orthodontic extrusion 2
TRANSCRIPT
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Case 12ORTHODONTIC EXTRUSION OF IMPACTED 11
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• 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
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• Intra-oral periapical radiograph
showed impacted 11 and retained
51.
• Space between 21
and 12 is lesser than mesiodistal
width of crown of 11
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OPG and standard maxillary occlusal radiograph showed impacted 11 and retained 51
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Treatment plan:
• Regaining of space between 21 and 12 by expansion with hyrax appliance &• Followed by orthodontic
extrusion
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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
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Isolation & etching done
Bonding of lingual button on the crown of 11 & a extension of wire is attached to lingual
button
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Suture given, followed by application of periopack.
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One week post operative, after removal of suture
Space gained by hyrax appliance and open coil
spring
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Space gained , traction given to the impacted 11
11 in position , just to erupt .
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Erupted 11 , crown is mesially tilted
After proper positioning of 11 is acheived
Frontal view