Cupsid Treatment | Impacted Cupsid




When an upper lateral incisor is missing, there are several options for replacing the missing tooth. (The upper lateral incisor is the second tooth from the front.)

• Bridge the area
• Place an implant and a crown (There is a write-up on this procedure listed in this section - see Pegged Tooth and Implant.)
• Move the upper cuspid forward to the lateral incisor position.

The photographs below demonstrate moving the cuspid forward.

Before Orthodontic Treatment

Progress Records
  




Treatment Completed

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Missing upper lateral incisors/ Recontoured maxillary cuspids.

Before


After

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Impacted cuspids are a fairly common orthodontic problem. They are exposed and bone is removed to create a channel to allow the tooth to be moved into the arch using orthodontic forces. The usual method used to attach to the impacted tooth is a bonded pad and chain. Sometimes the tooth has to be moved to the mesial or the distal to avoid the roots of the adjoining teeth before the tooth is moved into the arch. With modern surgical techniques and orthodontic treatment alignment is almost always successful.

In the x-ray and photos below the upper right cuspid was impacted on the palate behind the lateral incisor. Note that the lateral incisor was displaced from this.

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