Management of a Horizontally Impacted and Dilacerated Central Incisor in the Early Mixed Dentition.

An impacted maxillary incisor in the early mixed dentition can pose a clinical challenge for orthodontists and pediatric dentists. Clinical observations supported with a 3-D imaging technique can help not only in assessing the precise location of the impacted tooth and its relation with neighboring teeth but also in correctly executing a treatment plan. The purpose of this paper is to describe the management of a severely rotated and horizontally impacted central incisor using intrabony rotation and simultaneous orthodontically-guided eruption. Timely intervention avoided disturbance in arch integrity and meticulous management helped to produce an excellent outcome in terms of function, esthetics, and stability of occlusion during two years of follow-up.