Penanganan delayed eruption karena impaksi gigi insisivus sentralis kiri dengan surgical exposure pada anak

Delayed eruption is one of dental eruption deviation characterized by delay of dental eruption. Delayed eruption can be caused by local factor such as impacted tooth. This can be managed surgically and then orthodontically brought into the dental arch. An eleven years old girl came to the dental clinic specialist of FKG-UNPAD Bandung, with the chief complaint of having non-erupted upper left permanent central incisor, without retention of 61. Other 3 upper incisor, 11, 22, 12 have erupted normally. Panoramic examination showed impacted 11 in the alveolar bone with complete apex formation. Following the cephalometric and model analysis, the fixed orthodontic appliances were placed, followed by surgical exposure to open the impacted area then placed an orthodontic bracket with an attached chain to apply orthodontic forces on the tooth to aid its movement into the line of occlusion. After 6 months treatment, patient’s esthetics and masticatory function were obtain, marked by normal position of 21 in the arch