Movement of an upper central incisor across the maxillary midline

Treatment carried out with the supervision of teachers Drs: Ricardo Forastiero, Gustavo Razquin and collaborators

Abstract

The case report will discuss below is a 18 years old male, who attended query sent by a maxillofacial surgeon buco, since the age of 9 years, the patient suffered
an accident when hit by when a bus was traveling by bicycle. In that accident resulted in a fractured skull (right occipital) and loss of teeth (1.2 and 1.1), having been hospitalized
for a month. First the buco maxillofacial surgeon claimed that the patient will undertake a Orthodontics generating space and then have the possibility of placing two implants
that replenished the side and center patient rights missing incisors in the upper arch. After detailed assessment of the clinical case, Glad we met with the surgeon and the patient to let us know that his mother was financially unable to afford the expense of rehabilitation with implants, was presented with three different treatment plans which resolved mobilize
incisive upper left central hemiarcada taking it right to transform it cosmetically as right central incisor and left lateral incisor mesial to adopt form and function of the left central incisor.
Customization of both upper canines and incisors left and right sides were planned and acted upper first premolars and canines through characterization. The treatment was based on meeting functional and aesthetic goals, based on the scant literature resulting from clinical cases found slight similarity to the patient being treated.