COMPLICATED RETENTION OF THE CENTRAL INCISOR OF THE UPPER JAW IN HUMANS WITH CROWN-RADICULAR TRANSPOSITION (CLINICAL CASE)
DOI:
https://doi.org/10.32782/3083-7324/2026.3.7Keywords:
upper jaw, retention, supernumerary tooth, atypical surgeryAbstract
Modern dentistry considers the front teeth of the upper jaw to be a key factor in shaping the ‘smile line’ and social adaptation of the individual. The problem of atypical retention is characterised not only by a violation of the tooth’s position relative to the occlusal plane – for example, horizontal lying – but also by inversion, i.e., reverse crown-root rotation. Despite the development of modern cone beam computed tomography (CBCT), which allows for accurate visualisation of the supernumerary retained morphological structure, the choice of treatment tactics remains inconsistent. One of the conditions is that the latter are located in adjacent topographical areas, particularly in the nasal passages, hard palate areas, and the nasal spine, among others. Such clinical cases require a multidisciplinary approach that would bring together narrow-profile general medical specialists. After all, the issue is complicated by the significant variability of clinical manifestations of atypical retention, the limited number of standardised treatment protocols, and the ambiguity of choosing optimal differentiated interdisciplinary surgical strategies. Timely early detection and appropriate treatment of such variant cases is important not only for the correction of dental pathology, but also for the further consolidation of skeletal-topical results of rehabilitation of the maxillofacial skeleton. The presented results of a variant manifestation of complete atypical supernumerary retention of the upper jaw central incisor, clinical interdisciplinary sequence, are an important contribution to the development of specialised dental practice and expand the boundaries of applied medical science, contributing to improving the quality of patient care and enhancing their functional, aesthetic and psychosocial well-being. This description of clinical experience, which is essentially scientific and research-based, is based on modern and accessible methods and techniques of progress and deserves further scientific research and practical testing.
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