MULTIDISCIPLINARY MANAGEMENT OF AN IMPACTED TOOTH WITH CORONO-RADICULAR DILACERATION: A CASE REPORT

Background: Trauma to primary teeth in early childhood can lead to a wide range of developmental disturbances in
permanent successors, including corono-radicular dilaceration, a rare condition characterized by a sharp bend in the
crown or root. This poses diagnostic and therapeutic challenges and may impact aesthetics and function if not addressed appropriately.
Case presentation: This case report describes the rare occurrence of corono- radicular dilaceration in a 9-year-old girl
with an impacted maxillary left central incisor due to trauma at the age of 4years. Initial two-dimensional imaging
suggested intrusion, but cone-beam computed tomography (CBCT) confirmed severe corono-radicular dilaceration. A
multidisciplinary approach involving surgical exposure using a closed eruption technique and orthodontic traction was employed. The tooth was successfully aligned over two months, followed by composite restoration to correct the crown morphology and improve esthetics .
Conclusions: This case highlights the importance of advanced imaging, timely diagnosis, and an interdisciplinary
approach in the management of impacted and dilacerated teeth resulting from childhood trauma. Early intervention not only restored esthetics and function but also improved psychological well-being