A Modified Palatal Appliance for Forced Eruption of Impacted Central Incisor

2019 ◽  
Vol 43 (6) ◽  
pp. 424-431
Author(s):  
Kiyoshi Tai ◽  
Je-won Shin ◽  
Jae Hyun Park ◽  
Yasumori Sato
Keyword(s):  
Gingival Recession ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Forced Eruption ◽  
General Dentist

A 9-year-old female was referred by her general dentist for an evaluation of an impacted maxillary left central incisor. Her maxillary left primary incisors showed crossbites and her right central incisor showed an edge-to-edge bite which caused gingival recession on the mandibular right central incisor. After treatment, the impacted maxillary central incisor erupted successfully. An optimal overbite and overjet were also achieved, and her gingival recession was improved.

scholarly journals Penatalaksanaan Frenektomi dan Depigmentasi Gingiva pada Regio Anterior Rahang Atas Anak Perempuan Usia 11 Tahun

2016 ◽  
Vol 1 (1) ◽  
pp. 5
Author(s):  
Richard Akin ◽  
Al Sri Koes Soesilowati
Keyword(s):  
Gingival Recession ◽  
Medical Problem ◽  
Cleaning Process ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Periodontal Tissues ◽  
Gingival Health ◽  
Central Case ◽  
The One ◽  
Gingival Depigmentation

Frenulum labialis yang abnormal dapat berpengaruh terhadap kesehatan gingiva dan menimbulkan penyakit periodontal dengan cara menarik margin gingiva sehingga menimbulkan resesi gingiva. Abnormalitas dari frenulum ini juga menyebabkan diastema dari gigi insisivus sentral, iritasi pada jaringan periodontal, menghalangi proses pembersihan gigi, menghalangi pergerakan alat ortodonsi, mengganggu pemakaian protesa gigi serta berpengaruh pada estetik. Selain frenulum yang abnormal, masalah pada gingiva yang dapat berpengaruh juga pada estetik adalah pigmentasi gingiva. Pigmentasi pada gingiva merupakan hasil dari granul melanin yang diproduksi oleh melanoblas. Hiperpigmentasi melanin pada gingiva biasanya bukan masalah medis tetapi keluhan pasien yang menginginkan terapi perbaikan estetik. Untuk melaporkan penatalaksanaan frenektomi labialis superior dan depigmentasi pada kasus sentral diastema dan pigmentasi gingiva. Anak perempuan 11 tahun diastema sentral insisivus maksila disertai dengan hiperpigmentasi gingiva regio anterior maksila. Diastema sentral insisivus maksilanya disebabkan oleh perlekatan frenulum labialis superior yang tinggi. Perawatan untuk perlekatan frenulum labialis superior yang tinggi dilakukan frenektomi dan perawatan depigmentasi dilakukan dengan teknik scraping menggunakan skalpel. Perawatan frenektomi dan depigmentasi menunjukkan hasil perbaikan perlekatan frenulum dan  menghilangkan hiperpigmentasi gingiva. ABSTRACT: Management of Frenectomy and Gingival Depigmentation at Regio Anterior Upper Arch of 11 Year Old Girl. Abnormal labial frenulum may affect gingival health and cause periodontal disease by pulling the gingival margin causing gingival recession. Abnormalities of the frenulum also cause diastema of central incisors and irritation of the periodontal tissues, bother the teeth cleaning process, interfere the movement of orthodontic tools, interfere with the proper fit of the denture and affect the aesthetics. In addition to abnormal frenulum, a problem that can affect the gingival esthetics is also gingival pigmentation. Gingival pigmentation is a result of melanin granules produced by melanoblast. Melanin hyperpigmentation of the gingiva is not a medical problem but it becomes a complaint from patients who desire aesthetic improvement therapies. To report frenectomy labialis superior management and depigmentation in the central case of diastema and gingival pigmentation. An 11 year old girl had diastema in maxillary central incisor accompanied by gingival pigmentation in maxillary anterior region. Diastema in maxillary central incisor is caused by a high attachment of the superior labial frenulum. The (one of the) Treatment for a high attachment of the superior labial frenulum is frenectomy and the depigmentation treatment is done by scraping technique using a scalpel. Frenectomy and depigmentation treatment show improved results of the frenulum attachment and remove gingival pigmentation.

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 Reposition of intruded permanent incisor by a combination of surgical and orthodontic approach: a case report

2002 ◽  
Vol 26 (4) ◽  
pp. 341-345 ◽  
Author(s):  
Ki-Taeg Jang ◽  
Jung-Wook Kim ◽  
Sang-Hoon Lee ◽  
Chong-Chul Kim ◽  
Se-Hyun Hahn ◽  
...  
Keyword(s):  
Case Report ◽  
Alveolar Bone ◽  
Root Resorption ◽  
Central Incisor ◽  
Orthodontic Appliance ◽  
Maxillary Central Incisor ◽  
High Position ◽  
Bone Level ◽  
Forced Eruption ◽  
Bone Height

This report presents a case of a completely intrusive luxation of an immature permanent central incisor in a 7 years 9 months-old girl. Because there are severe intrusive trauma and cortical alveolar bone fracture, it was impossible to reposition with orthodontic or surgical method alone. The intruded tooth was repositioned to healthy alveolar bone level by using surgical extrusion and stabilization with sutures and periodontal pack. After healing of adjacent bone, the intruded maxillary central incisor erupted orthodontically by removable orthodontic appliance. It was moved from a high position to level of adjacent tooth in about 7 months.A radiograph was taken 6 months after ceasing forced eruption, which demonstrated minor root resorption, but the alveolar bone height had increased.

