Author/Authors :
Figliuzzi, Michele M. Department of Periodontics and Oral Sciences - School of Dentistry - Magna Græcia University, Catanzaro, Italy , Altilia, Maria Department of Periodontics and Oral Sciences - School of Dentistry - Magna Græcia University, Catanzaro, Italy , Altilia, Simone Department of Periodontics and Oral Sciences - School of Dentistry - Magna Græcia University, Catanzaro, Italy , Giudice, Amerigo Department of Periodontics and Oral Sciences - School of Dentistry - Magna Græcia University, Catanzaro, Italy , Fortunato, Leonzio Department of Periodontics and Oral Sciences - School of Dentistry - Magna Græcia University, Catanzaro, Italy
Abstract :
The case that is reported here describes the replanting of a 1.1 from an ectopic position during orthodontic therapy. The 9-year-old
patient suffered from class 2 type malocclusion with the upper maxilla contracted, right-left posterior cross-bite. The clinical case
presented the following details: in the upper incisor group, the 1.1 was overlapping the 1.2 and was distalised and completely
vestibularised, whilst in the place of the 1.1, a 1.1 supernumerary persisted in occlusion. Following several medical
investigations, such as OPT and, most importantly, TC cone beam investigation, the dangerous position of the dental element
became clear. This did not present vestibular cortical bone but only gingival mucosa. Following these investigations, the
difficulty in bringing the dental element into its natural position through orthodontic treatment became obvious since the
natural position was without sufficient bone support. From this, it became obvious that surgery and replanting of the 1.1
immediately after the extraction of the supernumerary 1.1 was the only choice available.
