Article: Volume 14 Number 4 Page 180 - October 2021

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  Orthodontic Update 56: 180-185

Orthodontics:  Management of Bilateral Horizontally Impacted and Dilacerated Maxillary Central Incisors at the Nasal Floor: A Multidisciplinary Specialist Approach

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Abstract: In cases of horizontally impacted and dilacerated maxillary central incisors where alignment is attempted, treatment is often prolonged, and achieving an optimal result can be uncertain. We present a case of bilateral horizontally impacted maxillary central incisors lying against the nasal floor, associated with supernumerary teeth, further complicated by a dilaceration, where alignment of the impacted incisors was completed efficiently.

Clinical relevance: To demonstrate an orthodontic case of how impacted dilacerated central incisors at the nasal floor were efficiently aligned.

Author notes: Paula Mairéad Sinnott, BDS (NUI), MFDS RCS (Ed), MClinDent (UCL), MOrth RCS (Eng and Ed), Senior Orthodontic Registrar, Department of Orthodontics, University of Bristol Dental Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol. Kate Parker, BA (Hons), BDS (Hons), MJDF RCS (Eng), MClinDent, MOrth RCS (Eng), Consultant Orthodontist, Department of Orthodontics, Royal National ENT and Eastman Dental Hospital, University College London Hospitals NHS Foundation Trust, London. Joseph Noar, MSc, BDS, FDS RCS(Ed), FDS RCS(Eng), DOrth RCS (Eng), MOrth RCS (Eng), FHEA, Consultant Orthodontist, Department of Orthodontics, Royal National ENT and Eastman Dental Hospital, University College London Hospitals NHS Foundation Trust, London. Email: p.sinnott@nhs.net

Objective: To give an overview of impacted incisors and demonstrate to the reader the relevance of a multidisciplinary approach.