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Aspects in post‐orthodontic removal of Orthosystem® implants

Identifieur interne : 000B49 ( Istex/Corpus ); précédent : 000B48; suivant : 000B50

Aspects in post‐orthodontic removal of Orthosystem® implants

Auteurs : Grognard Nicolas ; Vande Vannet Bart

Source :

RBID : ISTEX:171FBDE0B26C89EE35191F88FA10CFA8B3942680

English descriptors

Abstract

Objectives: Problems encountered in the removal of a temporary anchorage device, such as the Orthosystems implant, specially designed for orthodontic anchorage purposes after insertion at the palatal side of the maxilla, are presented and discussed.

Url:
DOI: 10.1111/j.1600-0501.2007.01300.x

Links to Exploration step

ISTEX:171FBDE0B26C89EE35191F88FA10CFA8B3942680

Le document en format XML

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<hi rend="bold">Objectives: </hi>
Problems encountered in the removal of a temporary anchorage device, such as the Orthosystems implant, specially designed for orthodontic anchorage purposes after insertion at the palatal side of the maxilla, are presented and discussed.</p>
<p>
<hi rend="bold">Material and methods: </hi>
The removal of these osseo‐integrated implants was originally described to be executed by means of bone cutting around the implant with a trephine explanation burr. However, situations can be encountered in which the orthodontic tooth movement resulted in close contact between the implant and neighbouring teeth or the nasal cavity.</p>
<p>
<hi rend="bold">Results: </hi>
Trephine burr bone cutting around the implant can thereby lead to damage of the adjacent tooth with subsequent endodontic problems or perforation of the nasal cavity. In these cases, simple untightening by counterclockwise torque or if unsuccessful, removal of the transmucosal part of the fixture allowing creeping mucosal covering of the implant, should be considered. Furthermore, generation of CT‐scan images performed after completion of active orthodontic therapy, with retraction of the upper anterior teeth, seems to be justified and indicated for planning the appropriate removal procedure.</p>
<p>
<hi rend="bold">Conclusion: </hi>
Retrospectively, the use of the longer version of the Orthosystems implant (6 mm in length) seems to be obsolete when para‐median locations are chosen. Three cases are presented to illustrate these problems.</p>
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<b>Correspondence to:</b>
<i>Grognard Nicolas, DDS, M. Sc. Period</i>

Koningstraat 41
8400 Oostende
Belgium
Tel.: +32 59 516021
Fax: +32 59 519278
e‐mail:
<email normalForm="nicolas.grognard.kabinet@skynet.be">nicolas.grognard.kabinet@skynet.be</email>
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Accepted 28 February 2006</unparsedEditorialHistory>
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<title type="main">Aspects in post‐orthodontic removal of Orthosystem
<sup>®</sup>
implants</title>
<title type="shortAuthors">Nicolas & Bart.</title>
<title type="short">Explantation of Orthosystem
<sup>®</sup>
implants</title>
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<unparsedAffiliation>Private practice for orthodontics, oostende, Belgium</unparsedAffiliation>
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<unparsedAffiliation>Vrije Universiteit Brussel, Brussels, Belgium</unparsedAffiliation>
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<keyword xml:id="k1">explantation</keyword>
<keyword xml:id="k2">implant</keyword>
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<p>
<b>Objectives: </b>
Problems encountered in the removal of a temporary anchorage device, such as the Orthosystems implant, specially designed for orthodontic anchorage purposes after insertion at the palatal side of the maxilla, are presented and discussed.</p>
<p>
<b>Material and methods: </b>
The removal of these osseo‐integrated implants was originally described to be executed by means of bone cutting around the implant with a trephine explanation burr. However, situations can be encountered in which the orthodontic tooth movement resulted in close contact between the implant and neighbouring teeth or the nasal cavity.</p>
<p>
<b>Results: </b>
Trephine burr bone cutting around the implant can thereby lead to damage of the adjacent tooth with subsequent endodontic problems or perforation of the nasal cavity. In these cases, simple untightening by counterclockwise torque or if unsuccessful, removal of the transmucosal part of the fixture allowing creeping mucosal covering of the implant, should be considered. Furthermore, generation of CT‐scan images performed after completion of active orthodontic therapy, with retraction of the upper anterior teeth, seems to be justified and indicated for planning the appropriate removal procedure.</p>
<p>
<b>Conclusion: </b>
Retrospectively, the use of the longer version of the Orthosystems implant (6 mm in length) seems to be obsolete when para‐median locations are chosen. Three cases are presented to illustrate these problems.</p>
<!--

To cite this article:

Grognard N, Vande Vannet B. Aspects in post-orthodontic removal of Orthosystem® implants. Clin. Oral Impl. Res. 19, 2008; 1290–1294

doi: 10.1111/j.1600-0501.2008.01300.x

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<abstract>Objectives: Problems encountered in the removal of a temporary anchorage device, such as the Orthosystems implant, specially designed for orthodontic anchorage purposes after insertion at the palatal side of the maxilla, are presented and discussed.</abstract>
<abstract>Material and methods: The removal of these osseo‐integrated implants was originally described to be executed by means of bone cutting around the implant with a trephine explanation burr. However, situations can be encountered in which the orthodontic tooth movement resulted in close contact between the implant and neighbouring teeth or the nasal cavity.</abstract>
<abstract>Results: Trephine burr bone cutting around the implant can thereby lead to damage of the adjacent tooth with subsequent endodontic problems or perforation of the nasal cavity. In these cases, simple untightening by counterclockwise torque or if unsuccessful, removal of the transmucosal part of the fixture allowing creeping mucosal covering of the implant, should be considered. Furthermore, generation of CT‐scan images performed after completion of active orthodontic therapy, with retraction of the upper anterior teeth, seems to be justified and indicated for planning the appropriate removal procedure.</abstract>
<abstract>Conclusion: Retrospectively, the use of the longer version of the Orthosystems implant (6 mm in length) seems to be obsolete when para‐median locations are chosen. Three cases are presented to illustrate these problems.</abstract>
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