scholarly journals A patient with protrusion and multiple missing teeth treated with autotransplantation and space closure

2013 ◽  
Vol 84 (3) ◽  
pp. 561-567 ◽  
Author(s):  
Jeong-Min Ko ◽  
Cheol-Ho Paik ◽  
Simon Choi ◽  
Seung-Hak Baek
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Treatment Options ◽  
Occlusal Plane ◽  
Orthodontic Space Closure ◽  
Effective Treatment Modality ◽  
Space Closure ◽  
Asymmetric Pattern ◽  
Congenitally Missing

ABSTRACT Objective: To present a patient treated with submerging autotransplantation (SA) of an immature premolar and subsequent orthodontic space closure (OSC) and to report a 10-year follow-up result. Case and Method: A 10-year-old boy had multiple missing premolars with an asymmetric pattern (maxillary right first and second premolars, teeth 14 and 15; maxillary left second premolar, tooth 25; and mandibular right second premolar, tooth 45). After considering several treatment options, tooth 35 with immature root development underwent SA into the missing site of tooth 15 at a depth 5 mm below the occlusal plane and was stabilized with sutures to create a symmetric missing condition of the premolars in the four quadrants. Results: Three months after autotransplantation, spontaneous eruption of the transplanted tooth was observed. Nine months after autotransplantation, presence of the lamina dura of the transplanted tooth was confirmed with a periapical radiograph. Active orthodontic treatment was initiated to reduce lip protrusion by closing the missing spaces of teeth 14, 25, 35, and 45 and to correct dental midline deviation. After 33 months of active orthodontic treatment, Class I canine and molar relationships were obtained. During the 10-year follow-up, the pulp vitality of the transplanted tooth was maintained without any pathologic findings, including root resorption or pulp canal obliteration. Conclusions: In a patient with lip protrusion and multiple congenitally missing premolars with an asymmetric pattern, SA of one premolar from the normal quadrant into the quadrant missing two premolars with subsequent OSC of the missing sites of the other premolars can be an effective treatment modality.

scholarly journals Extraction of first permanent molars severely affected by molar incisor hypomineralisation: a retrospective audit

2021 ◽  
Author(s):  
I. J. Brusevold ◽  
K. Kleivene ◽  
B. Grimsøen ◽  
A. B. Skaare
Keyword(s):  
Orthodontic Treatment ◽  
Molar Incisor Hypomineralisation ◽  
Second Molar ◽  
Permanent Molar ◽  
Orthodontic Space Closure ◽  
Space Closure ◽  
Permanent Molars ◽  
Incisor Hypomineralisation ◽  
First Permanent Molars

Abstract Aim The aim of this study was to evaluate possible spontaneous space closure after extraction of first permanent molars in children and their eventual need for orthodontic treatment. Methods Twenty-seven children with at least one first permanent molar planned for extraction were enrolled in the study. The children were referred to the Department of Paediatric Dentistry, University of Oslo, between 2009 and 2017. All extracted teeth were severely affected by Molar Incisor Hypomineralisation and/or caries. The children and their parents had consented to extraction and follow-up. Data were analysed with SPSS 26. Results The age of the children was between 5.5 and 12.1 years (mean 8.7) at extraction. The mean follow-up time was 3.2 years (range 1.1–6.3). Sixteen children (59.3%) had all four molars extracted, five (18.5%) had three, five had two and one had one molar extracted. In the maxilla, the second permanent molar had erupted in the place of the first molar in all the children, and none of them needed orthodontic space closure. In the mandible, eight children (29.6%) needed orthodontic treatment to close the spaces after extraction. In three children, the second molar was not yet erupted and treatment need was not settled. Conclusion Extraction of severely affected first permanent molars before the eruption of the second molar is a treatment option causing little additional treatment in the majority of cases.

scholarly journals Hypodontia of mandibular incisors: considerations on the orthodontic treatment

