1
|
Zhong Y, Qin Z, Wu G. Mandibular Body Osteotomy Combined with Sagittal Split Ramus Osteotomy for the Treatment of Severe Skeletal Class Ⅲ Malocclusion with Ankylosed Teeth. J Craniofac Surg 2024; 35:e347-e350. [PMID: 38534174 DOI: 10.1097/scs.0000000000010075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 01/15/2024] [Indexed: 03/28/2024] Open
Abstract
This study presents a combination of 2 different surgery procedures performed on the mandible as part of the treatment aiming to improve the facial profile and occlusal function of patients with severe skeletal class Ⅲ malocclusion and bilateral edentulous gaps. The teeth next to the edentulous gaps were found to be ankylosed. Mandibular setback by bilateral sagittal split ramus osteotomies and mandibular body osteotomies, combined with Le Fort Ⅰ level maxillary advancement were performed, since the chief complaint of the patient was a concave profile. As a result, the skeletal class Ⅲ malocclusion had been corrected, a satisfying facial profile had been achieved, and no apparent adverse effect was found. Thus, it has been proved that the combination of sagittal split ramus osteotomy and mandibular body osteotomy is available for correcting skeletal class Ⅲ malocclusion.
Collapse
Affiliation(s)
- Yuhao Zhong
- Department of Oral, Plastic and Aesthetic Surgery, Hospital of Stomatology, Jilin University, Changchun, Jilin, China
| | | | | |
Collapse
|
2
|
Treatment of an Avulsed and Ankylosed Incisor through Single Tooth Alveolar Osteotomy and Conventional Orthodontic Mechanisms. CHILDREN 2022; 9:children9050732. [PMID: 35626909 PMCID: PMC9139687 DOI: 10.3390/children9050732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 05/06/2022] [Accepted: 05/15/2022] [Indexed: 11/29/2022]
Abstract
We present the treatment of an injured and avulsed incisor (which was afterwards ankylosed), by subapical osteotomy and conventional orthodontic mechanisms. A 9-year-old boy presented for orthodontic treatment with an injured and avulsed central incisor, which, after initial repositioning, ended up with ankylosis and severe root resorption. The case was treated by single tooth alveolar osteotomy and distraction osteogenesis through conventional orthodontics, advocating for the floating bone concept due to the short vertical distance by which the tooth alveolus part had to be relocated. Orthodontic treatment of the avulsed central incisor was completed after osteotomy and distraction osteogenesis, and the tooth was restored to its proper position, aiming to address issues of aesthetics and function for the time being. The patient was finally referred to a prosthodontist for future and final implant rehabilitation due to severe root resorption. Distraction osteogenesis after surgical procedures is a reliable solution for dealing with an ankylosed and submerged tooth.
Collapse
|
3
|
Shahroudi AS, Golmohammadi S. Miniscrew-assisted single-tooth distraction osteogenesis to align an ankylosed infraoccluded maxillary central incisor: A case report. J Orthod 2020; 47:345-353. [PMID: 32962525 DOI: 10.1177/1465312520956660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The ankylosis of permanent incisors is usually caused by trauma. In a growing patient, the ankylosed tooth fails to move along with the vertical growth of the remaining alveolar process, which results in an infraoccluded tooth, gingival margin disharmony and unaesthetic smile.This case report presents an 23-year-old female patient whose maxillary right central incisor (tooth number 11) had been traumatised eight years earlier. A vertical discrepancy of about 4 mm was exhibited between teeth 11 and 12. To reposition the crown and gingival margins of the ankylosed tooth to an ideal level, single-tooth dento-osseous osteotomy and distraction of the block of bone containing the tooth was planned. In order to separate the roots of adjacent teeth for opening a space for osteotomy incision, fixed orthodontic treatment with multibracket appliances was initiated on her maxilla. After five weeks, a single-tooth dento-osseous osteotomy was performed using a piezoelectric device. To move the tooth in occlusal and buccal directions, two temporary anchorage devices (miniscrews) on her mandible and interarch elastics were applied. Approximately three weeks later, the ankylosed tooth successfully had an ideal position-relative to the adjacent teeth-and a harmonious gingival margin was achieved by minor gingivoplasty on all incisors.
