Multidisciplinary management of an impacted maxillary central incisor due to a cyst-like lesion, a mesiodens and a supernumerary maxillary lateral incisor.

Delayed eruption of the maxillary central incisor is a commonly encountered problem during early mixed dentition in the anterior jaw. It has several etiologic factors and could compromise facial growth, other teeth eruption, occlusal development and self-esteem. The present case describes the treatment sequence of a nine-year-old healthy child, who complained of an absent maxillary left central incisor. Radiographic examination revealed a mesiodens, a supernumerary lateral incisor and a cyst-like radiolucency as well as an impacted maxillary left central incisor. Treatment protocol included surgery. An orthodontic treatment followed spontaneous eruption of supernumerary maxillary lateral incisor replacing the extracted maxillary left central incisor. Follow-up and results after fifteen years are presented. This case emphasizes the importance of a multidisciplinary management for a comprehensive and conservative treatment plan and delivers good care leading to a successful outcome.