Ortodontic extrusion
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Transcript of Ortodontic extrusion
Case 13ORTHODONTIC EXTRUSION OF
IMPACTED LEFT CENTRAL INCISOR
• 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
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
Treatment plan:
• Surgical extraction of 51, and odontome• Followed by orthodontic
extrusion of 21
Incision given, periosteal flap elevated from 11 to
23.
61 extracted, bone overlying 21 was removed
to expose 21
Lingual button bonded to 21, with a wire extension
attached to it.
Suture given
MBT bracket system bonded on erupted teeth.
Extension of wire attached to 21 & tightened with arch wire.
21 erupted with mesially tilted crown.
MBT bracket bonded on 21 and .012 NiTi arch wire
adapted .
Proper alignment of 21 Bucally erupting 23
23 erupting bucally with space deficiency between 22 and 24.
Open coil spring given to regain space between 22
and 24.