At the Centre of Dental Excellence in Stanmore, we’re proud to take on complex dental cases requiring a multi-disciplinary approach. One such case involved a young patient with impacted central incisors caused by two supernumerary teeth (extra teeth), which prevented the natural eruption of her upper front teeth. Here’s how our team used a combination of surgical and orthodontic treatments to achieve a healthy, aligned smile.

The Patient’s Concern:

This patient’s upper central incisors (UR1 and UL1) were impacted, meaning they were stuck beneath the gum line and unable to erupt naturally. The cause? Two supernumerary teeth were blocking their path. Impacted incisors not only affect aesthetics but also interfere with bite function and overall oral health.

Our Treatment Plan:

Dr. Rupal Shah and our orthodontic team developed a tailored plan to address this issue, combining surgical expertise with orthodontic treatment.

Surgical Removal of Supernumerary Teeth:
The first step involved the careful surgical removal of the two extra teeth blocking the natural eruption of the upper central incisors. This procedure created space for the impacted incisors to begin moving into their correct positions.

Exposure and Bonding of Impacted Teeth:
After removing the supernumerary teeth, the next step was to expose the impacted central incisors and bond brackets onto them. This allowed the orthodontic appliance to guide these teeth into their proper alignment gradually.

Orthodontic Treatment with a Fixed Appliance:
An upper fixed orthodontic appliance was then fitted to align the teeth. This appliance applied gentle, controlled forces to guide the impacted central incisors into the correct position alongside the other teeth.

Long-Term Retention:
Once alignment was achieved, the patient was fitted with a long-term retention appliance to maintain the final result and prevent any relapse. This step is crucial in orthodontic treatment, particularly in cases involving previously impacted teeth.

Results: A Fully Functional and Beautiful Smile

After treatment, the patient’s upper central incisors were aligned perfectly, restoring the natural appearance of her smile. In addition to the aesthetic improvements, the treatment also ensured proper bite function and oral health.

This case demonstrates the importance of early diagnosis and a collaborative approach between orthodontists and oral surgeons in addressing complex dental issues like impacted teeth.

Why Choose Us for Complex Dental Treatments?

At the Centre of Dental Excellence in Stanmore, London, we specialize in managing complex dental and orthodontic cases. From impacted teeth and surgical interventions to fixed orthodontic appliances and long-term retention solutions, our experienced team delivers comprehensive care tailored to your needs.

If you or your child is dealing with impacted teeth, book a consultation with us today. Let us help you achieve a healthy, beautiful smile!