Manejo del sector anterior alterado por impactación de incisivo central y erupción ectópica de canino: reporte de caso

Abstract

Tooth loss is common in childhood, following oral trauma. The management of spaces is an important issue that must be planned from an early age. Failure to intervene in a timely manner can trigger impaction of permanent teeth, crowding, alterations in dental eruption of neighboring teeth or malocclusions. This case report describes the dental management carried out by a multidisciplinary team that included pediatric dentistry, orthodontics, maxillofacial surgery and periodontics following a dental avulsion and subsequent dental impaction and ectopic eruption. The treatment applied consisted of primary canine extraction, distalization of the tooth 23 for correct location and subsequent traction of the tooth 21. through fixed appliances. If there is premature loss of primary teeth in the anterior sector, the patient should be referred to a specialist to avoid possible consequences. The intervention in these cases must be timely by the treating team, especially when the child is in an important stage of development, both physically and psychologically. The indicated therapy will depend on each particular case, individualizing needs, costs and benefits. The resolution of complications in the anterior sector must be managed by a multidisciplinary group.