Surgical resection after orthodontic eruption: A case report of compound odontoma-induced impacted maxillary right central incisor
Xiaoxiao Shi,
Xingsi Tan,
Naici Wang,
Yupu Li,
Yunzhuan Zhao,
Tiepeng Xiao
Affiliations
Xiaoxiao Shi
Department of Orthodontics, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
Xingsi Tan
Department of Orthodontics, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China; Department of Orthodontics, Handan Stomatology Hospital, Handan, Hebei, China
Naici Wang
Department of Orthodontics, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
Yupu Li
Department of Orthodontics, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China; Department of Orthodontics, The Second Hospital of Shijiazhuang, Shijiazhuang, Hebei, China
Yunzhuan Zhao
Department of Oral and Maxillofacial Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
Tiepeng Xiao
Department of Orthodontics, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China; Corresponding author.
Herein, we described the multidisciplinary treatment of a mixed dentition patient with impacted maxillary right central incisor and adjacent compound odontoma. In contrast to conventional treatment procedures, orthodontic traction was first performed for the affected tooth in this case, followed by resection of the odontoma. The odontoma did not shift after eruption of the incisor and was safely removed after alignment of the impacted tooth. No root resorption, gingival recession or bone defect occurred in this case. These results demonstrated that the orthodontic force can break the connection between the impacted tooth and the odontoma. The increased distance between the impacted tooth and odontoma may facilitate removal of the odontoma. Adhesion between the soft tissue capsule of odontoma and the dental follicle, rather than blocking the tooth, may play a role in tooth impaction.
