Traction of Impacted Central Incisor in an Adult Patient: Case Report

We have reported a case of a 17-year-old patient with impaction of element 2.1 and severe incisors crowding and the treatment plan involved traction of the impacted teeth.

First, rapid maxillary expansion was performed. Then elements 1.4, 2.4, 3.4, and 4.4 were extracted to dissolve the crowding, and the fixed appliances were bonded. A NiTi coil spring was used to open the needed space for traction, and surgical exposure of the tooth for bonding a traction device was done. After the tooth erupted in the oral cavity, overlay mechanics was used to align and level it.

Despite being challenging, the conservative treatment resulted in satisfactory outcomes, and the objectives were achieved, restoring the patient's aesthetics and function.

After correct planning of the case, the impacted central incisor was pulled, restoring the patient's function and aesthetics, with good preservation of the supporting structures.