PMC4516066_01
Extra-oral.
JIOH-7-96-g001.jpg
PMC4516066_01_JIOH-7-96-g001.jpg
F1
A 21-year-old non growing male patient named Praveen reported with a complaint of a highly placed tooth and space in the front region (Figure 1).
Intra-oral.
JIOH-7-96-g002.jpg
PMC4516066_01_JIOH-7-96-g002.jpg
F2
On clinical examination, he was found to have a Class I skeletal base relation (Figure 2), Angle's Class I malocclusion.
Orthopantomogram.
JIOH-7-96-g003.jpg
PMC4516066_01_JIOH-7-96-g003.jpg
F3
Orthopantomogram (OPG) showed the absence of root wrt 11 (Figure 3).
Cone beam computed tomography.
JIOH-7-96-g004.jpg
PMC4516066_01_JIOH-7-96-g004.jpg
F4
On CBCT examination, it was found that the right maxillary central incisor had a root that is in contact with the root of the right maxillary lateral incisor (Figure 4).
PMC4516066_02
Extra-oral image.
JIOH-7-96-g005.jpg
PMC4516066_02_JIOH-7-96-g005.jpg
F5
Intra-oral image.
JIOH-7-96-g006.jpg
PMC4516066_02_JIOH-7-96-g006.jpg
F6
Orthopantomogram.
JIOH-7-96-g007.jpg
PMC4516066_02_JIOH-7-96-g007.jpg
F7
With the history, clinical examination and radiographic records (Figure 7) it was decided to proceed with fixed mechanotherapy.
Cone beam computed tomography.
JIOH-7-96-g008.jpg
PMC4516066_02_JIOH-7-96-g008.jpg
F8
A need was sought to obtain CBCT (Figure 8) to have a clear picture of the relation of second and third molars in the second quadrant.
PMC4516066_03
Extra-oral image.
JIOH-7-96-g009.jpg
PMC4516066_03_JIOH-7-96-g009.jpg
F9
Intra-oral image
JIOH-7-96-g010.jpg
PMC4516066_03_JIOH-7-96-g010.jpg
F10
Orthopantomogram.
JIOH-7-96-g011.jpg
PMC4516066_03_JIOH-7-96-g011.jpg
F11
From the current radiographic records such as the OPG (Figure 11) and the intra oral periapical radiograph, we could infer the presence of an impacted premolar but no information could be obtained regarding the root region.
Cone beam computed tomography.
JIOH-7-96-g012.jpg
PMC4516066_03_JIOH-7-96-g012.jpg
F12
A CBCT (Figure 12) was recorded, and it was confirmed the presence of root for the impacted premolar.