2018 ◽  
Vol 23 (4) ◽  
pp. 79-87
Author(s):  
Renato Barcellos Rédua ◽  
Paulo César Barbosa Rédua
Keyword(s):  
Case Report ◽  
Treatment Option ◽  
Orthodontic Treatment ◽  
Composite Resin ◽  
Therapeutic Approaches ◽  
Missing Teeth ◽  
Craniofacial Malformation ◽  
Space Closure ◽  
Composite Resin Restorations

ABSTRACT Hypodontia is the most prevalent craniofacial malformation in mankind. It may present a wide variety of manifestations and, depending on the number and location of missing teeth, it may affect the esthetics, mastication, speech and occlusal balance. This paper discusses the therapeutic approaches to solve this condition, describing a case report with hypodontia of one mandibular lateral incisor, which treatment option included space closure at the region of hypodontia associated with composite resin restorations in the mandibular central incisors. The three-year follow-up after treatment revealed occlusal stability, adequate intercuspation in Class I relationship and excellent micro and macroesthetics.

scholarly journals Comparison of Esthetic Outcomes of Maxillary Lateral Incisor Agenesis Treatment by Orthodontic Space Closure Versus Implant Placement (Evaluated by Pink Esthetic Score)

2018 ◽  
Vol 8 (1) ◽  
pp. 178
Author(s):  
Hedaiat Moradpoor ◽  
Farshad Rahimi ◽  
Amin Golshah ◽  
Narges Akbari ◽  
Sahar Raissi
Keyword(s):  
Patient Satisfaction ◽  
Treatment Outcomes ◽  
Orthodontic Treatment ◽  
Dental Treatment ◽  
Lateral Incisor ◽  
Treatment Protocols ◽  
Orthodontic Space Closure ◽  
Space Closure ◽  
Significant Difference ◽  
Maxillary Lateral Incisor

Introduction: Due to the fundamental role of esthetics in the outcomes of dental treatments, especially in the anterior region (esthetic zone), the necessity of considering the matter of esthetics in clinical studies has become into focus in the current era. The aim of this study was the evaluation of esthetic outcomes of two treatment protocols in the treatment of congenital uni-lateral missing of maxillary lateral incisors as well as patient satisfaction from the treatment outcomes. Methods: in this study the sample size was 24 people (16 women and 8 men), These individuals sought dental treatment for replacement of the congenitally missing maxillary lateral incisor. Convenience sampling method was used and patients were divided into two groups regarding the kind of treatment they received. The two treatment protocols included: 1. Space closure by means of orthodontic treatment and then reshaping the canines; and 2. Space regaining by means of orthodontic treatment and replacing the lateral incisor with dental implants. Photographs of patients were acquired from the frontal view with retraction of the lips using digital cameras. Photographs were evaluated for Pink esthetic score. Results: No significant difference was detected between the two study groups in the evaluated factors in this study. Conclusion: The results of this study indicated that there is no significant difference in esthetic results in the two groups. Furthermore, both groups lead to similar results in patient satisfaction from treatment outcomes.

scholarly journals Comprehensive orthodontic treatment in an adolescent patient with Class II Division 1 malocclusion and ankylosed maxillary central incisors

2019 ◽  
Vol 9 ◽  
pp. 190-197
Author(s):  
Matthew Wen Jian Lau
Keyword(s):  
Poor Prognosis ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Class Ii ◽  
Anterior Teeth ◽  
External Root Resorption ◽  
Facial Esthetics ◽  
Division 1 ◽  
Traumatic Episode

While uncommon in orthodontics, the extraction of central incisors may be indicated when such teeth are of poor prognosis. This report details orthodontic treatment of a 13-year and 5-month-old Chinese female, who presented with Class II/1 malocclusion on a Class II skeletal jaw base relationship. Her maxillary central incisors were ankylosed and had undergone severe external root resorption following a previous traumatic episode. Orthodontic treatment involved removal of the maxillary central incisors and the mandibular first premolars. Pre-adjusted edgewise appliances with MBT prescription were used. To enhance anterior esthetics, prosthetic buildup of the four maxillary anterior teeth was performed before appliance removal. Tight intercuspation of teeth and optimal facial esthetics were achieved at appliance debond and maintained at 2-year follow-up.

scholarly journals Space closure versus space opening for bilateral absent upper lateral incisors: what is the duration of orthodontic treatment?

