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The European Journal of Orthodontics Advance Access published online on February 7, 2006

The European Journal of Orthodontics, doi:10.1093/ejo/cji099
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© The Author 2006. Published by Oxford University Press on behalf of the European Orthodontics Society. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org.

Article

Surgical repositioning of a developing maxillary permanent central incisor in a horizontal position: spontaneous eruption and root formation

Kazuto Kuroe 1 *, Hiroshi Tomonari 1, Kazuhisa Soejima 1, and Aya Maeda 1

1 Department of Orthodontics, Kagoshima University Graduate School of Medical and Dental Sciences, Japan

* To whom correspondence should be addressed.
Kazuto Kuroe, E-mail: kk{at}denta.hal.kagoshima-u.ac.jp


   Abstract

This report describes the surgical repositioning of a developing maxillary permanent central incisor in a horizontal position, followed by spontaneous eruption and root formation without orthodontic traction. Surgical exposure of the right central incisor was achieved.

A 7-year-old boy referred for orthodontic consultation. Radiographic examination showed the crown of a maxillary right central incisor to be positioned horizontally with root formation at the initial stage. The surgically repositioned incisor (by a close-eruption surgical flap technique) spontaneously erupted into correct alignment after 2 years 3 months. The erupted incisor remained vital and responded normally to percussion, mobility and sensitivity testing. The soft tissue, periodontal attachment, gingival contour and probing depths were normal. Follow-up radiographs confirmed the continued development of the root, with revascularization of the pulp and a normal appearance of the periodontal space and lamina dura. There was, however, shorter root formation and a narrower root cavity compared with the contralateral incisor. As a result, no orthodontic traction and alignment were required.

This method of surgical repositioning is a viable alternative to the traditional approach of extraction or surgical exposure followed by orthodontic traction for a developing maxillary permanent central incisor in a horizontal position.


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