PMC3220178_01
Intraoral view showing the absence of 11
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F1
Intraoral examination showed the clinical absence of a permanent maxillary right central incisor with no evidence of eruption [Figure 1].
Preoperative maxillary occlusal radiograph revealing impacted 11 and multiple supernumerary teeth
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F2
Additionally, radiolucent space was observed surrounding the crown of supernumerary teeth and permanent maxillary right central incisor mimicking enlarged follicular space [Figure 2].
Surgical area after removal of supernumerary teeth
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F3
Supernumerary teeth along with soft tissue mass were surgically removed [Figures 3 and 4], which were sent for histopathological examination.
Surgically removed supernumerary teeth and soft tissue mass
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F4
Supernumerary teeth along with soft tissue mass were surgically removed [Figures 3 and 4], which were sent for histopathological examination.
Panoramic radiograph showing Begg's bracket on 11 and traction with a ligature wire tied to a stainless steel base arch wire
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F5
In the subsequent visit, a 0.016 stainless steel wire with the occlusal step bend in the permanent maxillary right central incisor region was given and traction was applied until it erupted to the occlusal plane [Figure 5].
Intraoral view showing the alignment of 11 and a rectangular stainless steel wire
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F6
After initial alignment and leveling, a 0.016 x 0.022 inch NiTi wire and 1 month later a 0.016 x 0.022 inch stainless steel wire was placed [Figure 6].
Post- treatment intraoral view showing well aligned 11
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F7
After achieving a desired result debonding was done [Figure 7].
PMC3220178_02
Intraoral view showing the absence of 11
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F8
Intraoral examination showed the clinical absence of the permanent maxillary right central incisor [Figure 8].
Preoperative panoramic radiograph showing impacted 11 and supernumerary tooth
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F9
Radiographic examination (panoramic radiograph) revealed the presence of the impacted permanent maxillary right central incisor and supernumerary tooth (mesiodens) [Figure 9].
Panoramic radiograph showing mild eruption of 11
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F10
The panoramic radiograph revealed mild eruption of the permanent maxillary right central incisor [Figure 10].
Surgical exposure of 11
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F11
In the subsequent visit two-third crown of the permanent maxillary right central incisor was surgically exposed [Figure 11].
Intraoral view showing the alignment of 11 with a NiTi wire
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F12
After exposure of the permanent maxillary right central incisor, Begg's appliancewas placed and a 0.016 inch nickel titanium wire was used for initial alignment and leveling [Figure 12].
Intraoral view showing the complete alignment of 11
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F13
To correct mesiodistal inclination, the uprighting spring was placed [Figure 13].