Mandibular lateral incisor-first premolar transposition in early mixed dentition: a rare case

Rom J Morphol Embryol. 2023 Jul-Sep;64(3):431-436. doi: 10.47162/RJME.64.3.15.

Abstract

Dental transposition is an anomaly of eruption which is usually seen in the maxilla and rarely in the mandible. The mandibular lateral incisor's transposition with the permanent canine has a prevalence of less than 0.03%. The following case presents an even rarer situation, of a right lateral mandibular incisor that erupted in the place of the first premolar, in transposition with the temporary canine. In the first phase, a series of extractions have been performed, to ensure the necessary free space for moving the lateral incisor closer to its appropriate place, and after that a fixed orthodontic appliance was used. The biomechanics for intra-arch tooth movement was ingenious enough to ensure a perfect alignment of all permanent teeth and a functional Class I canine and molar final occlusion. Early intervention and successful move of the permanent canine in its correct position ensured the functionality of the mandibular movements and a good long-term prognosis.

Publication types

  • Case Reports

MeSH terms

  • Bicuspid
  • Cuspid
  • Dentition, Mixed*
  • Dentition, Permanent
  • Humans
  • Incisor*
  • Mandible
  • Maxilla