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 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 Multidisciplinary Treatment Approach for Perforated Internal Root Resorption: Three-Year Follow-Up

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Sinem Yıldırım ◽  
Mesut Elbay
Keyword(s):  
Root Resorption ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Multidisciplinary Management ◽  
Central Incisor ◽  
Radiographic Findings ◽  
Maxillary Central Incisor ◽  
Important Variation ◽  
Pulp Inflammation

Internal root resorption (IRR) is described as a resorptive defect of the internal aspect of the root caused by odontoclastic activity associated chiefly with chronic pulp inflammation and trauma. An important variation to consider is the presence of a root perforation, although it is rare. This paper defines the use of CBCT in the diagnosis and combined nonsurgical and surgical multidisciplinary management and follow-up of a maxillary central incisor with perforating IRR in a 9-year-old female patient. At 3-year follow-up, clinical and radiographic findings of the case were satisfactory.

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.

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.

Endodontic Management of Canal Calcification in Maxillary Central Incisor Using 3D Prototyping Technique: A Case Report

2020 ◽  
Vol 11 (1) ◽  
pp. 93-96
Author(s):  
Suryasowjanya Doranala ◽  
Harikumar Vemisetty ◽  
Rajani Punna ◽  
Aditya Mohan Alwala
Keyword(s):  
Case Report ◽  
Imaging Techniques ◽  
Three Dimensional ◽  
Conventional Technique ◽  
Cone Beam ◽  
Central Incisor ◽  
Cavity Preparation ◽  
Present Case Report ◽  
Maxillary Central Incisor ◽  
Tooth Structure

Teeth with calcific metamorphosis pose a challenge to the endodontist in achieving proper access, identification, and debridement of the root canal. With the conventional technique, radiographs and bur orientation have dictated the access cavity preparation, which leads to the removal of more sound tooth structure and iatrogenic errors. To overcome these issues, the recent diagnostic imaging techniques such as cone beam computed tomography followed by three-dimensional fabrication of template have been proposed, which aid the clinician to accurately locate and negotiate the obliterated canal. The present case report describes the importance of conservative access cavity preparation with the use of the guided endodontic technique for the treatment of calcified canals in the maxillary central incisor.

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.

scholarly journals A Fused Maxillary Central Incisor and Its Multidisciplinary Treatment: An 18-Year Follow-Up

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Lluís Brunet-Llobet ◽  
Jaume Miranda-Rius ◽  
Eduard Lahor-Soler ◽  
Abel Cahuana
Keyword(s):  
Alveolar Bone ◽  
Multidisciplinary Treatment ◽  
Skeletal Maturation ◽  
Radiographic Examination ◽  
Maxillary Incisor ◽  
Maxillary Central Incisor ◽  
Root Canals ◽  
Fused Teeth ◽  
Treatment Objective ◽  
Fused Tooth

Fused teeth may cause aesthetic, spacing, periodontal, eruption, and caries problems. The present case report describes a 7-year-old boy patient with a chief complaint of unerupted maxillary incisor. Radiographic examination indicated a fused tooth which had two fused roots but two independent root canals. A complex management of a fused tooth is really difficult to standardize. In this case an orthodontic, endodontic, and surgical treatment (intentional replantation) allowed the tooth to be retained until 18 years following intervention. Maintenance of the root and alveolar bone in young adults at least until full skeletal maturation should be the main treatment objective.

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

scholarly journals Assessment of Labial Alveolar Bone Thickness in Maxillary Central Incisor using Cone Beam Computed Tomography

2021 ◽  
Vol 5 (1) ◽  
pp. 2-6
Author(s):  
Shaili Pradhan ◽  
Rejina Shrestha ◽  
Ranjita Shrestha Gorkhali ◽  
Pramod Kumar Koirala
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Alveolar Bone ◽  
Cone Beam ◽  
Central Incisor ◽  
Bone Thickness ◽  
Cross Sectional ◽  
Dental Surgery ◽  
Maxillary Central Incisor ◽  
Significant Difference

Introduction: The maxillary anterior region is becoming a major concern due to its aesthetic relevance. The buccal bone thickness is important for implant placement, orthodontic treatment and restorative treatment. Objective: To assess the thickness of alveolar bone in the maxillary central incisor using cone beam computed tomography (CBCT). Methods: A cross-sectional observational study was conducted at Department of Dental Surgery, Bir Hospital where CBCT of 53 samples from July 2019 till December 2019, the archived CBCT images was assessed retrospectively. The thickness of the labial bone in a direction perpendicular to the outer surface of the tooth root was measured at a distance of 2 mm from the cementoenamel junction (CEJ). The measurement was taken thrice and the mean measurement was considered. Results: The labial alveolar bone thickness in maxillary central incisor was found to be 0.55±0.27 mm at a distance of 2 mm from the CEJ. Only 2 (3.8%) of the samples had an alveolar thickness of >1 mm. No statistically significant difference was found with respect to gender and age. Conclusion: The average thickness of the labial alveolar bone in maxillary central incisor using cone beam computed tomography was found to be thin. 

Sign in / Sign up

Export Citation Format

Share Document