Management of Impacted Maxillary Central Incisor by Sequential Appliance Therapy- A Clinical Case Report

Aim: Presentation of case with successful management of impacted maxillary central incisor. Background: The impaction of permanent central incisors is a well-recognized entity and is usually associated with trauma to one or more primary anterior teeth early in life. Case Description: We report a case in which a buccally displaced impacted central incisor was brought in the arch by biological tooth movement using a combination of removable and fixed orthodontic traction. Conclusion: The chances of non-vitality are naturally much lower when the treatment is initiated at a younger age, due to the presence of a wide apical foramen. Clinical Significance: It is a challenging task for a pediatric dentist to restore esthetics by moving the impacted maxillary incisor back to its natural position. Orthodontic correction, though challenging, is more desirable as the person retains his natural tooth in the arch.