What is the orthodontic treatment of impacted central incisor?
1. Expansion of the maxillary dental arch to create the space for impacted right central incisor 2. Surgical exposure of impacted central incisor and removal of odontoma 3. Traction of maxillary right central incisor, with special attention to the gingival recession.
As an orthodontics master's student, I can answer in very simple terms. We need to check with x-ray (OPG, CBCT) first, and we need to consider the patient's age. If the diagnosis and assessment are available, we can start the treatment with space creation first.And then we have to decide to do surgical exposure or wait for normal eruption according to angulation and circumstance. When the tooth comes out, we need to guide the tooth in the proper position with orthodontist traction treatment. After that we need to do orthodontist treatments in order: alignment, finalisation, and retention.
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