case_images: PMC4516066_01
case_images: Extra-oral.
case_images: JIOH-7-96-g001.jpg
case_images: PMC4516066_01_JIOH-7-96-g001.jpg
case_images: F1
case_images: A 21-year-old non growing male patient named Praveen reported with a complaint of a highly placed tooth and space in the front region (Figure 1).
case_images: Intra-oral.
case_images: JIOH-7-96-g002.jpg
case_images: PMC4516066_01_JIOH-7-96-g002.jpg
case_images: F2
case_images: On clinical examination, he was found to have a Class I skeletal base relation (Figure 2), Angle's Class I malocclusion.
case_images: Orthopantomogram.
case_images: JIOH-7-96-g003.jpg
case_images: PMC4516066_01_JIOH-7-96-g003.jpg
case_images: F3
case_images: Orthopantomogram (OPG) showed the absence of root wrt 11 (Figure 3).
case_images: Cone beam computed tomography.
case_images: JIOH-7-96-g004.jpg
case_images: PMC4516066_01_JIOH-7-96-g004.jpg
case_images: F4
case_images: On CBCT examination, it was found that the right maxillary central incisor had a root that is in contact with the root of the right maxillary lateral incisor (Figure 4).
case_images: PMC4516066_02
case_images: Extra-oral image.
case_images: JIOH-7-96-g005.jpg
case_images: PMC4516066_02_JIOH-7-96-g005.jpg
case_images: F5
case_images: Intra-oral image.
case_images: JIOH-7-96-g006.jpg
case_images: PMC4516066_02_JIOH-7-96-g006.jpg
case_images: F6
case_images: Orthopantomogram.
case_images: JIOH-7-96-g007.jpg
case_images: PMC4516066_02_JIOH-7-96-g007.jpg
case_images: F7
case_images: With the history, clinical examination and radiographic records (Figure 7) it was decided to proceed with fixed mechanotherapy.
case_images: Cone beam computed tomography.
case_images: JIOH-7-96-g008.jpg
case_images: PMC4516066_02_JIOH-7-96-g008.jpg
case_images: F8
case_images: A need was sought to obtain CBCT (Figure 8) to have a clear picture of the relation of second and third molars in the second quadrant.
case_images: PMC4516066_03
case_images: Extra-oral image.
case_images: JIOH-7-96-g009.jpg
case_images: PMC4516066_03_JIOH-7-96-g009.jpg
case_images: F9
case_images: Intra-oral image
case_images: JIOH-7-96-g010.jpg
case_images: PMC4516066_03_JIOH-7-96-g010.jpg
case_images: F10
case_images: Orthopantomogram.
case_images: JIOH-7-96-g011.jpg
case_images: PMC4516066_03_JIOH-7-96-g011.jpg
case_images: F11
case_images: From the current radiographic records such as the OPG (Figure 11) and the intra oral periapical radiograph, we could infer the presence of an impacted premolar but no information could be obtained regarding the root region.
case_images: Cone beam computed tomography.
case_images: JIOH-7-96-g012.jpg
case_images: PMC4516066_03_JIOH-7-96-g012.jpg
case_images: F12
case_images: A CBCT (Figure 12) was recorded, and it was confirmed the presence of root for the impacted premolar.