Ortodontic extrusion

1. Case 13
ORTHODONTIC EXTRUSION OF
IMPACTED LEFT CENTRAL
INCISOR

2. • A 9 years old female
patient came to OPD of
Pedodontics and
Preventive Dentistry, with
the chief complaint of
retained milk teeth in
upper anterior region.
• O/E – retained 61 and
missing 21

3. OPG shows retained 61 and apically
placed 21.
An odontome is present at incisal edge of
21
IOPAR shows retained 61,
impacted 21 and presence of
odontome incisal to 21

4. Treatment plan:
• Surgical extraction of 51, and odontome
• Followed by orthodontic extrusion of 21

5. Incision given, periosteal flap
elevated from 11 to 23.
61 extracted, bone overlying 21
was removed to expose 21

6. Lingual button bonded to 21, with
a wire extension attached to it.
Suture given

7. MBT bracket system bonded on erupted
teeth.
Extension of wire attached to 21 &
tightened with arch wire.

8. 21 erupted with mesially tilted
crown.
MBT bracket bonded on 21 and
.012 NiTi arch wire adapted .

9. Proper alignment of 21 Bucally erupting 23

10. 23 erupting bucally with space
deficiency between 22 and 24.
Open coil spring given to regain
space between 22 and 24.