African Journal of Biomedical Research

Résumé

Impacted maxillary incisors, often detected in children aged 7- 9 years, are commonly attributed to local factors such as supernumerary teeth or systemic conditions. Their treatment requires meticulous planning and collaboration between orthodontists and oral surgeons. Diagnosis is based on clinical and radiographic evaluations, including CBCT imaging. to accurately locate the impacted tooth and determine the optimal traction pathway. Therapeutic options include the extraction of obstructions, orthodontic space creation, surgical exposure with or without orthodontic traction, and, in some cases, tooth transplantation. Spontaneous eruption occurs in some cases after removing the obstruction but depends on factors such as the patients's age, root development, and tooth position. Modern approaches prioritize conservative treatments tailored to young patients, combining obstruction removal, space creation, and close monitoring. This strategy minimizes invasive interventions while ensuring optimal asthtic and functional outcomes.

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