Combined orthodontic and prosthodontic treatment in an adolescent patient with traumatically ankylosed incisors: A case report.


Journal

Dental traumatology : official publication of International Association for Dental Traumatology
ISSN: 1600-9657
Titre abrégé: Dent Traumatol
Pays: Denmark
ID NLM: 101091305

Informations de publication

Date de publication:
Oct 2023
Historique:
revised: 12 05 2023
received: 02 02 2023
accepted: 15 05 2023
medline: 11 9 2023
pubmed: 7 6 2023
entrez: 7 6 2023
Statut: ppublish

Résumé

Symmetric extraction of premolars is a frequently used orthodontic treatment for dental crowding and protrusion. However, when a patient has incisors with ankylosis, the establishment of a treatment protocol often plagues orthodontists. An adolescent patient with a history of incisor trauma sought treatment for dental protrusion and crowding. Upon percussion of his infrapositioned maxillary central incisors, characteristic dull metallic sounds were noted, and a lack of normal mobility of these teeth under the application of external forces was detected. Follow-up radiographs after the trauma showed replacement root resorption of the maxillary central incisors. Based on clinical and radiological findings, ankylosis of the maxillary central incisors was tentatively diagnosed. A combination of orthodontic and prosthodontic treatment options involving extraction of the maxillary central incisors and mandibular first premolars was chosen to resolve the functional and esthetic problems. After treatment, well-aligned dentition, improved smile esthetics, and a more harmonious facial profile were achieved, and these outcomes remained stable during the follow-up period. This case report illustrates a viable treatment strategy for tackling predicaments caused by ankylosed incisors, which is unusual in the literature.

Identifiants

pubmed: 37283243
doi: 10.1111/edt.12859
doi:

Types de publication

Case Reports

Langues

eng

Pagination

495-508

Informations de copyright

© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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Auteurs

Kun Li (K)

Department of Orthodontics, Yantai Stomatological Hospital Affiliated to Binzhou Medical College, Yantai, China.

Peng Sun (P)

Department of Orthodontics, Yantai Stomatological Hospital Affiliated to Binzhou Medical College, Yantai, China.

Jing Sun (J)

Wolong Division, Yantai Stomatological Hospital Affiliated to Binzhou Medical College, Yantai, China.

Tiejun Wang (T)

Department of Orthodontics, Yantai Stomatological Hospital Affiliated to Binzhou Medical College, Yantai, China.

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