Treatment of Class II division 1 malocclusion in a patient with traumatized central incisors: A case report

Telmo Bandeira Berthold, Roger Correa de Barros Berthold, Claiton Heitz, Rosana Kalaoun


Purpose: The objective of this paper is to report the clinical case of a patient with a Class II division 1 malocclusion with traumatized central incisors and the treatment option of extracting them, followed by space closure with lateral incisors replacement.
Case description: A female patient aged 10 years old reported a previous facial trauma due to a bike accident resulting in avulsion and reimplantation of both central incisors when she was 9 years old. The treatment plan included extraction of central incisors, pulling the lateral incisors to the central incisor position and restoring them to improve esthetics.
Conclusions: Extraction of maxillary central incisors is not a usual treatment protocol. However, for patients with traumatized central incisors with internal and external root reabsorption and Class II division 1 malocclusion it might be a good alternative for correction of the increased overjet.


Dental trauma; orthodontic treatment; tooth avulsion

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e-ISSN: 1980-6523

ISSN-L: 0102-9460


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