Treatment of a challenging case of impacted, severely dilacerated & deflected maxillary central incisors: A case report with 10 years follow up

Impaction, dilaceration, and internal deflection of both maxillary permanent central incisors are not frequently reported in dental practice. The treatment approach is essential as it plays a pivotal role in contributing to the facial aesthetics and occlusion in permanent dentition of the individual. This is a case of a 10-year-old male diagnosed radio graphically with impacted, severely dilacerated, and deflected both the Maxillary central incisors. The management of the case was carried out surgically and orthodontically. By combining two stages of surgical exposure, orthodontic traction and alignment, the impacted dilacerated and deflected incisors were successfully moved into the desired position. A ten-year follow-up of the stability and periodontal health showed that the tooth placed in the occlusion maintained both esthetics and function.