Case 12ORTHODONTIC EXTRUSION OF IMPACTED 11

• A 12 years old female patient came to the Out patient Department of

Pedodontics and Preventive Dentistry

with the chief complaint of retained milk tooth in anterior region of upper

jaw. • Fracture of 21 and 12

• Intra-oral periapical radiograph

showed impacted 11 and retained

51.

• Space between 21

and 12 is lesser than mesiodistal

width of crown of 11

OPG and standard maxillary occlusal radiograph showed impacted 11 and retained 51

Treatment plan:

• Regaining of space between 21 and 12 by expansion with hyrax appliance &• Followed by orthodontic

extrusion

Local anesthesia administered

Full thickness flap raised from 13 to 22

Extraction of 51 done

Exposure of crown of 11 done with the help of

surgical bur

Isolation & etching done

Bonding of lingual button on the crown of 11 & a extension of wire is attached to lingual

button

Suture given, followed by application of periopack.

One week post operative, after removal of suture

Space gained by hyrax appliance and open coil

spring

Space gained , traction given to the impacted 11

11 in position , just to erupt .

Erupted 11 , crown is mesially tilted

After proper positioning of 11 is acheived

Frontal view