Immediate Orthodontic Repositioning of Traumatically Extruded Incisors in a Patient With Cleft Lip and Alveolus: A Case Report.

This case report describes a 15-year-old boy born with a cleft lip and alveolus who sustained severe extrusive and lateral luxation trauma to multiple incisors during the final phase of orthodontic treatment. The displacement caused incisal interference and prevented normal jaw closure. Deformed beta titanium wires were removed, loosened brackets were rebonded, and immediate orthodontic repositioning was initiated using light forces with 0.014-inch CuNiTi round wires combined with manual repositioning. This approach resolved the incisal interference and restored functional occlusion within 1 week, with complete incisal alignment achieved after 3 months. During follow-up, several affected teeth required endodontic treatment due to pulp necrosis. The patient's cleft-related dental anomalies prolonged the overall treatment process. This case highlights the potential benefit of immediate orthodontic repositioning after extrusive dental trauma, a treatment option currently underrepresented in existing dental trauma guidelines.