Dilaceration of the crown: A case report with overview of etiology and management

Basis of the problem: Impaction of maxillary permanent incisors, a relatively uncommon event in dental practice, can significantly influence speech, chewing, and facial appearance in affected patients. Children are particularly susceptible to dental trauma, especially during the first two years of life. Dilacerations are often caused by trauma to a primary tooth. Dilaceration in the crown is less common than in the root and occurs more frequently in the maxillary and mandibular incisors. Typically, treatment involves surgical exposure of the tooth, followed by orthodontic traction or extraction. Methods of work: Here, we present a case of crown dilaceration of the maxillary permanent central incisor, along with an update on the etiology and other associated features. Results: This case highlights the importance of individualized treatment, where surgical extraction and subsequent rehabilitation were necessary due to the unfavourable position and angulation of the impacted tooth. Conclusion: Successful management requires a multidisciplinary approach involving pedodontists, orthodontists, periodontists, surgeons, and prosthodontists.