Tracionamento cirúrgico-ortodôntico de incisivo central superior permanente: relato de caso

Abstract

Introduction: Impacted teeth are those that, when the time comes to erupt into the oral cavity, remain enclosed in bone tissue and/or soft tissue, due to numerous local or systemic factors. The impacted upper central incisor is a less frequent abnormality when compared to the upper canines and has a great aesthetic and functional impact on the patient. Objective: The present study aims to report a conservative clinical treatment for impacted central incisor traction surgery, through a multidisciplinary approach. Case report: An 8-year-old male patient complained of delayed eruption of tooth 21 and reported that tooth 61 had already exfoliated about a year ago. After performing imaging tests, it was diagnosed that element 21 was included. In a multidisciplinary approach between the areas of ordodontics, surgery and pediatric dentistry, conservative surgical treatment was determined by performing traction of tooth 21, with gluing of an orthodontic button to the crown of the traction element and extraction of multiple teeth (53,55,15 and 63) in the surgical center of the Maria Aparecida Predrossian University Hospital. Surgery was performed without associated complications and after 5 days suture removal, as there was a good healing process. The patient was referred to the orthodontist for continued dental traction treatment. Conclusion: Surgical-orthodontic traction has a good prognosis, being a conservative option for treating impacted teeth in the aesthetic area.