Forced eruption of retained permanent upper central incisors as a result of supernumerary teeth. Case report.

Abstract

Supernumerary teeth are developmental alterations that form in addition to the normal series. They can be located in the area of the jaws in a conical, tuberculated or supplementary shape, having the capacity to cause eruption alterations in permanent teeth, displacement and malocclusions. In the case of retained permanent teeth with complete root formation, they lose eruptive capacity, which is why the need to perform orthodontic traction has been described. Objective: To describe the treatment and evolution of a pediatric patient with retained permanent central incisors due to the presence of tuberculated supernumerary teeth. Case presentation: 10-year-old male patient, referred for maxillofacial surgery, who attended the Pediatric Dentistry and Orthodontics Service of the CMDLT due to clinical absence of the upper permanent central incisors. The clinical and imaging examination (panoramic, lateral cephalic radiography and computed tomography) showed permanence of primary central incisors, retention of 11 and 21 with complete root formation and the presence of 3 tuberculated supernumerary teeth. The tooth extraction was carried out without incident and subsequent button cementing for orthodontic traction on permanent teeth 11 and 21. Conclusions: Forced eruption using the orthodontic traction technique guarantees the possibility of being able to include the teeth retained in the jaw in the arch. , through controlled forces supported by the use of combined appliances, which allows the consolidation of a correct occlusion, preventing or early intercepting orthodontic problems that can become large malocclusions.