Page 49 - DP Vol 21 No1_Neat

Fig 2a Fig 2b
Figures 2a and 2b: CBCT images showing the impacted central incisor.

Fig 3a Fig 3b
Figures 3a and 3b: Flap raised to expose the odontome and retraction of the impacted incisor.
digital workflow. A minimally invasive digital impression was taken,
followed by in-clinic designing and milling of the restoration.
Additionally, laser gingivoplasty was conducted to optimize the
gingival contour for the final restoration (Figures 5a, 5b and 5c).
The patient was scheduled for routine follow-up visits to monitor for
any signs of relapse or discomfort. Post-treatment orthopantomogram
(OPG) showed favourable results, with no evidence of sensitivity,
restoration failure, marginal discoloration, or material staining.
There were also no signs of chipping, wear, periodontal compromise,
or secondary caries (Figures 6a and 6b).

DISCUSSION
In orthodontics, centrally impacted teeth—particularly impacted
Fig 3c: Orthodontic retraction of the impacted canine. central incisors—pose a complex clinical challenge. Impaction can
arise from various factors, including malposition, crowding, trauma,
As the tooth progressed towards the occlusal plane, a bracket was or abnormal growth patterns. Effective management typically
bonded to its labial surface to aid in guided retraction. Endodontic requires a multidisciplinary approach, integrating both orthodontic
treatment was carried out concurrently with the orthodontic alignment. and surgical procedures into a comprehensive treatment plan.
The patient subsequently entered the finishing and detailing phase of This study explores the key issues, treatment challenges, and
the orthodontic treatment (Figures 4a, 4b and 4c). contemporary techniques associated with the management of
Upon completion of the final alignment and leveling, chairside teeth with irregular impaction. Accurate diagnosis is essential for
aesthetic restoration was performed in a single sitting using the CEREC developing an effective strategy. Radiographic and orthodontic

Access this article online at https://www.dental-practice.biz/emagazine/dp21-2/#p=48

Dental Practice I March-April 2025 I Vol 21 No 2 49