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Donnish Journal of Dentistry and Oral Hygiene

May 2015 Vol. 1(2), pp. 007-011

Copyright © 2015 Donnish Journals




Original Research Paper


Orthodontic Management of an Impacted Central Incisor with a Dual Wire Piggyback Technique


Raj Kumar Chowdary Kopuri1*, Naga Radhakrishna Ambati1 and Indeevar P.2

1Assistant Professor, Department of Pedodontics and Preventive Dentistry, St. Joseph Dental College, Eluru, Andhra Pradesh, India.
2Assistant Professor, Department of Periodontics, St. Joseph’s Dental College, Eluru, Andhra Pradesh, India.

Corresponding Author E-mail: krkc143@gmail.com

Accepted 19th April, 2015.



Abstract


Tooth impaction may result from various local causes, impaction of a permanent tooth is rarely diagnosed during the mixed dentition period, and an impacted central incisor is usually diagnosed accurately when there is over delay in the eruption of the tooth. Management options for such impacted central incisors can be: (i) surgical extraction and moving the lateral incisor to mimic the central incisor and similarly changing the anatomy of other teeth. (ii) Extraction of the impacted tooth followed by an implant. (iii) Surgical repositioning of the impacted tooth, and (iv) Orthodontic correction of the impacted tooth. This paper describes the successful alignment of impacted maxillary central incisor by surgical exposure of the impacted tooth followed by orthodontic repositioning using the piggy back technique and traction forces in a 13-year-old boy. Orthodontic traction causes minimal injury to the neighboring soft tissues. Orthodontic correction, though challenging, is more desirable as the person retains his natural tooth in the arch. In future, management of impacted central incisor by orthodontic alignment may become the preferred method of choice over extraction or surgical repositioning.

Keywords: Piggyback technique, Impacted incisor, Orthodontic repositioning, Impaction, Incisor, Orthodontic treatment.

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Cite This Article:

Raj Kumar Chowdary Kopuri, Naga Radhakrishna Ambati and Indeevar P. Orthodontic Management of an Impacted Central Incisor with a Dual Wire Piggyback Technique. Donnish Journal of Dentistry and Oral Hygiene 1(2) 2015 pp. 007-011.


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