Orthodontic management of unfavorably impacted maxillary central incisor (sickle incisor)

Impaction is an eruptive disturbance characterized by the inability of the teeth to reach from its place of formation to the place of its function. Maxillary central incisor impactions are usually rare as it is one of the first permanent teeth to erupt in the oral cavity. The etiologic factors include the presence of mesiodens, dilacerations of roots, odontomas, fibrous gingiva etc. Impaction of central incisor usually poses a functional as well as an esthetic problem. Treatment options might include surgical intervention or prosthetic rehabilitation, but the best modality would be its orthodontic management. Orthodontic disimpaction in such situations provides a solution to an otherwise long-term esthetic and functional problem. This case report provides a detailed descriptive overview on the orthodontic management of an unfavorably impacted maxillary central incisor (sickle incisor)