Intentıonal reımplantatıon of hopeless teeth: Cases serıes

Intentional replantation is an alternative for the treatment of advanced periodontal destruction of the anterior teeth. Systemically healthy three female patient was referred to our clinic with functional complaints. Diagnosis were chronic periodontitis and class III mobility was noted at the mandibular incisors with complete periodontal attachment loss. After phase I periodontal treatment periodontally involved teeth were extracted, endodontic treatment accomplished, the teeth were replanted and fixed to its place with fiber reinforced composite splint. At the end of 2 years tooth was in function with alveolar bone gain. Intentional replantation provided long-term maintenance of patient’s own teeth.

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Long-Term Maintenance of Alveolar Bone Gain After Implantation of Autolyzed, Antigen-Extracted, Allogenic Bone in Periodontal Intraosseous Defects

Journal of Periodontology ◽

10.1902/jop.1998.69.1.47 ◽

1998 ◽

Vol 69 (1) ◽

pp. 47-53 ◽

Cited By ~ 12

Author(s):

Thomas F. Flemmig ◽

Benjamin Ehmke ◽

Katja Bolz ◽

Norbert R. Kübler ◽

Helge Karch ◽

...

Keyword(s):

Alveolar Bone ◽

Allogenic Bone ◽

Bone Gain ◽

Term Maintenance

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Clinical and Histologic Evaluation of Using Block Xenograft Combined With Leukocyte-Platelet Rich Fibrin (L-PRF) Versus Intraoral Autogenous Bone Block Graft With L-PRF in Treating Localized Ridge Defects: A Randomized Clinical Trial

Perio J ◽

10.26810/perioj.2021.a2 ◽

2021 ◽

Vol 5 (1) ◽

pp. 11-21

Author(s):

Ahmed Y. Gamal ◽

Shahinaz G. Elashiry ◽

Fatma H. Eldemerdash ◽

Omar M. Elnashar

Keyword(s):

Alveolar Bone ◽

Autogenous Bone ◽

Bone Block ◽

Bone Augmentation ◽

Class Iii ◽

Platelet Rich Fibrin ◽

Oral Implants ◽

Histologic Evaluation

Background: Augmentation of vertical bone defects remains the corner stone in periodontal tissue engineering. The amount and quality of alveolar bone available in all dimensions affects the success of dental implants for restoration of edentulous areas. Adequate and healthy bone supports the degree of osseointegration which in turn affects the long-term success of oral implants. The primary aim of the study was to histologically evaluate autogenous block grafts versus synthetic block grafts for the treatment of atrophic vertical and horizontal bony defects (Siebert Class III) in the anterior esthetic zone of the mouth. The secondary aim was to clinically and radiographically evaluate the outcomes of the procedure. Methods: This was a randomized controlled clinical study with a statistically determined sample size of 10 patients per group and a total of 20 patients in both groups. Patients with vertical and horizontal bone loss were enrolled from the Department of Oral Medicine, Periodontology, and Oral Diagnosis of Ain Shams University and Misr International University. Bone augmentation procedures were performed using two techniques: autogenous bone block graft and xenograft bone block graft both with leukocyte-platelet rich fibrin (L-PRF). Results: Both autogenous and xenograft blocks in conjunction with L-PRF had a significant effect on vertical bone augmentation in cases of atrophic ridges in the esthetic region. Conclusion: Both autogenous and xenograft bone blocks in conjunction with L-PRF have a significant effect on vertical bone augmentation in cases of atrophic ridges in the esthetic region.

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Reimplantation of Accidentally Avulsed Permanent Maxillary Anterior Teeth in a 10-Year-Old Girl

Journal of Enam Medical College ◽

10.3329/jemc.v7i3.34078 ◽

2017 ◽

Vol 7 (3) ◽

pp. 165-169

Author(s):

Md Abdul Hannan Sheikh

Keyword(s):

Case Report ◽

Normal Saline ◽

Alveolar Bone ◽

Tooth Avulsion ◽

Anterior Teeth ◽

Long Term Prognosis

Accidental tooth avulsion is a grievous injury and common among the children. Management of avulsed tooth within alveolar socket by reimplantation becomes a challenge for the clinician due to extraoral time and media of transportation. Although the long-term prognosis of reimplantation is poor, the time during which the tooth remain within the arch will guide the development of alveolar bone completely. Moreover, reimplantation will maintain anatomical, functional and esthetic rehabilitation of the patient. In this case report, we present a case of accidental avulsion where teeth were gently rinsed of any debris and placed in normal saline during the examination and preparation of the reimplantation sockets. The teeth were then reimplanted, functionally splinted followed by endodontical treatment. After 12 months follow-up the periodontal space was healed perfectly without any resorption or ankylosis.J Enam Med Col 2017; 7(3): 165-169

