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Quintessence Publishing: Journals: ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Fall 2011
Volume 12 , Issue 3

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Combined orthodontic-restorative management of maxillary central incisors lost following traumatic injury: A case report

Padhraig S. Fleming, BDentSc (Hons), MSc, MOrth RCS/Jadbinder Seehra, BDS (Hons), MSc, MOrth RCS/Andrew T. DiBiase, BDS, MSc, FDS RCS (Orth)

Pages: 242251
PMID: 22022695

A history of traumatic dental injury to the maxillary central incisors during preadolescence or adolescence is common and may result in premature loss. Treatment options include prosthetic implant replacement, autotransplantation, and orthodontic space closure with direct composite recontouring. This case report describes the treatment of an adolescent girl who presented with a crowded Class I malocclusion complicated by a history of trauma to the maxillary central incisors. The treatment plan consisted of orthodontic space closure following loss of both maxillary central incisors and mandibular premolars. This case highlights that orthodontic space closure can be a valuable treatment option in selected Class I crowded and Class II uncrowded malocclusions, producing predictable and efficient results. Orthodontics (Chic) 2011;12:242251.

Key words: central incisor, dental trauma, space closure

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