Orthodontic Treatment of an Impacted Maxillary Central Incisor with Dentigerous Cyst in Male Patient – A Case Report

Impaction of the maxillary central incisor is very rare compared to impaction of third molars and canine. It impacts to the facial aesthetic and psychological of individuals. One of the etiologies is cystic formation that inhibits the eruption of the tooth. Dentigerous cysts are the most common type of odontogenic cysts. A multidisciplinary approach of surgical exposure and orthodontic force expected impacted maxillary central incisor down to proper position. This paper presents a case of an impacted maxillary incisor with a dentigerous cyst that was managed by combined orthodontic and minor surgical techniques. Case(s): A 19-year-old male patient complained about the absence of an upper left permanent central incisor since he was 14 years old. Objective examination showed an edentulous area of tooth 21 with narrowing space but without midline shift. The impacted tooth was performed by minor surgical exposure and the cyst was performed by marsupialization. A gold chain was bonded to the labial surface of the impacted tooth. The orthodontic treatment used the pre-adjusted technique with bonded MBT 0.022 brackets. NiTi open coil springs were placed to create space for the traction of impacted tooth 21. Finishing and detailing using SS 0.016 x 0.022. Hawley retainer was used as a retain.