTRAL INCISOR

Transcript of Ortodontic extrusion

Page 1: Ortodontic extrusion

Case 13ORTHODONTIC EXTRUSION OF

IMPACTED LEFT CENTRAL INCISOR

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• A 9 years old female patient came to OPD of Pedodontics and

Preventive Dentistry, with

the chief complaint of retained milk teeth in upper

anterior region. • O/E – retained 61 and missing

21

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OPG shows retained 61 and apically placed 21.

An odontome is present at incisal edge of 21

IOPAR shows retained 61, impacted 21 and

presence of odontome incisal to 21

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Treatment plan:

• Surgical extraction of 51, and odontome• Followed by orthodontic

extrusion of 21

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Incision given, periosteal flap elevated from 11 to

23.

61 extracted, bone overlying 21 was removed

to expose 21

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Lingual button bonded to 21, with a wire extension

attached to it.

Suture given

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MBT bracket system bonded on erupted teeth.

Extension of wire attached to 21 & tightened with arch wire.

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21 erupted with mesially tilted crown.

MBT bracket bonded on 21 and .012 NiTi arch wire

adapted .

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Proper alignment of 21 Bucally erupting 23

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23 erupting bucally with space deficiency between 22 and 24.

Open coil spring given to regain space between 22

and 24.