Alveolar Bone Preservation Using an Orthodontic Mini-implant in an Adolescent Patient with Multiple Missing Teeth

Fractured and missing teeth within the aesthetic zone have always posed a clinical challenge for the dental team. Management and treatment requires the input from a number of dental specialists to guarantee a high quality result. A case report is presented to demonstrate an effective combined orthodontic/restorative approach that fully restored aesthetics and function. The report is of a 14-year-old girl who traumatized her maxillary central incisors, in a dentition that was already compromised as she had congenital absence of her maxillary left lateral incisor. Using fixed orthodontic appliances, the fractured teeth were extruded to bring the fracture line above the level of the alveolar bone. This movement allowed an immediate aesthetic improvement, using stainless steel prefabricated posts and composite resin buildups, which also facilitated further orthodontic tooth movement. Teeth, that would otherwise have been extracted, were salvaged and, utilizing a multidisciplinary team approach, a reasonable long-term prognosis has resulted. CPD/Clinical Relevance: This case report aims to demonstrate how a multidisciplinary team approach in Orthodontics can be utilized for management of severely handicapped dentitions that have sustained dental injury. It is not the aim of this case report to discuss the treatment of dental injuries but to demonstrate and provide an overview of the possible treatment modalities that can be effective in restoring function and aesthetics, with special consideration given to missing teeth and subgingival crown fractures within the aesthetic zone.

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Preservation or reconstruction of the Peri-implant bone- A Review

The Journal of Medical Research ◽

10.31254/dentistry.2020.5308 ◽

2021 ◽

Vol 5 (3) ◽

pp. 144-146

Author(s):

Shamila Shetty K ◽

◽

R.K Nishith ◽

Misha Rose Mathew ◽

...

Keyword(s):

Bone Regeneration ◽

Dental Implant ◽

Alveolar Bone ◽

Alveolar Ridge ◽

Missing Teeth ◽

Implant Placement ◽

Biophysical Process ◽

Implant Therapy ◽

Teeth Extraction

The main biological and biophysical process that has made dental implant therapy predictably successful for replacing missing teeth is Osseointegration. Teeth extraction is done for several purposes, often without any consideration for the preservation of the alveolar ridge. Alveolar bone post-extraction changes have been estimated to cause a 50% decrease in alveolar bone buccolingual width, and a further loss in height. This review will go through various techniques of ARP and bone regeneration techniques and explore the best way to obtain the best outcomes after implant placement.

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Bisphosphonates in Dentistry – State of the Art

Serbian Journal of Experimental and Clinical Research ◽

10.2478/sjecr-2020-0061 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Tamara Vučićević ◽

Suzana Živanović ◽

Miloš Papić ◽

Aleksandra Lukić

Keyword(s):

Side Effects ◽

Bone Resorption ◽

Alveolar Bone ◽

State Of The Art ◽

Bone Diseases ◽

Oral Diseases ◽

Periapical Lesions ◽

Bone Preservation ◽

Effective Drugs

Abstract Bisphosphonates remain the most used and most effective drugs for the treatment of systemic bone diseases followed by bone resorption. Although their side effects in a form of alveolar bone osteonecrosis have been reported, bisphosphonates have a potential of being used in the treatment of the most common oral diseases followed by alveolar bone resorption such as peri-implantitis, periapical lesions, and periodontitis. The aim of this article was to review the most recent research regarding the use of bisphosphonates in the field of dentistry. The results of studies indicate that bisphosphonate use in the treatment of peri-implantitis, periapical lesions, and periodontitis can reduce alveolar bone resorption and contribute to bone preservation. However, the most beneficial way of their application in the treatment of these oral diseases remain to be determined.

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Rehabilitating a maxillectomy patient by interdisciplinary alveolar bone preservation technique using submergence of teeth roots

Journal of Interdisciplinary Dentistry ◽

10.4103/jid.jid_17_19 ◽

2020 ◽

Vol 10 (3) ◽

pp. 126

Author(s):

CFemil Jilta ◽

RS Sreeraj ◽

R Ravichandran ◽

KHarsha Kumar

Keyword(s):

Alveolar Bone ◽

Bone Preservation ◽

Preservation Technique

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The socket-shield technique and early implant placement for tooth rehabilitation: A case report

Journal of Clinical Images and Medical Case Reports ◽

10.52768/2766-7820/1118 ◽

2021 ◽

Vol 1 (3) ◽

Author(s):

Getúlio Batista de Oliveira ◽

◽

Mariana de Almeida Basilio ◽

Nara Santos Araujo ◽

Patricia Ramos Cury ◽

...

