Traction of impacted upper central incisor with the aid of a modified transpalatal bar: case report

Authors

  • Matheus Furtado de Carvalho Instituto Ciências Da Vida, Faculdade de Odontologia, Universidade Federal de Juiz de Fora, Governador Valadares, Minas Gerais
  • Vinícius Lopes Ribas de Lana Instituto Ciências Da Vida, Faculdade de Odontologia, Universidade Federal de Juiz de Fora, Governador Valadares, Minas Gerais
  • Francielle Silvestre Verner Instituto Ciências Da Vida, Faculdade de Odontologia, Universidade Federal de Juiz de Fora, Governador Valadares, Minas Gerais
  • Carlos Eduardo Pinto de Alcântara Instituto Ciências Da Vida, Faculdade de Odontologia, Universidade Federal de Juiz de Fora, Governador Valadares, Minas Gerais
  • Janaína Cristina Gomes Instituto Ciências Da Vida, Faculdade de Odontologia, Universidade Federal de Juiz de Fora, Governador Valadares, Minas Gerais

DOI:

https://doi.org/10.34019/1982-8047.2019.v45.26674

Keywords:

Incisor, Tooth Impacted, Tooth Movement Techniques

Abstract

INTRODUCTION: Impacted maxillary central incisor is a challenging condition for dentists, generally requiring a multidisciplinary approach. It can occur due to lack of space in the dental arch, primary or permanent successor dental alterations, presence of supernumerary teeth and/or associated pathological lesions, or due to a dense bony coating and excess local soft tissue. Careful planning and early intervention become essential to minimize esthetic and functional compromises, avoiding negative interference to the patient's psychological and social development. OBJECTIVE: Report a clinical case in pediatric patient related to the impaction of the permanent upper central incisor and its orthodontic traction with the modified transpalatal bar. CASE REPORT: 13-year-old male patient with esthetic discomfort in his smile due to prolonged retention of the deciduous incisor. Imaging exams identified impaction of the permanent incisor and suggestive image of compound odontoma, as well as agenesis of the permanent lateral incisors. In the first moment, an extraction of the deciduous incisor and canines was performed along with the excision of the compound odontoma, while awaiting spontaneous eruption of the permanent incisor. Faced with an incomplete eruption of the permanent incisor during a 6 month period, the incisor traction was opted for with the aid of an orthodontic button and rubber bands supported by a modified transpalatal bar. RESULTS: Patient is found with the central incisor erupted, awaiting fixed orthodontic treatment for correct dental alignment and leveling. CONCLUSION: The modified transpalatal bar is an important component for supporting the wire during the impacted incisor traction in patients unable to use fixed orthodontic appliances.

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Additional Files

Published

2019-11-07

How to Cite

1.
de Carvalho MF, Lopes Ribas de Lana V, Silvestre Verner F, Pinto de Alcântara CE, Cristina Gomes J. Traction of impacted upper central incisor with the aid of a modified transpalatal bar: case report. HU Rev [Internet]. 2019Nov.7 [cited 2025Feb.16];45(2):222-6. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/26674

Issue

Vol. 45 No. 2 (2019)

Section

Relato de Caso

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