Interdisciplinary approach in the treatment of dental impaction

Introduction. Dental impaction is an eruption anomaly defined as the retention of a tooth within the alveolar process. Tooth eruption may be obstructed by the position of the bone, an adjacent tooth, or a variety of local and systemic factors, affecting both primary and permanent dentition. Disturbances in the eruption process can lead to clinical manifestations that impact the patient's general health, followed by a series of complications, including inflammatory conditions, nervous system disorders, sensory, motor, and perceptual disturbances, and, in more severe cases, tumor-related complications. Retention most commonly affects the permanent maxillary canine, leading to occlusal and esthetic imbalances. Materials and Methods. A 36-year-old female patient presented with a presumptive diagnosis of bilateral dental impaction, established through clinical examination and subsequently confirmed by radiographic imaging. Results. Additional information regarding the diagnosis and treatment plan was obtained through clinical and paraclinical examinations, analysis of photographic records, study models, panoramic radiography (OPG), and cone-beam computed tomography (CBCT). Conclusions. The treatment of dental impaction requires a multidisciplinary approach, depending on the dental status and orthodontic context. Management options include radical treatment via odontectomy or conservative approaches, such as surgical-orthodontic intervention or surgical treatment with transplantation. The present case was successfully managed through a surgical-orthodontic approach, strictly adhering to the necessary treatment stages.