Impaction of the Maxillary Central Incisor Associated with Supernumerary Tooth: Surgical and Orthodontic Treatment

Impaction of maxillary permanent incisor is not a frequently case in dental practice, but its treatment is challenging because of its importance to facial esthetics. Supernumerary teeth are the main cause of impaction of upper incisor. Supernumerary teeth when present can cause both esthetic and pathologic problems. Supernumerary teeth in the maxillary midline are common. Early detection of such teeth is most important if complications are to be avoided. We report a case of 12 year old male with an impacted supernumerary tooth in the maxillary anterior region, which was interfering with the eruption of the permanent, left central incisor. The impacted supernumerary tooth was surgically removed. With the application of an orthodontic traction, impacted left maxillary central incisor was brought down to its proper position in the dental arch.