Journal of the Korean Academy of Pediatric Dentistry 2005;32(3):550-556.
Published online August 31, 2005.
THE ERUPTION GUIDANCE OF AN IMPACTED DILACERATED MAXILLARY CENTRAL INCISOR
Keun-Young Kang, Kyu-Ho Yang, Nam-Ki Choi, Seon-Mi Kim
Department of Pediatric Dentistry, College of Dentistry, Chonnam National University and Dental Research Institute 
변위 매복된 상악 중절치의 맹출유도
강근영, 양규호, 최남기, 김선미
전남대학교 치과대학 소아치과학교실 및 치의학 연구소
Correspondence:  Kyu-Ho Yang,  Tel: 062-220-5476, Email: hellopedo@hanmail.net
Abstract
Tooth impaction is defined as a cessation of the eruption of a tooth at the level of the oral mucosa or alveolar bone by any causes. Any tooth in the dental arch can be impacted, but the teeth frequently involved in a descending order are the mandibular and maxillary third molars, the maxillary canines, the mandibular and maxillary second premolars, and the maxillary central incisors. In these teeth, impaction of maxillary incisor occurs in about 0.1-0.5% and major causes are trauma, supernumerary teeth and periapical inflammation of primary maxillary incisor. Delayed eruption of a maxillary central incisor results in midline shift, the space's being occupied by an adjacent tooth and different levels of alveolar height. Treatment options are observation, surgical intervention, surgical exposure and orthodontic traction, transplantation and extraction. These cases were about the patients with delayed eruption of maxillary central incisor. We surgically exposed impacted tooth and guided it into normal position by the orthodontic traction. At the completion of traction, the maxillary central incisor was positoned fairly within the arch and complications such as root resorption were not observed.
Key Words: Tooth impaction, Maxillary central incisor, Surgical exposure, Orthodontic traction


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