315 - Management of impacted, inverted, and dilacerated permanent maxillary central incisors

Friday, May 27, 2022

4:00 PM – 4:15 PM PT

Location: Sails Pavilion

Has Audio

Presenting Author(s)

MD

Marivic De Leon, DMD

Pediatric Dental Resident
University of California, San Francisco
University of California, San Francisco
San Francisco, California, United States

Co-Author(s)

MC

Mimansa Cholera, DDS, MPH

Resident
University of California, San Francisco
UCSF
San Francisco, California, United States
MD

Marivic De Leon, DMD

Pediatric Dental Resident
University of California, San Francisco
University of California, San Francisco
San Francisco, California, United States

Program Director(s)

TT

Thomas Tanbonliong, DDS

Program Director
University of California, San Francisco
San Francisco, California, United States

Permanent maxillary central incisors impaction with dilaceration of roots and inversion of crowns is a relatively uncommon occurrence. The phenomenon of dilaceration and inversion of roots and crowns of permanent teeth is not fully understood but is linked to either trauma or ectopic development. Missing maxillary central incisors due to impaction can have significant negative esthetic, functional and psychological effects. This case report describes a case of an 11-year-old boy with impacted, inverted, and dilacerated maxillary central incisors with no reported history of trauma. The evidence-based approach to treat this condition with two possible treatment modalities based on prognosis including surgical exposure with orthodontic traction or extraction followed by replacement with fixed prosthodontic bridge or implant are discussed in this report.