Chief Complaint: Palatally displaced tooth 11.

History of Chief Complaint: AB, a 10-year-old, experienced dental trauma last year while playing with his siblings at home, resulting in his upper front tooth (11) being displaced backwards. His mother reported that there was no bleeding or pain at the time. Initially, they sought care at a private clinic. However, due to financial limitations, the clinic referred them to the university faculty for further treatment.

Following the referral, AB was seen in the undergraduate clinic, where his dental caries were addressed, and his condition was monitored over a six-month period. After this follow-up, he was referred to the MSc clinic to address the palatally displaced tooth 11.

Medical History: 

AB is generally a healthy child with no significant childhood illnesses. He has received all his vaccinations and has no known allergies.

AB's facial appearance was generally symmetrical and normal; however, he presents with vertical maxillary excess. No palpable lymphadenopathy was noted. The TMJ functioned properly with no signs of clicking, or pain. and his muscles are relaxed, with no abnormalities detected.

Occlusal analysis:

• Molar classification: Right class II, Left class II

• Maxillary midlines: 1mm shift to the left midsagittal plane.

• Mandibular midline: Shifting to the left (2mm) at rest and occlusion.

• Overjet: 7 mm

• Overbite: 8 mm

• Crossbite: No Crossbite 

• Buccal canine bulges: palpable on the left side 

• Habits: He used to suck on his lower lip

No anomalies or pathologies. The bone and soft tissue anatomy appeared normal, with all permanent teeth accounted for except for the wisdom teeth. The estimated dental age is 10 years, which corresponds to the inter-transitional stage. The 13 appears larger than the 23, which indicates palatal impaction; an upper occlusal view is needed to confirm (vertical parallax technique). However, there is no space for the 13 and 23 to erupt. Leeway spaces are compromised in all four quadrants. 

Maxilla/Mandible: 

Molar classification: Class II on both sides

Increased overjet

The space discrepancy is -9mm in the maxilla and -9.5mm in the mandible. AB has been referred to the orthodontic department and placed on their waiting list. Given the -9mm space discrepancy in the maxilla, along with the additional space required to correct the 7mm overjet, extractions will be necessary to create sufficient space. This treatment goes beyond the scope of interceptive orthodontics.