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, trabeculated 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: male patient, 10 years old, referred for maxillofacial surgery who attended the consultation of 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 radiography, lateral cephalic) shows persistence of primary central incisors, retention of 11 and 21, with complete root formation, presence of 3 tuberculated supernumerary teeth. The tooth extraction was carried out without incident and subsequent cementing the button for orthodontic traction. Conclusions: Forced eruption using the orthodontic traction technique guarantees the possibility of including the teeth retained in the maxilla in the arch through controlled forces supported by the use of combined appliances that allow the consolidation of a correct occlusion, preventing or intercepting orthodontic problems early. These can become large malocclusions