Management of Impacted and Dilacerated Maxillary Central Incisors: A Case Report

A 9-year-old female patient with an impacted upper left central incisor was referred to the Paediatric Dentistry Clinic.  The patient's medical history indicated that her maxillary primary left central incisor was extracted previously due to avulsion trauma at the age of 2.  A periapical radiograph and cone beam computed tomography (CBCT) were performed, resulting in a diagnosis of an impacted upper left central incisor requiring dental intervention and treatment.  The patient visited the paediatric dentistry clinic for the first time seeking dental treatment, specifically restoration and pulpotomy of a primary molar, as well as fissure sealant application on permanent molars.  The patient's parents consented to the treatment approach, and a comprehensive treatment plan was elucidated.  The patient exhibited good tolerance to the treatment and experienced no complications.  Consent forms for the treatment plans were executed prior to the acceptance of dental treatment.  After six months, the tooth had completely erupted and was secured with a fixed retainer.  The patient and guardian expressed satisfaction with the final orthodontic outcome for the permanently retained palatal appliance.