<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
<ArticleSet>
  <Article>
    <Journal>
      <PublisherName>jmedicalcasereports</PublisherName>
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Volume 7; Issue 5</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>(Sep-Oct, 2026)</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>-0001</Year>
        <Month>11</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Traction of Retained Upper Central Incisors Because of Mesiodens, Orthosurgical Approach: A Case Report</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1</FirstPage>
      <LastPage>9</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Valeria Gámez</FirstName>
          <LastName>Cisneros</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Guillermo Cruz</FirstName>
          <LastName>Palma</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Francisco García</FirstName>
          <LastName>González</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Alfredo Salinas</FirstName>
          <LastName>Noyola</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Isaac Bauza</FirstName>
          <LastName>Gomezcaña</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Daniel Alejandro Silva</FirstName>
          <LastName>Rodriguez</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <Abstract>Tooth retention is defined as the inability of a tooth to reach the occlusal plane after the normal age of eruption or when the contralateral tooth has already erupted for at least 6 months with a completely formed root. The most common cause of retention of upper central incisors are supernumerary teeth (56-60%) and odontomas, which cause a direct obstruction of the eruption path. Within the surgical approach of the traction of retained upper central incisors there are different methods to reduce traction time. Orthodontists have developed strategies to accelerate orthodontic movements based on the concept of Regional Acceleratory Phenomenom or RAP. The following article presents a case where a 14-year-old patient has absence of 1.1 and 2.1 (FDI Nomenclature), presence of root remains of 5.1 and 6.1, and presence of a tooth with amorphous morphology erupting in keratinized gum. Having imaging studies can help us to give a proper diagnosis of retention of central upper incisors caused by two mesiodens, for which it is indicated an ortho-surgical approach. The use of orthodontics appliances and a surgical approach to correct the retention of upper central incisors can bring us benefits in terms of the time of traction of them. When using RAP, the traction chains need to be activated a few days postsurgical, this way the traction of the retained upper central incisors can take less time than with a conventional approach. The correct diagnosis and the multidisciplinary approach of retained upper central incisors is imperative to have a good prognostic. The use of orthodontic appliances in hand with the surgical approach to take advantage of the RAP stimuli is important to achieve a shorter treatment time and to return the function and esthetics of smile faster.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>Multidisciplinary,Mesiodens,Supernumerary Teeth,RAP</Keywords>
      <URLs>
        <Abstract>https://jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=16396&amp;title=Traction of Retained Upper Central Incisors Because of Mesiodens, Orthosurgical Approach: A Case Report</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
        <References>Calil LR, Janson G, Silva VMD, Freitas MR, Almeida ALPF, Garib D. Periodontal status of maxillary central incisors after orthodontic traction: a longitudinal follow-up. J Appl Oral Sci 2022; 30: e20210492.&#13;
&#13;
Hurry KJ, Bolooki H, Davies J, Chang C, Jauhar P. A retrospective analysis of the patient journey for children with an unerupted maxillary central incisor. Int J Paediatr Dent 2024; 34: 277-284.&#13;
&#13;
Keser E, Naini FB. Accelerated orthodontic tooth movement: surgical techniques and the regional acceleratory phenomenon. Maxillofac Plast Reconstr Surg 2022; 44: 1.&#13;
&#13;
Kuc AE, Kulgawczyk M, Sulewska ME, Kuc N, Kawala B, Lis J, Sarul M, Kotuand;#322;a J. The Effect of Corticotomy-Assisted Orthodontic Therapy (CAOT) or Periodontally Accelerated Osteogenic Orthodontics (PAOO) on Bone Remodeling and the Health of Periodontium: A Systematic Review of Systematic Reviews. J Clin Med 2024; 13: 5726.&#13;
&#13;
Mockutand;#279; G, Klimaitand;#279; G, Smailienand;#279; D. The Morphology of Impacted Maxillary Central Incisors: A Systematic Review. Medicina (Kaunas) 2022; 58: 462.&#13;
&#13;
Seehra J, Mortaja K, Wazwaz F, Papageorgiou SN, Newton JT, Cobourne MT. Interventions to facilitate the successful eruption of impacted maxillary incisor teeth due to the presence of a supernumerary: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 2023; 163: 594-608.&#13;
&#13;
Yusa K, Ishikawa S, Hemmi T, Kasuya S, Okuyama N, Kunii S, Suzuki N, Iino M. Evaluation of radiographic characteristics and surgical removal of 147 mesiodens. J Stomatol Oral Maxillofac Surg 2023; 124: 101427.&#13;
&#13;
Zhou Y, Bi M, Yang H, He X, Wang X, Chen Z, Ji F. Epidemiological and imaging characteristics of impacted maxillary incisors and effect on root development. Sci Rep 2025; 15: 13049.</References>
      </References>
    </Journal>
  </Article>
</ArticleSet>