International Journal of Clinical Pediatric Dentistry

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VOLUME 13 , ISSUE 6 ( November-December, 2020 ) > List of Articles

CASE REPORT

Multidisciplinary Approach for the Management of Dilacerated Permanent Maxillary Incisor: A Case Report

Srinivas Nallanchakrava, Shanthan Mettu, Nagulapally G Reddy, Keerthi Jangam

Keywords : Biological restoration, Dilaceration, Fixed orthodontic treatment, Impacted, Multidisciplinary approach, Surgical removal

Citation Information : Nallanchakrava S, Mettu S, Reddy NG, Jangam K. Multidisciplinary Approach for the Management of Dilacerated Permanent Maxillary Incisor: A Case Report. Int J Clin Pediatr Dent 2020; 13 (6):725-728.

DOI: 10.5005/jp-journals-10005-1847

License: CC BY-NC 4.0

Published Online: 31-03-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Dilaceration is an abrupt deviation along the long axis of the tooth, which may be observed between the crown, root, or both. Management of such teeth poses a unique challenge to the clinician due to its position within the esthetic zone. This case report describes the management of impacted maxillary central incisor with severe root dilacerations (90° angulation and crown directed toward the anterior nasal spine). Surgical extraction of tooth was done after the elevation of the flap and fixed orthodontic treatment was planned to regain the required amount of space followed by prosthetic rehabilitation using the same extracted tooth as pontic.


  1. Hamasha AA, Al-Khateeb T, Darwazeh A. Prevalence of dilaceration in Jordanian adults. Int Endod J 2002;35(11):910–912. DOI: 10.1046/j.1365-2591.2002.00593.x.
  2. Agnihotri A, Marwah N, Dutta S. Dilacerated unerupted central incisor: a case report. J Indian Soc Pedod Prev Dent 2006;24(3):152–154. DOI: 10.4103/0970-4388.27897.
  3. Neto JV, Costa SDP, Estrela C. Orthodontic-surgical-endodontic management of unerupted maxillary central incisor with distoangular root dilaceration. J Endod 2010;36(4):755–759. DOI: 10.1016/j.joen.2009.12.032.
  4. Lin YTJ. Treatment of an impacted dilacerated maxillary central incisor. Am J Orthod Dentofacial Orthop 1999;115(4):406–409. DOI: 10.1016/S0889-5406(99)70260-X.
  5. Ruellas ACDO, Mattos CT. Multidisciplinary approach to a traumatized unerupted dilacerated maxillary central incisor. Angle Orthod 2012;82(4):739–747. DOI: 10.2319/081711-525.1.
  6. Lu P, Chew MT. Orthodontic-surgical management of an unusual dilacerated maxillary incisor. J Orthod Sci 2018;7(1):24. DOI: 10.4103/jos.JOS_80_18.
  7. Stewart DJ. Dilacerate unerupted maxillary central incisors. Br Dent J 1978;145(8):229–233. DOI: 10.1038/sj.bdj.4804154.
  8. Uematsu S, Uematsu T, furusawa K, et al. Orthodontic treatment of an impacted dilacerated maxillary central incisor combined with surgical exposure and apicectomy. Angle Orthod 2004;74:132–136.
  9. Mohammad Z, Cheruku SR, Penmetcha S, et al. A novel approach to regain anterior space using modified 2 by 3 fixed appliance: a report of two cases. J Clin Diagn Res 2015;9(10):23–25. DOI: 10.7860/JCDR/2015/16247.6688.
  10. Dhariwal NS, Gokhale NS, Patel P, et al. Natural tooth as an interim prosthesis. J Nat Sci Biol Med 2016;7(2):189–193. DOI: 10.4103/0976-9668.184710.
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