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
