Orthodontic approaches to manage incisor impaction: A review article

Maxillary central incisor impaction is the third most common dental impaction, following third molar and canine impaction. It is typically diagnosed in children between the ages of 7 and 8, often before the eruption of maxillary canines. Various factors contribute to impaction, including retained deciduous teeth, supernumerary teeth, and crowding. This conditions poses both aesthetic and functional concerns, requiring prompt intervention. Treatment options include tooth extraction, surgical repositioning, or a combined surgical-orthodontic approach, depending on the severity. Early treatment, especially for adjacent teeth if necessary, a two-phase treatment for Class II malocclusion is generally not mor effective or time-saving than a single-phase approach in the permanent dentition. However, early intervention may be warranted in exceptional cases, natural developmental changes in alignment should be allowed before further treatment in the dentition phase.