Orthodontic treatment of patients medicated with bisphosphonates—a clinical case report

Author(s):  
E. Krieger ◽  
B. d‘Hoedt ◽  
H. Scheller ◽  
C. Jacobs ◽  
C. Walter ◽  
...  
2021 ◽  
Vol 10 (8) ◽  
pp. 1277-1280
Author(s):  
Sávio Morato de Lacerda Gontijo ◽  
Laura Costa Gonçalves ◽  
Fernanda Novais Arantes ◽  
Francisca Daniele Jardilino Silami ◽  
João Batista Novaes Júnior ◽  
...  

Objective: This case report aims to present the microdontia treatment of tooth 35 through pre-prosthetic orthodontics, followed by re-anatomization with an indirect restoration. Case report: A 21-year-old female patient presented with microdontia in tooth 35, with a distalized and vestibularized crown. In addition, tooth 34 was gyroverted with mesial diastema. Orthodontic mechanics with segmented arch were used to centralize tooth 35 in the alveolar ridge, close the diastema in the mesial of tooth 34, and correct its gyroversion. For lingualization of tooth 35, a first-order fold (in set) was performed, and for mesialization, an open-coil spring was used between teeth 35 and 36. A closed-coil spring was used to delimit the movement of tooth 35 to mesial. The force applied by the open spring for mesialization of tooth 35 was transmitted to tooth 34, through the closed spring, resulting in its mesialization; this, closed the diastema between teeth 33 and 34 and corrected the gyroversion. Subsequently, the coronary preparation was performed with diamond tips 1014 and 3146, and confection of the temporary crown in acrylic resin. For the ceramic system, IPS™ e.max Press was used. The ceramic crown was luting using the adhesive technique, followed by light curing for 40 seconds on each face of the tooth. Conclusion: It can be concluded that the re-anatomization of a small tooth should be the first treatment option. However, pre-prosthetic orthodontic treatment may be necessary.


2016 ◽  
Vol 21 (5) ◽  
pp. 95-102
Author(s):  
Fernando Gianzanti Peres ◽  
◽  
Luis Eduardo Marques Padovan ◽  
Leandro Eduardo Kluppel ◽  
Gustavo Calvalcanti Albuquerque ◽  
...  

ABSTRACT Introduction: Temporary anchorage devices (TADs) have been developed to be used as direct adjuncts in orthodontic treatment and have facilitated treatment of more complex orthodontic cases, including patients with dental impaction. Objectives: This clinical case reports the applicability of TADs in the orthodontic treatment of a patient with impacted mandibular second molars. Surgical and orthodontic procedures related to the use of miniplates were also discussed in this study. Conclusions: The use of temporary anchorage devices, such as miniplates, can be suggested as an alternative to treat patients with impacted mandibular second molars.


2016 ◽  
Vol 3 (5) ◽  
pp. 798
Author(s):  
Cristiane Romani Pedro Antônio Brum ◽  
Roberto Dela Coleta ◽  
Nadia Lunardi ◽  
Eloisa Marcantonio Boeck ◽  
Karina Eiras Dela Coleta Pizzol

Gingival smile is defined as excessive gum exposition. Its etiology may be related to several factors, among them a maxillary vertical excess, superior dentoalveolar protrusion, changed passive extrusion and or eruption of anterior-superior teeth and hyperactivity of superior lip lift muscle.  In cases in which the etiological factor is from muscle, the use of Botulinum toxin typo A (BTX-A) should be indicated. To highlight the benefits obtained with therapeutic use of this substance, the authors describe a clinical case of a female young patient, in which the Botox® was applied to correct gingival smile as a way to complement the orthodontic treatment. The applications were performed in two lateral points on the nose wing in a single session. The result was very satisfactory and there was no need additional dose. The authors concluded that BTX-A is a safe option and minimum invasive for treatment of gingival smile when provoked by muscle hypercontraction. Its side effects are rare with discrete discomfort during the application.


Author(s):  
Amanda Carolina COSTA ◽  
Bárbara Salles do NASCIMENTO ◽  
Jéssica Luciana Cruz SILVA ◽  
Alice Machado Carvalho SANTOS ◽  
Suzana Coulaud da Costa CRUZ ◽  
...  

ABSTRACT Fused teeth are a developmental anomaly involving the union of two dental germs at the crown, root or pulp. This type of anomaly occurs during intraosseous development, resulting in a morphologically irregular tooth that can affect both the primary and permanent dentition. Clinical problems involving esthetics, a lack of space and greater susceptibility to caries are often associated with fused teeth. This type of anomaly is easily confused with dental twinning, which has similar clinical features but emerges from a single dental germ. The aim of the present study was to report a clinical case of the fusion of two deciduous mandibular incisors, describe prospects for treating this anomaly and discuss its repercussions during the development of the dentition. Extraction of the fused tooth was performed and orthodontic treatment was recommended for esthetic and functional improvements. Integrated planning involving both Pediatric Dentistry and Orthodontics provided a better treatment option.


