scholarly journals Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Rafael Scaf de Molon ◽  
Erica Dorigatti de Avila ◽  
Joni Augusto Cirelli ◽  
Mauricio de Almeida Cardoso ◽  
Leopoldino Capelozza-Filho ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Traumatic Injury ◽  
Treatment Modalities ◽  
Gingival Tissue ◽  
Active Movement ◽  
Ridge Preservation ◽  
Central Incisor ◽  
Bone Apposition ◽  
Maxillary Central Incisor ◽  
Orthodontic Movement

Treatment of severe compromised tooth in the maxillary anterior area still poses great challenge to the clinicians. Several treatment modalities have been proposed to restore the function and aesthetics in teeth with advanced periodontal disease. The present study aims to report a case of traumatic injury of a left-maxillary central incisor with ridge preservation, orthodontic movement, and implant therapy. A 45-year-old woman underwent the proposed treatment for her left central incisor: basic periodontal therapy, xenogenous bone graft, and guided bone regeneration (GBR). Six months after the graft procedure, orthodontic movement by means of alignment and leveling was made and a coronal displacement of the gingival margin and vertical bone apposition could be observed after 13 months of active movement. Afterwards, a dental implant was placed followed by a connective tissue graft and immediate provisionalization of the crown. In conclusion, orthodontic movement was effective to improve the gingival tissue and alveolar bone prior to implant placement favoring the aesthetic results. Six years postoperatively, the results revealed height and width alveolar bone gain indicating that the treatment proposed was able to restore all the functional and aesthetic parameters.

scholarly journals Correction of Malpositioned Implants through Periodontal Surgery and Prosthetic Rehabilitation Using Angled Abutment

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Érica Dorigatti de Avila ◽  
Rafael Scaf de Molon ◽  
Luiz Antônio Borelli de Barros-Filho ◽  
Marcelo Ferrarezi de Andrade ◽  
Francisco de Assis Mollo ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Traumatic Injury ◽  
Treatment Protocol ◽  
Interdisciplinary Approach ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Maxillary Tooth ◽  
Immediate Implant ◽  
Provisional Restoration ◽  
Atraumatic Extraction

When dental implants are malpositioned in relation to the adjacent teeth and alveolar bone or in an excessive buccal or lingual position, the final prosthesis rehabilitation impairs the peri-implant health of the gingival tissues and the aesthetics of the patient. Thus, the purpose of this case was to report and discuss a multidisciplinary protocol for the treatment of a compromised maxillary tooth in a patient with an abscess in his right central incisor due to an excessive buccal implant position. The patient presented with an implant-supported provisional restoration on his right maxillary central incisor and a traumatic injury in his left central incisor. The treatment protocol consisted in (i) abutment substitution to compensate the incorrect angulation of the implant, (ii) clinical crown lengthening, (iii) atraumatic extraction of the left central incisor, and (iv) immediate implant placement. Finally, (v) a custom abutment was fabricated to obtain a harmonious gingival contour around the prosthetic crown. In conclusion, when implants are incorrectly positioned in relation to the adjacent teeth, associated with soft-tissue defects, the challenge to create a harmonious mucogingival contours may be achieved with an interdisciplinary approach and with the placement of an appropriate custom abutment.

scholarly journals Multidisciplinary Treatment Approach to Restore Deep Horizontally Fractured Maxillary Central Incisor

2014 ◽  
Vol 15 (1) ◽  
pp. 112-115 ◽  
Author(s):  
Smita P Nimbalkar-Patil ◽  
Aamod B Karandikar
Keyword(s):  
Alveolar Bone ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Treatment Modalities ◽  
Surgical Removal ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Tooth Structure ◽  
Biologic Width ◽  
Forced Eruption

ABSTRACT This case report demonstrates sequential Periodontic, Orthodontic and Prosthodontic treatment modalities to save and restore deep horizontally fractured maxillary central incisor. The location of fracture was deep in the mucosa which reveals less than 2 mm of tooth structure to receive the crown. The procedures like surgical crown lengthening, endodontic post placement, orthodontic forced eruption, core build-up and metal-ceramic crown restoration were sequentially performed to conserve the fractured tooth. Forced eruption is preferred to surgical removal of supporting alveolar bone, since forced eruption preserves the biologic width, maintains esthetics, and at the same time exposes sound tooth structure for the placement of restorative margins. How to cite this article Patil PG, Nimbalkar-Patil SP, Karandikar AB. Multidisciplinary Treatment Approach to Restore Deep Horizontally Fractured Maxillary Central Incisor. J Contemp Dent Pract 2014;15(1):112-115.

scholarly journals A 15 year old male with continuous dull pain in the maxillary left central incisor

2018 ◽  
Vol 11 (2) ◽  
pp. 145
Author(s):  
Mst. Mahbuba Kafia Parvin ◽  
Mohammad Ali Asgor Moral ◽  
Md. Shamsul Alam ◽  
Gokul Chand Kundu
Keyword(s):  
Medical History ◽  
Male Patient ◽  
Dental Treatment ◽  
Traumatic Injury ◽  
Sinus Tract ◽  
Gingival Tissue ◽  
Central Incisor ◽  
Dull Pain ◽  
Root Area ◽  
History Of