Collapse
Affiliation(s)
- Atefe Saffar Shahroudi
- Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.,Department of Orthodontics, Dental School, Tehran University of Medical Sciences, Tehran, Iran
| | - Shima Golmohammadi
- Department of Periodontics, Dental School, Islamic Azad University of Borujerd, Borujerd, Iran
| |
Collapse
|
4
|
Stacchi C, Barlone L, Rapani A, Berton F, Contardo L, Di Lenarda R. Modified Orthodontic Bone Stretching for Ankylosed Tooth Repositioning: A Case Report. Open Dent J 2020. [DOI: 10.2174/1874210602014010235] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Background:
Different approaches were proposed in the literature for the treatment of malpositioned ankylosed teeth. The present case report describes a modification of Orthodontic Bone Stretching Technique (OBS) for the repositioning of ankylosed teeth, consisting of dentoalveolar segmental osteotomies performed with piezoelectric instruments followed by orthodontic and orthopedic traction.
Case Report:
A 22-year-old female in good general health was referred by her orthodontist due to an infraoccluded and ankylosed maxillary upper left canine. Attempts of conventional and corticotomy-assisted orthodontic alignment of the tooth were previously performed with no success. After elevating a full-thickness flap, three osteotomies were performed by using piezoelectric inserts (Piezotome Cube, Acteon, Merignac, France). Mesial and distal cuts were full-thickness osteotomies, parallel to the long axis of the tooth, through the buccal and palatal cortical plates. The apical osseous incision was a horizontal corticotomy, involving only the buccal plate, and connecting the vertical osteotomies two millimetres over the apex of the tooth. Heavy orthodontic forces were immediately applied by using both dental and skeletal anchorage. The initial movement of the dentoalveolar segment was observed three weeks after surgery and case finishing has been completed in two months. At a one-year follow-up, the repositioned canine showed good periodontal conditions, no discoloration and positive pulp response to the electric test.
Conclusion:
Modified OBS technique was effective in repositioning an infraoccluded and ankylosed maxillary canine, providing satisfactory function and esthetics with short treatment time.
Collapse
|
5
|
Relocation of Infrapositioned Ankylosed Teeth: Description of Orthodontic Bone Stretching and Case Series. J Oral Maxillofac Surg 2016; 74:1914-25. [PMID: 27371872 DOI: 10.1016/j.joms.2016.06.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2015] [Revised: 06/02/2016] [Accepted: 06/02/2016] [Indexed: 11/24/2022]
Abstract
Different treatments have been proposed to manage the consequences of ankylosed teeth. This clinical report, which includes several different clinical conditions, describes an orthodontic bone-stretching procedure that can be used to relocate ankylosed teeth. The orthodontic bone-stretching technique involves only partial osteotomies, without the mobilization or repositioning of the alveolar segment, combined with orthodontic forces. The applied force facilitates tooth movement to the occlusal plane and can modify the axis of the ankylosed tooth. This relocation is possible because of a bone-stretching phenomenon in the surgical area. In all of the cases, relocation of the ankylosed teeth was successfully performed and the gingival margins were corrected to improve the esthetic results.
Collapse
|
6
|
de Souza RF, Travess H, Newton T, Marchesan MA. Interventions for treating traumatised ankylosed permanent front teeth. Cochrane Database Syst Rev 2015; 2015:CD007820. [PMID: 26677103 PMCID: PMC7197413 DOI: 10.1002/14651858.cd007820.pub3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND Teeth that have suffered trauma can fuse to the surrounding bone in a process called dental ankylosis. Ankylosed permanent front teeth fail to erupt during facial growth and can become displaced, thus resulting in functional and aesthetic problems. Dental ankylosis is also associated with root resorption, which may eventually lead to the loss of affected teeth. Different interventions for the management of ankylosed permanent front teeth have been described, but it is unclear which are the most effective. OBJECTIVES To evaluate the effectiveness of any intervention that can be used in the treatment of ankylosed permanent front teeth. SEARCH METHODS The following electronic databases were searched: the Cochrane Oral Health Group Trials Register (to 3 August 2015), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2015, Issue 7), MEDLINE via OVID (1946 to 3 August 2015), EMBASE via OVID (1980 to 3 August 2015) and LILACS via BIREME (1982 to 3 August 2015). We searched the US National Institutes of Health Trials Register (http://clinicaltrials.gov) and the WHO Clinical Trials Registry Platform for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. SELECTION CRITERIA We included randomised controlled trials (RCTs) comparing any intervention for treating displaced ankylosed permanent front teeth in individuals of any age. Treatments could be compared with one another, with placebo or with no treatment. DATA COLLECTION AND ANALYSIS Two independent review authors screened studies independently. Full papers were obtained for potentially relevant trials. Although no study was included, the authors had planned to extract data independently and to analyse the data according to the Cochrane Handbook for Systematic Reviews of Interventions. MAIN RESULTS No randomised controlled trials that met the inclusion criteria were identified. AUTHORS' CONCLUSIONS We were unable to identify any reports of randomised controlled trials regarding the efficacy of different treatment options for ankylosed permanent front teeth. The lack of high level evidence for the management of this health problem emphasises the need for well designed clinical trials on this topic, which conform to the CONSORT statement (www.consort-statement.org/).
