Can forces be applied directly to the root for correction of a palatally displaced central incisor with a dilacerated root?

Elsa Arango, Sonia P. Plaza, Angela M. Chaves, Birte Melsen

Research output: Contribution to journalArticle

Abstract

This case report describes the interdisciplinary treatment of an ectopic horizontally placed maxillary right central incisor with severe root dilaceration. The root was distally angulated and entrapped by the root of the maxillary right lateral incisor. The initial force system was aimed at an occlusal displacement and applied to the crown. During the second phase, a button was cemented onto the apex of the impacted tooth. A force from the apex to a temporary anchorage device in the palate moved the root toward the midline. Finally, a root canal and an apectomy were performed and the central incisor could be moved to its ideal position. The treatment generated a normal height of the alveolar bone and an ideal occlusion with a healthy periodontium.

Original languageEnglish
Pages (from-to)275-282
Number of pages8
JournalAmerican Journal of Orthodontics and Dentofacial Orthopedics
Volume156
Issue number2
DOIs
Publication statusPublished - 1 Aug 2019

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