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Orthosurgical Management of Bilaterally Impacted Permanent Maxillary Central Incisors: Report of Two Cases

Delayed eruption of a permanent tooth is one of the commonest orthodontic problems requiring surgical intervention. Maxillary central incisor impaction is not rare in orthodontic practice, the frequency ranges from 0.06 to 0.2%. Orthosurgical guidance of impacted incisor is a clinical challenge in young patients. Successful management depends on early diagnosis, careful treatment planning and periodic reviews during orthodontic guidance of impacted tooth. Surgical exposure and orthodontic guidance offers a complete treatment for an impacted tooth. Present case series discuss the orthosurgical management of bilaterally impacted permanent maxillary central incisors with good pleasing appearances of erupted teeth having good interproximal contact, good width of attached gingiva and gingival contour.