<p><span>This article has no abstract. The first 100 words appear below:</span></p><p>A 15 year old male patient came to the Department with the complaint of continuous dull pain on his upper left central incisor. He also gave a history of traumatic injury when he was eight years old for which he didn't undergo any dental treatment. He had noncontributory medical history. On extraoral examination, no abnormality was detected. Intraoral examination revealed there was no sign of caries, no crown discoloration, no swelling and no sinus tract was present. Gingival tissue and tooth were intact. On palpation, the patient felt mild pain on the root area of affected tooth. On percussion, dull percussion note was present.</p>

scholarly journals Permanent maxillary central incisor and first molar rotations in the mixed dentition in repaired complete unilateral cleft lip and palate and their relationship with absence of teeth in their vicinity

2018 ◽  
Vol 88 (5) ◽  
pp. 567-574
Author(s):  
Sunjay Suri ◽  
Suteeta Disthaporn ◽  
Bruce Ross ◽  
Bryan Tompson ◽  
Diogenes Baena ◽  
...  
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Alveolar Bone ◽  
Permanent Tooth ◽  
Mixed Dentition ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
Alveolar Bone Grafting

ABSTRACT Objectives: To describe qualitatively and quantitatively the directions and magnitudes of rotations of permanent maxillary central incisors and first molars in the mixed dentition in repaired complete unilateral cleft lip and palate (UCLP) and study their associations with absence of teeth in their vicinity. Materials and Methods: Dental casts and orthodontic records taken prior to orthodontic preparation for alveolar bone grafting of 74 children with repaired UCLP (53 male, 21 female; aged 8.9 ± 1.0 years) were studied. Directions and magnitudes of permanent maxillary central incisor and first molar rotations were recorded. Tooth absence was confirmed from longitudinal radiographic records. Incisor and molar rotations were analyzed in relation to the absence of teeth in their vicinity. Results: Distolabial rotation of the permanent maxillary central incisor was noted in 77.14% on the cleft side, while distopalatal rotation was noted in 82.19% on the noncleft side. Incisor rotation was greater when a permanent tooth was present distal to the cleft side central incisor, in the greater segment. The permanent maxillary first molar showed mesiopalatal rotation, which was greater on the cleft side and when there was absence of one or more teeth in the buccal segment. Conclusions: Presence and absence of teeth were associated with the severity of incisor and molar rotations in UCLP. Crowding of anterior teeth in the greater segment was associated with a greater magnitude of rotation of the cleft side permanent central incisor. Absence of one or more buccal segment teeth was associated with greater magnitude of rotation of the molar.

Esthetic Correction of Rotated Maxillary Central Incisor by Conservative Approach

2016 ◽  
Vol 7 (4) ◽  
pp. 217-220 ◽  
Author(s):  
Girish S Nanjannawar ◽  
Rupal B Gadodia ◽  
Sharad B Kamat ◽  
Rutuja Chopade
Keyword(s):  
Alveolar Bone ◽  
Anatomical Variation ◽  
Longitudinal Axis ◽  
Common Finding ◽  
Conservative Approach ◽  
Central Incisor ◽  
Successful Management ◽  
Functional Rehabilitation ◽  
Maxillary Central Incisor ◽  
Molar Region

ABSTRACT Tooth rotation is a dental anomaly of position, in which there is a displacement of the tooth within the alveolar bone around its longitudinal axis. Although it is a common finding in the premolar—molar region, rotations of the maxillary centrals are extremely rare and such aberrations are multifactorial in their origin. It is important to have a thorough understanding of such anatomical variation, which can cause occlusal and esthetic problems in patients, to alert the dental surgeons, so that they are well prepared to carry out esthetic and functional rehabilitation of the teeth involved. A successful management of 180° rotated maxillary left central incisor by conservative approach is described here. How to cite this article Nanjannawar GS, Gadodia RB, Kamat SB, Chopade R. Esthetic Correction of Rotated Maxillary Central Incisor by Conservative Approach. World J Dent 2016;7(4):217-220.

An Impacted Malformed Primary Maxillary Central Incisor Diagnosed as a Compound Odontoma.

2008 ◽  
Vol 33 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Dror Aizenbud ◽  
Yael Pery Front
Keyword(s):  
Normal Development ◽  
Surgical Intervention ◽  
Traumatic Injury ◽  
Permanent Tooth ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
History Of ◽  
The Right ◽  
Compound Odontoma ◽  
Early Surgical Intervention

An odontoma is usually found in the surrounding area of the unerupted permanent tooth bud and rarely adjacent to the primary central incisor. This report presents a case of an unerupted malformed primary central incisor, histologically diagnosed as a compound odontoma. A 5.5 year-old healthy boy presented with an unerupted maxillary left primary central incisor and mild gingival buccal swelling. No history of traumatic injury was recorded. Radiological examination revealed a tooth-like mass with a partially developed root and a malformed crown in the area of the left primary central incisor. Delayed development of the successor left permanent incisor in comparison to the right one was noted. The rational for early surgical intervention to enable normal development and eruption of permanent incisors is described. Clinical and radiographic diagnoses as well as several etiological factors and a differential diagnosis are considered and reviewed.

Management of maxillary alveolar bone fracture and severely intruded maxillary central incisor: report of a case

2012 ◽  
Vol 29 (5) ◽  
pp. 416-419 ◽  
Author(s):  
Hisanobu Yonezawa ◽  
Souichi Yanamoto ◽  
Tomonori Hoshino ◽  
Shin-Ichi Yamada ◽  
Taku Fujiwara ◽  
...  
Keyword(s):  
Bone Fracture ◽  
Alveolar Bone ◽  
Central Incisor ◽  
Maxillary Central Incisor
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