Collapse
Affiliation(s)
- Raphael Freitas de Souza
- Ribeirão Preto Dental School, University of São PauloDepartment of Dental Materials and ProsthodonticsAv. Do Café, s/nRibeirão PretoSão Paulo (SP)Brazil14040‐904
| | - Helen Travess
- Stoke Mandeville HospitalDepartment of OrthodonticsMandeville RoadAylesburyUKHP21 8AL
| | - Tim Newton
- KCL Dental InstituteDivision of Health and Social Care ResearchBessemer RoadLondonUKSE5 9RW
| | - Melissa A Marchesan
- Nova Southeastern UniversityDentistry3200 South University DriveFort LauderdaleFloridaUSA33328‐2018
| | | |
Collapse
|
7
|
Treatment of lateral open bite with vertical dentoalveolar distraction osteogenesis. Am J Orthod Dentofacial Orthop 2015; 148:321-31. [PMID: 26232841 DOI: 10.1016/j.ajodo.2014.07.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2014] [Revised: 07/01/2014] [Accepted: 07/01/2014] [Indexed: 11/23/2022]
Abstract
The aim of this article is to describe the surgical, orthodontic, and periodontal treatment of an adult patient with a lateral open bite, anterior crowding, and gingival recession on the mandibular right lateral incisor. The lateral open bite, which resisted conventional mechanics, was successfully corrected by the combination of dento-osseous osteotomies and vertical alveolar distraction using orthodontic multibracket appliances in conjunction with nickel-titanium archwires and intermaxillary elastics. After the orthodontic treatment, the denuded root surface of the mandibular right lateral incisor was closed using a coronally advanced flap technique with platelet-rich fibrin. The results at the 2-year posttreatment follow-up were satisfactory from both the occlusal and the periodontal standpoints.
Collapse
|
8
|
Lin F, Sun H, Yao L, Chen Q, Ni Z. Orthodontic treatment of severe anterior open bite and alveolar bone defect complicated by an ankylosed maxillary central incisor: a case report. Head Face Med 2014; 10:47. [PMID: 25414141 PMCID: PMC4289279 DOI: 10.1186/1746-160x-10-47] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2014] [Accepted: 11/11/2014] [Indexed: 11/10/2022] Open
Abstract
Incisor trauma is common in children, and can cause severe complications during adolescent growth and development. This report describes the treatment of a 16-year-old patient with severe anterior open bite due to ankylosis of the maxillary left incisor after dental trauma as an 8-year-old. No examination or active treatment was undertaken until he was 16 years old. Clinical examination revealed that the maxillary left incisor was severely intruded accompanied by a vertical alveolar bone defect. Orthodontic treatment combined with surgical luxation took 3 years and 7 months. During treatment, the intruded incisor was moved to the occlusal level and the alveolar bone defect was restored, achieving normal occlusion. After two years of retention, the maxillary left incisor was retained in a stable normal position with a slightly reduced overbite. This case demonstrates that surgical luxation with orthodontic traction can be an effective approach, especially when the ankylosed tooth has a single root. Long-term monitoring of orthodontic stability and the maintenance of periodontal health are crucial in the post-treatment period.
