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Case Reports in Dentistry
Volume 2014, Article ID 268590, 6 pages
Case Report

Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment

Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Ghom Abad, Ghasrodasht, Shiraz 71866-77764, Iran

Received 31 May 2014; Accepted 18 September 2014; Published 16 October 2014

Academic Editor: Carla Evans

Copyright © 2014 Zohreh Hedayati et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Malformed central incisors with poor prognosis could be candidates for extraction especially in crowded dental arches. This case report refers to a 12-year-old boy who suffered from malformed upper central incisors associated with severe attrition. Upper lateral incisors were positioned palatally and canines were rotated and positioned in the high buccal area. The patient had class II malocclusion and space deficiency in both dental arches. Due to incisal wear and malformed short maxillary central incisors and the need for root canal therapy with a major crown build-up, these teeth were extracted. The maxillary lateral incisors were substituted. Thus the maxillary canines were substituted for lateral incisors and the first premolars were substituted for canines. In the lower dental arch the first bicuspids were extracted. Composite resin build-up was performed on the maxillary lateral incisors and canines. This allowed for the crowding and the malocclusion to be corrected. Subsequent gingivectomy improved the patient's gingival margins and smile esthetics one month after orthodontic therapy.