2019 ◽  
Vol 42 (4) ◽  
pp. 460-465
Author(s):  
Jadbinder Seehra ◽  
Anwar Al-Ali ◽  
Nikolaos Pandis ◽  
Martyn T Cobourne
Keyword(s):  
Treatment Duration ◽  
Orthodontic Treatment ◽  
Study Data ◽  
Duration Of Treatment ◽  
College Hospital ◽  
Orthodontic Space Closure ◽  
Data Collection Sheet ◽  
Space Closure ◽  
Treatment Plans ◽  
Lower Arch

Summary Background Assessment of orthodontic treatment outcomes such as treatment duration in patients with hypodontia are lacking. Objectives To assess the overall treatment duration of cases of bilateral absent upper lateral incisors treated with either orthodontic space closure (SC) or space opening (SO). The secondary aim was to determine factors which influence overall treatment duration. Subjects and methods A retrospective cohort study was undertaken within the Orthodontic department at Kings College Hospital NHS Foundation Trust. Consecutively treated patients between 2008 and 2018 with bilateral absent upper lateral incisors were identified from clinic lists, clinical logbooks, and multidisciplinary clinics. All study data variables were collected by a single investigator using a pre-specified data collection sheet. Results In total, 52 cases were included, 29 in the SC group and 23 in the SO group. Overall non-extraction treatment was favoured (P = 0.001) with differences in restorations provided post-treatment evident (P = 0.01). Although not statistically significant, the mean overall orthodontic treatment duration was less in the SC group 25.7 months (SD 7.6) compared to the SO group 27.4 (SD 6.1). Overall treatment duration was reduced if treatment was carried out on an extraction basis (−7.02, 95% CI: −11.93, 2.11, P = 0.01) but increased as the amount of crowding in the lower arch increased (0.89, 95% CI: 0.08, 1.71, P = 0.03). Conclusions Within the study limitations, there is no difference in the overall treatment duration between both treatment approaches. Treatment duration is reduced in both SO or SC treatment plans if extractions are undertaken. The presence of lower arch crowding increases the duration of treatment.

scholarly journals Understanding the basis of space closure in Orthodontics for a more efficient orthodontic treatment

2016 ◽  
Vol 21 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Gerson Luiz Ulema Ribeiro ◽  
Helder B. Jacob
Keyword(s):  
Side Effects ◽  
Orthodontic Treatment ◽  
Treatment Options ◽  
The Other ◽  
Advantages And Disadvantages ◽  
Other Hand ◽  
Space Closure ◽  
Sliding Mechanics

ABSTRACT Introduction: Space closure is one of the most challenging processes in Orthodontics and requires a solid comprehension of biomechanics in order to avoid undesirable side effects. Understanding the biomechanical basis of space closure better enables clinicians to determine anchorage and treatment options. In spite of the variety of appliance designs, space closure can be performed by means of friction or frictionless mechanics, and each technique has its advantages and disadvantages. Friction mechanics or sliding mechanics is attractive because of its simplicity; the space site is closed by means of elastics or coil springs to provide force, and the brackets slide on the orthodontic archwire. On the other hand, frictionless mechanics uses loop bends to generate force to close the space site, allowing differential moments in the active and reactive units, leading to a less or more anchorage control, depending on the situation. Objective: This article will discuss various theoretical aspects and methods of space closure based on biomechanical concepts.

scholarly journals Aggravation of Gummy Smile by Straight-Wire Mechanics and its Management with or without Orthognathic Surgery Up to 10-Year Follow-Up

2018 ◽  
Vol 8 ◽  
pp. 96-109
Author(s):  
Tsang Tsang Franklin She ◽  
Raymond Lop Keung Chow
Keyword(s):  
Orthognathic Surgery ◽  
Orthodontic Treatment ◽  
Occlusal Plane ◽  
Specialist Care ◽  
Straight Wire ◽  
Female Patients ◽  
Treatment Objective ◽  
General Dentists ◽  
Gummy Smile