Collapse
Affiliation(s)
| | | | | | | | - Zhenyu Ni
- Orthodontic Department, School of Stomatology, Wenzhou Medical University, No, 113 West Xueyuan Road, Wenzhou, Zhejiang, China.
| |
Collapse
|
9
|
Uzuner FD, Darendeliler N. Dentoalveolar surgery techniques combined with orthodontic treatment: A literature review. Eur J Dent 2014; 7:257-265. [PMID: 24883038 PMCID: PMC4023183 DOI: 10.4103/1305-7456.110201] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Surgery on the dentoalveolar process combined with orthodontic treatment was emphasized as an alternative method for reducing the treatment time and improving the orthodontic treatment on post-adolescent and adult patients. This combined treatment facilitates and accelerates orthodontic tooth movement. This article reviews the clinical practice in surgery-assisted orthodontic treatment in relation to historical perspective, indications and biological principles, as well as limitations and risks of dento-osseous surgical techniques, including dento-osseous osteotomy and/or ostectomy, dento-osseous microfracture, dento-osseous corticotomy, and/or corticoectomy, and dental distraction.
Collapse
Affiliation(s)
- F Deniz Uzuner
- Department of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkiye
| | - Nilufer Darendeliler
- Department of Orthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkiye
| |
Collapse
|
10
|
Bousquet P, Artz C, Canal P. [Treatment of ankylosed teeth by segmental corticotomy: the Orthodontic Bone Stretching technique. Preliminary study]. Orthod Fr 2013; 84:333-41. [PMID: 24280548 DOI: 10.1051/orthodfr/2013067] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2013] [Accepted: 09/10/2013] [Indexed: 11/14/2022]
Abstract
Ankylosed anterior teeth are associated with infraclusion and can lead to a concomitant significant esthetic defect. After a review of the techniques used move these teeth into the arch, this article describes a new technique to restore occlusion and improve esthetics, or to prepare the case for either a prosthetic or implant treatment, Orthodontic Bone Stretching (OBS). This technic combines partial corticotomy and orthodontic treatment and produces bone stretching. After 8 to 12 weeks of force application, the ankylosed teeth are repositioned into occlusion or, if extraction is necessary, the bone crest is at a level consistent with a prosthetic or implant treatment. OBS technique can be adapted to implant infraclusion, or the vertical regeneration of atrophied ridge.
Collapse
Affiliation(s)
- Philippe Bousquet
- Département de Parodontologie, Université Montpellier 1, 545 avenue du Professeur Jean-Louis Viala, 34193 Montpellier Cedex 5, France, exercice privé, 34500 Béziers, France
| | | | | |
Collapse
|
11
|
Doshi UH, Mahindra RK, Ahad Gaffar KA. Modified hyrax screw for treatment of ankylosed incisor by applying alveolar distraction and floating bone concept. J World Fed Orthod 2013. [DOI: 10.1016/j.ejwf.2012.12.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
12
|
Ridge Preservation/Decoronation. J Endod 2013; 39:S67-72. [DOI: 10.1016/j.joen.2012.11.056] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2012] [Revised: 11/02/2012] [Accepted: 11/06/2012] [Indexed: 11/22/2022]
|
13
|
You KH, Min YS, Baik HS. Treatment of ankylosed maxillary central incisors by segmental osteotomy with autogenous bone graft. Am J Orthod Dentofacial Orthop 2012; 141:495-503. [PMID: 22464532 DOI: 10.1016/j.ajodo.2010.06.029] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2010] [Revised: 06/01/2010] [Accepted: 06/01/2010] [Indexed: 11/25/2022]
Abstract
This case report describes the treatment of a 16-year-old girl with ankylosed maxillary central incisors that were noticeably infraoccluded and labially displaced. We performed a segmental osteotomy with an autogenous bone graft in a single-stage surgery to align and level the ankylosed teeth. The dento-osseous segment was successfully repositioned with satisfactory periodontal results.
