Management of unerupted dilacerated upper central incisors with compound odontome obstruction along the path of eruption - A case report

Abstract

Failure to erupt permanent incisors is not a common feature in the orthodontics clinic. When such a case is encountered, its management could be challenging due to the importance of these teeth to aesthetics especially in the female gender. This is one of the reasons why patient seek orthodontic treatment in our environment. This ease report is that of a young junior secondary school girl that presents with a history of unerupted upper right central incisor with a retained upper right primary central incisor despite several years of exfoliation of upper left primary central incisors and eruption of the upper left central incisors into their functional position. On investigation, the upper right central incisor was found to have dilacerated apical third of its root complicated by the presence of compound odontome in its path of eruption. The upper right primary central incisor was extracted; the upper right central incisor was surgically exposed and the compound odontome removed. Orthodontic traction technique was used to position the tooth in the arch.