Solitary median maxillary central incisor syndrome (SMMCI): A 4-year evaluation

2018 ◽  
Author(s):  
Michael Atar ◽  
Egbert Körperich
Keyword(s):  
Birth Defects ◽  
Brain Function ◽  
Present Report ◽  
Central Incisor ◽  
Developmental Abnormalities ◽  
Maxillary Central Incisor ◽  
Medical Issues ◽  
Long Term Prognosis

The present report follows the case of a young boy with solitary median maxillary central incisor (SMMCI) syndrome between the ages of 4 and 7 years. This condition is characterized by the presence of one single maxillary central incisor in the midline instead of two central incisors. No other developmental abnormalities involving growth or brain function were noted at, or subsequent, to birth. This report includes a discussion of the aetiology of SMMCI syndrome and its association with birth defects such as holoprosencephaly (HPE), CHARGE and VACTERL, as well as a discussion of the long-term prognosis and associated dental and medical issues for this particular patient

scholarly journals A Clinical Study to Correlate the Facial Form and Maxillary Central Incisor Tooth Form in Males and Females of Davangere Population

2016 ◽  
Vol 04 (03) ◽  
pp. 156-164
Author(s):  
Deepak Bansal ◽  
Shruti Sharma ◽  
Manjit Kumar ◽  
Amrit Khosla
Keyword(s):  
Facial Appearance ◽  
Central Incisor ◽  
Incisor Tooth ◽  
Maxillary Central Incisor ◽  
Anterior Teeth ◽  
The Face ◽  
Tooth Form ◽  
Males And Females ◽  
Selection Of ◽  
Made In

AbstractAn altered facial appearance is more difficult to face, than problems related to ill-fitting denture or eating. The selection of maxillary anterior teeth for complete denture has long posed problem in clinical practice and a controversy about the best method to employ still exists. An attempt is made in the present study to clinically correlate the face form with maxillary central incisor tooth form in males and females of Davangere population. In 1914, Leon William's projected the “the form method” where he classified facial forms as square, tapering, and ovoid. Maxillary central incisors were selected according to the facial forms.Of total 100 subjects four different tooth forms and face forms were evaluated. They are: square, ovoid, square-tapered, tapered. No significant correlation existed between face form in male and females. Females exhibited greater correlation between face forms and inverted tooth form but that correlation is not sufficient to serve as a guide for selection of anterior teeth.

Evaluation of the Fitness of Glass-Infiltrated Zirconia Core in Maxillary Central Incisor

2018 ◽  
Vol 18 (2) ◽  
pp. 1445-1448
Author(s):  
Ji-Won Kim ◽  
Gye-Jeong Oh ◽  
Hyun-Pil Lim ◽  
Kwi-Dug Yun ◽  
Chan Park ◽  
...  
Keyword(s):  
Central Incisor ◽  
Maxillary Central Incisor

Fifteen-year Clinical Follow-up of Restoration of Extensive Cervical Resorption in a Maxillary Central Incisor

2017 ◽  
Vol 42 (2) ◽  
pp. E55-E58 ◽  
Author(s):  
EG Reston ◽  
RPR Bueno ◽  
LQ Closs ◽  
J Zettermann
Keyword(s):  
Root Resorption ◽  
Treatment Options ◽  
Glass Ionomer Cement ◽  
Central Incisor ◽  
Endodontically Treated Teeth ◽  
Maxillary Central Incisor ◽  
External Root Resorption ◽  
Fixed Prosthodontics ◽  
Single Structure ◽  
The One

SUMMARY Internal bleaching in endodontically treated teeth requires care and protection to prevent harm to the periodontal ligament due to peroxide and may result in external root resorption. There is a myriad of treatment options when this occurs, such as monitoring, extraction, and subsequent rehabilitation with implants or fixed prosthodontics. In some cases, such as the one described here, a conservative attempt to maintain the tooth as a single structure can be made by sealing the resorptive defect. In the present case, we show a multidisciplinary approach where orthodontics, periodontics, and restorative dentistry were involved in treating the maxillary right central incisor (#8) of a 65-year-old patient with extensive cervical resorption, whose chief complaint was esthetics. The proposed treatment was extrusion of the tooth followed by curettage and restoration of the defect with glass ionomer cement. The patient has been followed for 15 years with no signs of recurrence, maintenance of periodontal health, and patient satisfaction with the esthetic outcome.

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