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One of the most difficult orthodontic conditions is severe horizontally embedded maxillary central incisor. A well-managed combination of orthodontic treatment and surgery results in a satisfactory outcome. This case report describes the correction of a severe horizontally embedded left maxillary central incisor with odontoma in a 13-year-old Thai boy. The treatment included surgical removal of the obstructive odontoma and surgical crown exposure combined with orthodontic traction of the embedded incisor. The target tooth was successfully moved into its proper position. The patient completed the treatment with a normal and stable occlusion.
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