Keyword(s):

Case Report ◽

Bone Loss ◽

Tooth Extraction ◽

Alveolar Bone ◽

Non Invasive ◽

Implant Placement ◽

Long Time ◽

Bone Preservation ◽

The Aesthetic

For a long time, different approaches to minimize the dimensional ridge alteration following tooth extraction have been described even though none of them was capable to avoid alveolar bone loss. The Socket-Shield Technique (SST) seems to be an alternative for alveolar bone preservation in dental extraction planning. This technique conventionally uses a flapless approach and the buccal root portion retention to prevent bone loss. This case report describes the SST with an early implant placement in a patient who presented the nonrestorable tooth # 15 due to the extensive cavity. After six months of the implant placement a porcelain-fused-to-metal crown was fabricated and screwed into the implant with a satisfactory esthetic and functional result. The SST is a non-invasive and effective approach to tooth extraction and rehabilitation, especially in the aesthetic zone. Approximately two-year follow-up shows a satisfactory aesthetic maintenance.

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Rare and Multiple Hypodontia in Van der Woude Syndrome: Case Report

The Cleft Palate-Craniofacial Journal ◽

10.1177/10556656211058265 ◽

2021 ◽

pp. 105566562110582

Author(s):

Aline Cristina da Silva Trevizan ◽

Andréa Guedes Barreto Gonçales ◽

Bruna Stuchi Centurion Pagin ◽

Otávio Pagin ◽

Lucimara Teixeira das Neves

Keyword(s):

Case Report ◽

Cleft Lip ◽

Alveolar Bone ◽

Detailed Examination ◽

Permanent Teeth ◽

Missing Teeth ◽

Van Der Woude Syndrome ◽

Lower Lip ◽

The Family

Van der Woude syndrome (VWS) is a rare syndrome of genetic etiology, commonly occasioned by mutations in the IRF6 gene and that causes disorders in craniofacial development. VWS is characterized by the presence of paramedian fistulas in the lower lip and cleft lip and / or cleft palate. Although some dental phenotypes have been reported in this syndrome, multiple and rare hypodontias were not described. Through this case report, we present a case of Van der Woude Syndrome (VWS) with rare and multiple hypodontia in which clinical data and radiographic exams were evaluated. The patient presented hypodontia of eight permanent teeth (lateral incisors, second premolars and second molars). So, when the dentist recognizes multiple and/or rare hypodontias, for an accurate diagnosis, detailed examination of the lower lip is indicated, as well as a survey of the family history and referral for genetic counseling, since the syndrome presents high penetrance. The patient is expected to be rehabilitated to have a good quality of life. Rehabilitation in these cases requires alveolar bone graft, orthodontics and prosthesis to replace missing teeth.

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Rigid External Distraction Using Skeletal Anchorage to Cleft Maxilla United with Alveolar Bone Grafting

The Cleft Palate-Craniofacial Journal ◽

10.1597/03-152.1 ◽

2005 ◽

Vol 42 (3) ◽

pp. 318-326 ◽

Cited By ~ 6

Author(s):

Hiroki Kita ◽

Shoko Kochi ◽

Yoshimichi Imai ◽

Atsushi Yamada ◽

Tai Yamaguchi

Keyword(s):

Bone Grafting ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Alveolar Bone ◽

Skeletal Anchorage ◽

Missing Teeth ◽

Alveolar Bone Grafting ◽

Bilateral Cleft Lip ◽

Maxillary Deficiency ◽

Maxillary Distraction

Objective Documentation of the application of maxillary distraction osteogenesis using rigid external distraction (RED) with skeletal anchorage combined with predistraction alveolar bone grafting (ABG) in cleft maxilla. Design Case report. Patient A patient with numerous congenital missing teeth and severe maxillary deficiency related to complete bilateral cleft lip and palate with large alveolar bone defect. Intervention The patient received preoperative orthodontic treatment, predistraction ABG, and maxillary distraction osteogenesis using RED with skeletal anchorage. Results Predistraction ABG completely united the cleft maxilla. The united maxilla was successfully advanced by the RED system with skeletal anchorage, despite unsound dentition with numerous congenital missing teeth. Conclusion The present study demonstrates that the combination of predistraction ABG and RED system with skeletal anchorage is effective for the treatment of severe maxillary deficiency related to complete bilateral cleft lip and palate with large bone defect and numerous congenital missing teeth.

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