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Morphological analysis of the alveolar bone of the anterior teeth in severe high-angle skeletal Class II and Class III malocclusions assessed with cone-beam computed tomography

PLoS ONE ◽

10.1371/journal.pone.0210461 ◽

2019 ◽

Vol 14 (3) ◽

pp. e0210461

Author(s):

Jing Ma ◽

Jing Huang ◽

Jiu-hui Jiang

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Morphological Analysis ◽

Alveolar Bone ◽

Cone Beam ◽

Class Iii ◽

High Angle ◽

Skeletal Class ◽

Anterior Teeth ◽

Skeletal Class Ii

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Using FEM to Assess the Effect of Orthodontic Forces on Affected Periodontium

Applied Sciences ◽

10.3390/app11167183 ◽

2021 ◽

Vol 11 (16) ◽

pp. 7183

Author(s):

Ionut Luchian ◽

Maria-Alexandra Martu ◽

Monica Tatarciuc ◽

Mihaela Monica Scutariu ◽

Nicoleta Ioanid ◽

...

Keyword(s):

Bone Loss ◽

Alveolar Bone ◽

Central Incisor ◽

The Finite Element Method ◽

Anterior Teeth ◽

Clinical Scenarios ◽

Orthodontic Forces ◽

Periodontal Risk ◽

Wedge Effect

Orthodontic treatment in patients with no periodontal tissue breakdown vs. horizontal bone loss should be approached with caution even though it can bring significant benefits in terms of periodontal recovery and long-term success. We used the finite element method (FEM) to simulate various clinical scenarios regarding the periodontal involvement: healthy with no horizontal bone loss, moderate periodontal damage (33%) and severe horizontal bone loss (66%). Afterwards, forces of different magnitudes (0.25 N, 1 N, 3 N, and 5 N) were applied in order to observe the behavioral patterns. Through mathematical modeling, we recorded the maximum equivalent stresses (σ ech), the stresses on the direction of force application (σ c) and the displacements produced (f) in the whole tooth–periodontal ligament–alveolar bone complex with various degrees of periodontal damage. The magnitude of lingualization forces in the lower anterior teeth influences primarily the values of equivalent tension, then those of the tensions in the direction in which the force is applied, and lastly those of the displacement of the lower central incisor. However, in the case of the lower lateral incisor, it influences primarily the values of the tensions in the direction in which the force is applied, then those of equivalent tensions, and lastly those of displacement. Anatomical particularities should also be considered since they may contribute to increased periodontal risk in case of lingualization of the LLI compared to that of the LCI, with a potential emergence of the “wedge effect”. To minimize periodontal hazards, the orthodontic force applied on anterior teeth with affected periodontium should not exceed 1 N.

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Comprehensive Treatment of a Skeletal Class III Growing Patient with Alveolar Bone Hypertrophy in the Anterior Mandible Associated with Becker’s Nevus Syndrome: A Case Report

Children ◽

10.3390/children8020072 ◽

2021 ◽

Vol 8 (2) ◽

pp. 72

Author(s):

Won-Kyeong Baik ◽

Sung-Hwan Choi

Keyword(s):

Case Report ◽

Alveolar Bone ◽

Treatment Result ◽

Comprehensive Treatment ◽

Class Iii ◽

Skeletal Class ◽

Anterior Teeth ◽

Becker’S Nevus ◽

Skeletal Defects ◽

Anterior Mandible

Becker’s nevus is a relatively common skin lesion with brown hyperpigmentation and hypertrichosis. It may be expressed simultaneously with other cutaneous, muscular, or skeletal defects, such as hypoplasia of the breast or scoliosis, for which the term “Becker’s nevus syndrome” has been proposed. An 8-year-old boy presented with a Becker’s nevus on the right cheek, chin, and upper neck with alveolar bone hypertrophy in the anterior mandible, which led to an anterior crossbite and severe canting of the mandibular anterior teeth. Through orthopedic treatment using a face mask, the anteroposterior jaw relationship was improved. In phase 2 treatment, we corrected the canting of the mandibular anterior teeth with a segmental intrusion of the mandibular anterior right teeth into the hypertrophic alveolar bone area. The facial profile was improved along with acceptable occlusion, and the treatment result was stable at 1 year after the end of the treatment, without any periodontal attachment loss, root resorption of mandibular anterior teeth, or increase in the size of the hypertrophic region. This case report describes the successful comprehensive treatment of a growing patient with skeletal Class III malocclusion and multiple characteristics of Becker’s nevus syndrome.

