Fırat Öztürk, Ufuk Taşdemir, Berrin İyilikci, Alper Kızıldağ, İbrahim Kuzucu

TREATMENT OF AN ANKYLOSED MAXILLARY CENTRAL INCISOR BY SINGLE-TOOTH OSSEOUS OSTEOTOMY

Ankiloz, mineralize kök yüzeyi ile alveolar kemik arasında füzyon sonucu infraoklüzyona neden olan durumdur. Osteokortikomi, ankiloz diş ve bu dişin etrafındaki kemiğin birlikte ortodontik olarak pozisyonunun değiştirildiği tek basamaklı cerrahi prosedürdür. Bu vaka raporu, travma sebebiyle sağ maksiller santral insizorü infraoklüzyonda olan 14.9 yaşındaki erkek hastanın tedavisini tanımlamaktadır. İnferior pozisyondaki diş ve kemiğin segmental osteotomisi tek basamaklı olarak uygulanmıştır. Bu teknik dişin optimal repozisyonuna ve dişle birlikte kemik segmentin hızlı hareketine izin verir. Tek diş osteotomi bloğunun istenilen pozisyona hareketi vertikal ekstrüzyon bantları, vertikal lastik, yay, nikel titanyum tel veya basit distraksiyon apareyi ile yapılabilir. Anahtar kelimeler: Santral insizor; ortodontik tedavi; osteotomi; diş hareketi

Anahtar Kelimeler:

ostoeotomy, tooth movement, Central incisor, Central incisor, Central incisor, Central incisor, Central incisor, Central incisor

TREATMENT OF AN ANKYLOSED MAXILLARY CENTRAL INCISOR BY SINGLE-TOOTH OSSEOUS OSTEOTOMY

Ankylosis is the fusion between the mineralized root surface and the alveolar bone and led to development of infraocclusion. Osteocorticotomy is a surgical procedure in which the intact ankylosed tooth and adjacent bone are either repositioned in 1 step or moved orthodontically. This case report describes the treatment of a boy, aged 14.9 years, whose ankylosed maxillary right central incisor had been infraocclused due to the trauma. We performed a segmental osteotomy with in a single-stage surgery to allow for inferior repositioning of the tooth and bone. This technique permits optimal repositioning of the tooth and allow rapid movement of teeth with the block of bone. The traction of the single-tooth osteotomy block can be repositioned to the desired position immediately by vertical extrusion bends, vertical elastics, a coil spring, a nickel-titanium wire, or a simple distraction device.

Keywords:

Central incisor, Central incisor, Central incisor, Orthodontic treatment, Osteotomy, Tooth movement,

PDF

___

Referans1. Chae, J. M. & Paeng, J. Y. Orthodontic treatment of an ankylosed maxillary central incisor through single-tooth osteotomy by using interdental space regained from microimplant anchorage. Am. J. Orthod. Dentofac. Orthop. 141, e39–e51 (2012).
Referans2. You, K. H., Min, Y. S. & Baik, H. S. Treatment of ankylosed maxillary central incisors by segmental osteotomy with autogenous bone graft. Am. J. Orthod. Dentofac. Orthop. 141, 495–503 (2012).
Referans3. Andreasen JO, A. F. Textbook and color atlas of traumatic injuries to the tooth. (Copenhagen, Denmark: Munksgaard, 1994).
Referans4. Kim, Y. et al. Treatment of an ankylosed maxillary incisor by intraoral alveolar bone distraction osteogenesis. Am. J. Orthod. Dentofac. Orthop. 138, 215–220 (2010).
Referans5. Ducommun, F., Bornstein, M. M., Bosshardt, D., Katsaros, C. & Dula, K. Diagnosis of tooth ankylosis using panoramic views, cone beam computed tomography, and histological data: A retrospective observational case series study. Eur. J. Orthod. 40, 231–238 (2018).
Referans6. Isaacson, R. J., Strauss, R. A., Bridges-Poquis, A., Peluso, A. R. & Lindauer, S. J. Moving an Ankylosed Central Incisor Using Orthodontics, Surgery and Distraction Osteogenesis. Angle Orthod. 71, 411–418 (2001).
Referans7. Ohkubo, K. et al. Treatment of ankylosed maxillary central incisors by single-tooth dento-osseous osteotomy and alveolar bone distraction. Oral Surgery, Oral Med. Oral Pathol. Oral Radiol. Endodontology 111, 561–567 (2011).
Referans8. Steiner DR. Timing of extraction of ankylosed teeth to maximize ridge development. ;23:242-5. J Endod 4, 242–5 (1977).
Referans9. Simion M. Horizontal and vertical bone volume augmentation of implant sites using guided bone regeneration (GBR). In: Lang NP, Karring T, Lindhe J, editors. Proceedings of the third Euro- pean Workshop on Periodontology;Thur- gau, Switzerland. Berlin: Quintessence (1999).
Referans10. Kofod, T., Würtz, V. & Melsen, B. Treatment of an ankylosed central incisor by single tooth dento-osseous osteotomy and a simple distraction device. Am. J. Orthod. Dentofac. Orthop. 127, 72–80 (2005).
Referans11. Hadi, A., Marius, C., Avi, S., Mariel, W. & Galit, B.-B. Ankylosed permanent teeth: incidence, etiology and guidelines for clinical management. Med. Dent. Res. 1, 1–11 (2018).
Referans12. Malmgren B, Cvek M, Lundberg M, F. A. Surgical treatment of ankylosed and infrapositioned reimplanted incisors in adolescents. Scand J Dent Res 5, 391–9 (1984).
Referans13. GA., I. Basic principles of transosseous compression and distraction osteosynthesis. Ortop Travmatol Protez 32, 7–15 (1971).
Referans14. MacCarthy JG, Schreiber J, Karp N, Thorne CH, G. B. Lengthening the human mandible by gradual distraction. Plast Reconstr Surg 89, 1–8 (1992).
Referans15. MedeirosPJ, B. Treatment of anankylosed central incisor by single tooth dento-osseous osteotomy. J Dentofac. Orthop Am 112, 496–501 (1997).