This case report describes the treatment of a patient with a horizontally impacted maxillary
central incisor, a canine in the same quadrant, and an inclusion tendency. Due to severe
crowing in the maxilla and the Class II molar relationship on the impaction side, a 2-stage
treatment plan was developed. In the first stage, the right first premolar and deciduous
canine were extracted; this allowed enough space for the eruption of the maxillary right
permanent canine. The second stage included surgical exposure and traction of the …

Maxillary central incisor impactions occur infrequently. Their origins include various local
causes, such as odontoma, supernumerary teeth, and space loss. Supernumerary and
ectopically impacted teeth are asymptomatic and found during routine clinical or radiological
examinations. The surgical exposure and orthodontic traction of impacted right central
incisor after removal of odontomas is presented in this report.