Two female patients presented with gummy smile, maxillary dentoalveolar protrusion and total vertical maxillary excess, retroclined incisors, and increased overbite received orthodontic camouflage with straight-wire mechanics by general dentists. The treatments caused severe bowing of upper occlusal plane which aggravated the gummy smile and had led them to seek specialist care. They were successfully managed by orthodontic camouflage and combined surgical-orthodontic treatment, respectively, in conjunction with the application of miniscrews on straight-wire mechanics. Aggravation of gummy smile by straight-wire mechanics, use of visual treatment objective to differentiate between orthodontic camouflage and surgical cases, and LeFort I segmentalization were discussed.

scholarly journals Spontaneous remission of internal root resorption during orthodontic treatment: A clinical follow-up report

2021 ◽  
Author(s):  
Marcio José da Silva Campos ◽  
Jocimara Domiciano Fartes de Almeida Campos ◽  
Jéssica Lívia Andrade Fontes ◽  
José Lucas dos Santos Araújo ◽  
Luciana Cláudia Diniz Tavares ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Spontaneous Remission

scholarly journals The correlation between external apical root resorption and electric pulp test responses: a prospective clinical trial

2021 ◽  
Vol 26 (3) ◽  
Author(s):  
Farnaz YOUNESSIAN ◽  
Mohammad BEHNAZ ◽  
Mohammadreza BADIEE ◽  
Kazem DALAIE ◽  
Arezou SARIKHANI ◽  
...  
Keyword(s):  
Root Length ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Pearson Correlation ◽  
Multiple Linear Regression Model ◽  
Time Intervals ◽  
Apical Root Resorption ◽  
Anterior Teeth ◽  
External Apical Root Resorption

ABSTRACT Objective: The current study investigated the correlation between pulpal sensitivity to the electric pulp tester (EPT) and external apical root resorption (EARR) in four types of maxillary anterior teeth of fixed orthodontic treatment patients. Methods: In this prospective cohort study, 232 anterior teeth of 58 patients (mean age 18.96 ± 6.13 years) treated with fixed orthodontic treatment were examined. The EPT readings were recorded at twelve time points immediately before archwire insertion. Root resorption of four maxillary incisors were measured by means of parallel periapical radiographs at three time intervals (six months interval from the start) through design-to-purpose software to optimize data collection. A multiple linear regression model and Pearson correlation coefficient were used to assess the association of EPT values and observed EARR (p< 0.05). Results: The highest level of EPT measurement was recorded at initial visit, and then there was a decreasing trend in EPT level during treatment for the next six and twelve months. There was another increasing trend after six months till the finishing time of the treatment. There was a significant correlation between changes in root length and time of recording the root length (p< 0.001). There was significant positive correlation between changes in EPT level and amount of observed root resorption (p< 0.001). Conclusion: The relative decrease in electric pulp test level could be a diagnostic sign of root resorption during orthodontic treatment. Further studies with longer follow up are needed to confirm the current results.

Root resorption in deciduous teeth after applying orthodontic forces

2005 ◽  
Vol 29 (4) ◽  
pp. 283-286 ◽  
Author(s):  
A. Fiore Aguilar ◽  
A. Aquila ◽  
A. Ubios
Keyword(s):  
Orthodontic Treatment ◽  
Root Resorption ◽  
Deciduous Teeth ◽  
Root Fractures ◽  
Orthodontic Forces ◽  
Deciduous Molars

The relation between orthodontic forces applied to deciduous teeth and the occurrence of root resorption, as a possible outcome of these forces, has not been studied to date. The aim of this work was to study root resorption in deciduous teeth of patients receiving orthodontic treatment. Twenty-four deciduous molars extracted for therapeutic purposes were studied: nineteen molars treated with light orthodontic forces and five untreated molars that served as control. Histological and histomorphometric studies were performed to determine the magnitude of root resorption. Location of root resorption in treated deciduous teeth was different from that of physiological root resorption. Extent and volume of root resorption were more extensive and deeper in treated than in untreated teeth. These results suggest that radiographic follow-up of deciduous teeth subjected to orthodontic forces would be useful to prevent root fractures.

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