Management of impacted dilacerated maxillary incisor with strategic positioning of a straightwire appliance

Eur J Paediatr Dent. 2015 Sep;16(3):191-6.


Aim: To describe the orthodontic management of root dilaceration of an impacted maxillary tooth following trauma to its deciduous predecessors, to show the clinical management of root dilaceration of a maxillary central incisor and describe how the dilacerated tooth was successfully moved into alignment in a young patient with a proper multidisciplinary approach, using the simple and effective straightwire technique.

Case report: After surgical exposure and orthodontic traction, the impacted dilacerated tooth was brought to alignment in the arch. The patient's chewing and speech function, and aesthetics were restored. The radiograph shows that the root is finally straight and relatively well developed. This approach avoids extraction and prosthetic rehabilitation of the dilacerated tooth.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Female
  • Humans
  • Incisor / surgery*
  • Maxilla*
  • Orthodontic Wires*
  • Radiography, Panoramic
  • Tooth, Impacted / surgery*