Collapse
Affiliation(s)
- Kug-Ho You
- Department of Orthodontics, College of Dentistry, Yonsei University, Seoul, Korea
| | | | | |
Collapse
|
14
|
Chae JM, Paeng JY. Orthodontic treatment of an ankylosed maxillary central incisor through single-tooth osteotomy by using interdental space regained from microimplant anchorage. Am J Orthod Dentofacial Orthop 2012; 141:e39-51. [DOI: 10.1016/j.ajodo.2011.06.046] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2011] [Revised: 06/01/2011] [Accepted: 06/01/2011] [Indexed: 11/26/2022]
|
15
|
|
16
|
Ohkubo K, Susami T, Mori Y, Nagahama K, Takahashi N, Saijo H, Takato T. Treatment of ankylosed maxillary central incisors by single-tooth dento-osseous osteotomy and alveolar bone distraction. ACTA ACUST UNITED AC 2011; 111:561-7. [DOI: 10.1016/j.tripleo.2010.06.026] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2010] [Accepted: 06/29/2010] [Indexed: 11/16/2022]
|
17
|
Kuo J, Lin YTJ. WITHDRAWN: Treatment of traumatized maxillary central incisors. J Dent Sci 2011. [DOI: 10.1016/j.jds.2011.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
|
18
|
Chang HY, Chang YL, Chen HL. Treatment of a severely ankylosed central incisor and a missing lateral incisor by distraction osteogenesis and orthodontic treatment. Am J Orthod Dentofacial Orthop 2010; 138:829-38. [DOI: 10.1016/j.ajodo.2010.09.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2009] [Revised: 02/10/2009] [Accepted: 02/25/2009] [Indexed: 10/18/2022]
|
19
|
|
20
|
L’ankylose dentaire : diagnostic par tomodensitométrie et reconstruction tridimensionnelle. ACTA ACUST UNITED AC 2010; 91:707-11. [DOI: 10.1016/s0221-0363(10)70101-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
21
|
Abstract
The tissue-based phenomena and the tissue interactions responsible for tooth displacement can be modulated by varying the intensity of the applied forces or by means of medicated molecules absorbed by the patient or prescribed by the orthodontist. However, harmful side-effects such as inflammatory root resorption or replacement resorption (ankylosis) can occur requiring appropriate management on the part of the practitioner.
Collapse
|
22
|
Dolanmaz D, Karaman AI, Pampu AA, Topkara A. Orthodontic Treatment of an Ankylosed Maxillary Central Incisor through Osteogenic Distraction. Angle Orthod 2010; 80:391-5. [DOI: 10.2319/033009-182.1] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Doğan Dolanmaz
- Associate Professor, Department of Oral and Maxillofacial Surgery, Dentistry Faculty, Selcuk University, Konya, Turkey
| | - Ali Ihya Karaman
- Professor and Department Chair, Department of Orthodontics, Kocaeli University, Konya, Merkez, Turkey
| | - A. Alper Pampu
- Assistant Professor, Department of Oral and Maxillofacial Surgery, Dentistry Faculty, Karadeniz Technical University, Trabzon, Turkey
| | | |
Collapse
|
23
|
de Souza RF, Travess H, Newton T, Marchesan MA. Interventions for treating traumatised ankylosed permanent front teeth. Cochrane Database Syst Rev 2010:CD007820. [PMID: 20091651 DOI: 10.1002/14651858.cd007820.pub2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND Teeth that have suffered trauma can fuse to the surrounding bone - the process referred to as dental ankylosis. Ankylosed permanent front teeth fail to erupt during facial growth and can become displaced, thus resulting in functional and aesthetic problems. Dental ankylosis is also associated with root resorption, which eventually leads to the loss of affected teeth. Different interventions for the management of ankylosed permanent front teeth have been described but it is unclear which are the most effective. OBJECTIVES To assess the effects of treatment options for ankylosed permanent front teeth. SEARCH STRATEGY We searched the following databases: Cochrane Oral Health Group Trials Register (to September 2009); Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2009, Issue 3); MEDLINE (1950 to September 2009); EMBASE (1980 to September 2009); and LILACS (1980 to September 2009). There were no language restrictions. SELECTION CRITERIA Randomised controlled trials (RCTs) comparing any intervention for treating displaced ankylosed permanent front teeth in individuals of any age. DATA COLLECTION AND ANALYSIS Two independent review authors screened studies in duplicate. Although no study was included, the authors had planned to extract data independently and to assess risk of bias following the Cochrane Collaboration methods. MAIN RESULTS The search retrieved 77 references to studies. None matched the inclusion criteria and therefore were excluded. AUTHORS' CONCLUSIONS There is no evidence from RCTs about the comparative effectiveness of the different treatment options for ankylosed permanent front teeth. The lack of high level evidence for the management of this health problem emphasises the need for well designed clinical trials.
