Closed Traction Of Impacted Anterior Teeth Using Auxiliary Arch Wire.

Open and closed exposure-orthodontic traction are commonly referenced techniques for addressing impacted anterior teeth, but present challenges in aesthetics and hygiene. Closed traction combined with an auxiliary arch wire offers improved control and stability. This writing details a case report managing an impacted maxillary central incisor with this method. A 9-year-old girl presented with unerupted maxillary right anterior tooth. She was healthy, with no significant history of medical, dental or orofacial trauma. Clinical examination showed late mixed dentition, a fully erupted 21 and unerupted 11. CBCT imaging confirmed that 11 was horizontally impacted with labiopalatal displacement and unclosed apex, mesially inclined 43 contacting the root of 42. To prevent future malocclusion and root dilaceration, interceptive orthodontic was performed. Closed traction combined with an auxiliary arch wire was employed to align the impacted 11. Tooth 83 was extracted to stimulate the eruption of 43. Successfully teeth alignment was achieved. After 1.5 years of wearing a retainer, the tooth was vital, with healthy periodontium and without root resorption. Closed traction with an auxiliary arch wire provides controlled forces for effective teeth alignment. The force mimics natural eruption process hence minimizing potential damage to the surrounding tissues and teeth. Early treatment of impacted anterior teeth prevents future crowding, dilacerations and ectopic eruption of teeth. CBCT imaging enhances diagnostic precision. Closed traction, combined with an auxiliary arch wire provides controlled forces for effective correction of impacted anterior teeth.