2021 ◽  
Vol 10 (14) ◽  
pp. e39101421787
Author(s):  
Matheus Almeida Rodrigues ◽  
Marcely Reis da Silva ◽  
Adolfo de Matos de Carvalho ◽  
Caio Cesar Souza ◽  
Cesar Augusto Perini Rosas ◽  
...  

Invasive cervical resorption (ICR) is an insidious, aggressive, and asymptomatic form that can lead to destruction and even loss of the dental unit. ICR is somewhat uncommon, but it can affect any tooth, with the maxillary central incisors being the most affected. Even after numerous studies, the etiology is still unclear. There are some predisposing factors, including orthodontic treatment, trauma, and internal tooth whitening, which may occur in isolation or in conjunction with each other. This article reports a clinical case of ICR class 3 with a rosy discoloration at the cervical margin and the presence of a fistula associated with a history of trauma. This suspicion was raised after radiographic examination and confirmed by cone-beam computed tomography (CBCT), with treatment via an internal approach and endodontic treatment involving debridement of the resorptive areas and filling with a bioceramic repair material and suturing. After treatment, the patient remained asymptomatic, but the fistula was no longer present. Prospective observation at 10 months showed bone formation in the middle third and well-adapted material in the cervical region, with no resorptive tissue present.


2013 ◽  
Vol 2 (2) ◽  
pp. 69-70
Author(s):  
Rashed Md Golam Rabbani ◽  
Arup Kumar Saha ◽  
R Palash Biswas ◽  
Most. Shahana Afroge Khan ◽  
Kamrun Nahar Chowdhury Fanse ◽  
...  

Surgical exposure of impacted upper incisor is very complex, so fixed orthodontic treatment rehabilitation is the first choice of the treatment for the correction of malocclusion. A clinical case report a 10-year old boy with a unerupted malposed upper left central incisor, which was treated by sequential surgical exposure and fixed orthodontic treatment. The tooth was aligned in the dental arch with accepted aesthetic and functional satisfaction of the patient.DOI: http://doi.dx.org/10.3329/bjdre.v2i2.16249 Bangladesh Journal of Dental Research & Education Vol.2(2) 2012: 69-70


2016 ◽  
Vol 14 (2) ◽  
pp. 171-183 ◽  
Author(s):  
Antonio Gracco ◽  
Laura Siviero ◽  
Alberto de Stefani ◽  
Giovanni Bruno ◽  
Edoardo Stellini

2016 ◽  
Vol 21 (2) ◽  
pp. 102-114
Author(s):  
Paulo Ávila de Souza

ABSTRACT This clinical case report describes the orthodontic treatment of an 8-year and 9-month old female patient with Angle Class I malocclusion, anterior crossbite and canine Class III relationship. Orthodontic treatment was carried out in two stages. The first one was orthopedic, while the second one included the use of a fixed appliance and the need for space gain for reshaping of maxillary lateral incisors. The two-stage treatment combined with multidisciplinary Restorative Cosmetic Dentistry allowed excellent esthetic and functional outcomes to be achieved. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as a requirement for the title of certified by the BBO.


2019 ◽  
Vol 2 (2) ◽  
pp. 1-5
Author(s):  
Camelia Szuhanek ◽  
Adelina Grigore

Mini screws represent a new treatment modality in orthodontic biomechanics. They provide absolute anchorage, no secondary movements and reduced orthodontic treatment time. Futhermore, the surgical procedure for mini implants placement is quite simple and this type of treatment requires no patient compliance. We selected a clinical case in order to emphasize one of the most important indications of the mini implants: retrusion of the upper incisors for a incresed overjet case in a young patient. Two mini implants were placed in order to obtain the correction of the overjet and the retrusion of the anterior teeth. The retrusion was obtained in a reduced period of time using retraction devices on crimpable hooks.


Author(s):  
Ricardo Roberto De Souza Fonseca ◽  
Silvio Augusto Fernandes de Menezes ◽  
Felipe Rezende de Albuquerque ◽  
Tânia Maria De Souza Rodrigues ◽  
Armando Rodrigues Lopes Pereira Neto

Melanic pigmentations (MP) are dark stains located on the masticatory mucosa. These pigmentations are consequence of the excess of melanin  production by  the  melanocytes  located  in  the  basal  layer  of  the epithelium, between epithelial cells and connective tissue cells. The MP of the periodontium are the results of the melanin granules transfer from the melanocytes to the keratinocytes, in a process called epidermal melanin.  This study aims to report a clinical case of dermabrasion for treatment of gingival melanin hyper pigmentation of a female patient, 21 years of age, non smoker, under orthodontic treatment and without systemic alterations. This patient attended the Clinic of Specialization in Periodontics of the Brazilian Association of Dentistry (ABO) with the aesthetic of her smile as the chief complain, due to the excess of melanin on the gingival tissues, in the anterior superior region.  The  epithelial  dermabrasion technique, with hand tools, promoted aesthetic results on the melanic depigmentation.


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