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IDENTIFIKASI PENYEBAB KEGAGALAN DAN APLIKASI FIBER REINFORCED COMPOSITE PADA SPLINTING

Andalas Dental Journal ◽

10.25077/adj.v6i2.124 ◽

2018 ◽

Vol 6 (2) ◽

pp. 106-115

Author(s):

Putri Ovieza Maizar ◽

Kosno Suprianto

Keyword(s):

Case Report ◽

Bone Loss ◽

Alveolar Bone ◽

Tooth Surface ◽

Fiber Reinforced ◽

Posterior Teeth ◽

Fiber Reinforced Composite ◽

Anterior Teeth ◽

Reinforced Composite ◽

Persistent Inflammation

Periodontal disease is a disease characterized by inflammation of the gingiva, loss of attachment, and damage to the alveolar bone. Bone loss caused by periodontitis may lead to tooth mobility which causes discomfort during mastication, difficulty in maintaining oral hygiene, and persistent inflammation which results in tooth loss. Splinting is a treatment to stabilize a tooth that is experiencing mobility due to periodontal problems. The most common alternative is the use of a fiber reinforced composite material that bonds to the tooth surface. Fiber works functionally, has good aesthetics, and can improve tooth stability due to mobility that occurs due to bone loss. However, in practice fiber splint also has the potential to fail due to several micro mechanisms. One of them was found in this case report. The following case report is regarding the use of a fiber reinforced composite splinting on lower anterior teeth involving two posterior teeth.

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Alveolar bone loss around mandibular anterior teeth in Class I, II, and III malocclusions: a CBCT evaluation study

10.21203/rs.3.rs-34913/v1 ◽

2020 ◽

Author(s):

Zixiao Wang ◽

Zhigui Ma ◽

Chi Yang

Keyword(s):

Bone Loss ◽

Alveolar Bone ◽

Class Ii ◽

Alveolar Bone Loss ◽

Class I ◽

Class Ii Malocclusion ◽

Class Iii ◽

Bone Thickness ◽

Anterior Teeth ◽

Significant Difference

Abstract Background: To quantitatively and qualitatively evaluate alveolar defects of mandibular anterior alveolar bone in three different types of malocclusion with cone-beam computed tomography (CBCT).Methods: A total of 542 teeth from 30 skeletal class I malocclusion (mean age: 19.26±5.63), 33 class II malocclusion (mean age: 19.36±4.17), and 28 class III malocclusion (mean age: 21.47±4.53) patients were evaluated with CBCT. Sagittal sectional views were evaluated with regard to labial and lingual alveolar bone thickness and vertical alveolar bone level. Analysis of variance and Tukey’s test were used for statistical comparisons at P<.05 Results: Qualitative analysis: Class II (64.47%) and Class III malocclusions (58.43%) had higher prevalence of dehiscence than Class I malocclusions (32.96%),P<0.05. No significant difference was found in the prevalence of fenestration among the three groups. Quantitative analysis: In general, Class II and III groups had lesser alveolar bone volume than the Class I group. Furthermore, the vertical alveolar height and coronal alveolar bone thickness in Class II malocclusion was significantly lesser than that in the Class III group. Conclusions: The Class II group, followed by the class III group, showed the most severe alveolar bone deficiency For these patients undergoing orthodontic treatment, special care should be taken to avoid aggravated preexisting alveolar bone loss in the mandibular anterior teeth.

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Bone-anchored maxillary protraction long-term outcomes in UCLP:

The Angle Orthodontist ◽

10.2319/121219-795.1 ◽

2020 ◽

Vol 90 (5) ◽

pp. 734-741

Author(s):

Daniela Garib ◽

Fernando Pugliese ◽

Renata Mayumi Kato ◽

Renato Faco ◽

Marilia Yatabe ◽

...

Keyword(s):

Orthodontic Treatment ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Alveolar Bone ◽

Full Time ◽

Class Iii ◽

Maxillary Protraction ◽

Maxillary Advancement ◽

Facial Esthetics

ABSTRACT This case report presents a 12-year-old boy with unilateral complete cleft lip and palate and severe maxillary retrusion treated with bone-anchored maxillary protraction (BAMP) therapy followed by fixed appliances. The follow-up period extended until the end of growth. Initially, the patient demonstrated a Goslon 4 interarch relationship with an overjet of −3.5 mm and a Wits appraisal of −7.9 mm. Six months after the secondary alveolar bone graft, Bollard miniplates were fixed bilaterally at the infrazygomatic region in the maxilla and between the canines and lateral incisors in the mandible. Class III elastics were used bilaterally full time for 12 months. After treatment, the overjet increased 5.9 mm. Significant maxillary advancement (SNA +3.2°) and skeletal convexity improvement (NA-APo +12.4°) were observed. Retrusion of the anteroposterior position of the mandible was observed (SNB –2.1°). Comprehensive orthodontic treatment was performed after BAMP therapy with nighttime bone-anchored Class III elastics as active retention until the end of growth. Occlusion and facial esthetics were satisfactory at the end of orthodontic treatment and growth. Le Fort I surgery for maxillary advancement was not required. BAMP therapy demonstrated an adequate orthopedic outcome, preventing the need for orthognathic surgery in unilateral complete cleft lip and palate.

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