Collapse
Affiliation(s)
- Raphael Freitas de Souza
- Department of Dental Materials and Prosthodontics, Ribeirão Preto Dental School, University of São Paulo, Av. Do Café, s/n, Ribeirão Preto, São Paulo (SP), Brazil, 14040-050
| | | | | | | |
Collapse
|
24
|
Sapir S, Kalter A, Sapir MR. Decoronation of an ankylosed permanent incisor: alveolar ridge preservation and rehabilitation by an implant supported porcelain crown. Dent Traumatol 2009; 25:346-9. [DOI: 10.1111/j.1600-9657.2009.00788.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
25
|
Susami T, Matsuzaki M, Ogihara Y, Sakiyama M, Takato T, Sugawara Y, Matsumoto S. Segmental alveolar distraction for the correction of unilateral open-bite caused by multiple ankylosed teeth: a case report. J Orthod 2008; 33:153-9. [PMID: 16926308 DOI: 10.1179/146531205225021572] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Ankylosed teeth fail to erupt to meet their counterparts in the opposite jaw. In cases where ankylosis occurs in multiple teeth, the occlusion shows an open bite. This article describes a case of unilateral open bite caused by multiple ankylosed teeth, where treatment involved segmental alveolar bone distraction. A 25-year-old female patient presented with a left-sided unilateral open bite. On the left-hand side, only the lower incisors were not ankylosed. On the right, the maxillary first molar was ankylosed. All these ankylosed teeth were positioned below the occlusal plane. Her mother and brother also had multiple ankylosed teeth, and a familial cause was considered. Orthodontic tooth movement was considered impossible and segmental osteotomy on the left maxillary alveolar bone and downward bone distraction were performed as an alternative. A distractor consisting of orthodontic bands, wires and screws was devised and worn in the left mandibular dentition. Multi-bracket orthodontic appliances were also used for distraction. The amount of vertical movement was 7 mm at the premolar region. Five months after distraction, the multibracket appliance was removed, and fixed and removable retainers were placed. Eight months after distraction, prosthodontic restorations on the occlusal surfaces of the ankylosed teeth were made to obtain the final occlusion. The unilateral open bite was successfully treated and a good occlusion was obtained. The occlusion has shown good long-term stability for more than 3 years.
Collapse
Affiliation(s)
- Takafumi Susami
- Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, University of Tokyo Hospital, 7-3-1, Hongo, Bunkyo, Tokyo 113-8655, Japan.
| | | | | | | | | | | | | |
Collapse
|
26
|
Sapir S, Shapira J. Decoronation for the management of an ankylosed young permanent tooth. Dent Traumatol 2008; 24:131-5. [DOI: 10.1111/j.1600-9657.2006.00506.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
27
|
Takahashi T, Takagi T, Moriyama K. Orthodontic treatment of a traumatically intruded tooth with ankylosis by traction after surgical luxation. Am J Orthod Dentofacial Orthop 2005; 127:233-41. [PMID: 15750544 DOI: 10.1016/j.ajodo.2004.04.015] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This report presents the treatment of a patient with anterior crossbite and displacement of ankylosed maxillary and mandibular right lateral incisors. The maxillary lateral incisor, which was traumatically intruded, was successfully treated with 2 surgical luxations followed by orthodontic traction. The mandibular lateral incisor, which was avulsed and replanted, experienced replacement root resorption during orthodontic treatment and was ultimately extracted. Two years after active orthodontic treatment, the occlusal results were considered satisfactory.
Collapse
Affiliation(s)
- Takumi Takahashi
- Department of Orthodontics and Dentofacial Orthopedics, Institute of Health Biosciences, University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
| | | | | |
Collapse
|
28
|
Kofod T, Würtz V, Melsen B. Treatment of an ankylosed central incisor by single tooth dento-osseous osteotomy and a simple distraction device. Am J Orthod Dentofacial Orthop 2005; 127:72-80. [DOI: 10.1016/j.ajodo.2003.12.020] [Citation(s) in RCA: 67] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|