Comprehensive prosthetic treatment of a patient after removal of an impacted fragment of an orthodontic wire in the area of tooth 13 – review & case report

Abstract

Impacted maxillary canines occur in approximately 1–4% of the population and are a significant clinical challenge due to their aesthetic and functional importance. Impacted canines are more common in women and significantly more common in the maxilla, as confirmed by epidemiological data. The causes of tooth 13 impaction can be complex and include lack of space in the arch, abnormal position of the tooth bud, retention of the deciduous tooth, and genetic factors. Modern prosthetics increasingly requires interdisciplinary cooperation, and orthodontic appliances left in the bone can be a source of potential inflammatory and mechanical complications. Their removal is a key step before performing the final prosthetic reconstruction. In the presented case, it was necessary to surgically decompress and remove the retained fragment of orthodontic wire, followed by prosthetic restoration using a temporary bridge to shape the tissues and a final metal-porcelain restoration covering teeth 15–21.