Managing the severely proclined maxillary anteriors by extracting traumatized right maxillary central incisor
Identifieur interne : 005628 ( Ncbi/Merge ); précédent : 005627; suivant : 005629Managing the severely proclined maxillary anteriors by extracting traumatized right maxillary central incisor
Auteurs : Mahesh Jain ; Subraya Mogra ; Srikrishna Chalasani ; Kuldeep D Ello ; Nidhi DhakarSource :
- Contemporary Clinical Dentistry [ 0976-237X ] ; 2014.
Abstract
A 14-year-old girl reported with severely proclined maxillary anterior teeth with fractured and discolored right maxillary central incisor with questionable prognosis. Autotransplantation of premolar to replace central incisor was considered a risky option as patient was 14-year-old with presence of advanced root development of premolar. The immediate placement of the prosthetic implant was also not possible because of patient's age. Therefore, it was decided to use the space obtained by extracting questionable maxillary right central incisor for orthodontic purpose and also sacrificing the healthy premolar is invariably an excessive biological cost for a modest functional and aesthetic gain. Hence, the treatment plan for this case includes extraction of right maxillary central incisor and left maxillary first premolar, movement of right maxillary lateral incisor mesially, achieving normal axial inclination of maxillary anteriors with normal overjet and overbite. Mandibular arch was treated nonextraction due to congenitally missing central incisors with presence of normally inclined lower anteriors thereby maintaining Angles class I occlusion. Tipping, usually, seen in Begg mechanotherapy was used for our advantage to correct severely proclined maxillary anteriors with simultaneous bite opening mechanics. Case was completed in 19 months and posttreatment records including photographs, radiographs and study models were made. Begg wrap around the retainer was placed in the maxillary arch allowing natural settling of occlusion.
Url:
DOI: 10.4103/0976-237X.142829
PubMed: 25395777
PubMed Central: 4229770
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<front><div type="abstract" xml:lang="en"><p>A 14-year-old girl reported with severely proclined maxillary anterior teeth with fractured and discolored right maxillary central incisor with questionable prognosis. Autotransplantation of premolar to replace central incisor was considered a risky option as patient was 14-year-old with presence of advanced root development of premolar. The immediate placement of the prosthetic implant was also not possible because of patient's age. Therefore, it was decided to use the space obtained by extracting questionable maxillary right central incisor for orthodontic purpose and also sacrificing the healthy premolar is invariably an excessive biological cost for a modest functional and aesthetic gain. Hence, the treatment plan for this case includes extraction of right maxillary central incisor and left maxillary first premolar, movement of right maxillary lateral incisor mesially, achieving normal axial inclination of maxillary anteriors with normal overjet and overbite. Mandibular arch was treated nonextraction due to congenitally missing central incisors with presence of normally inclined lower anteriors thereby maintaining Angles class I occlusion. Tipping, usually, seen in Begg mechanotherapy was used for our advantage to correct severely proclined maxillary anteriors with simultaneous bite opening mechanics. Case was completed in 19 months and posttreatment records including photographs, radiographs and study models were made. Begg wrap around the retainer was placed in the maxillary arch allowing natural settling of occlusion.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Contemp Clin Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Contemp Clin Dent</journal-id>
<journal-id journal-id-type="publisher-id">CCD</journal-id>
<journal-title-group><journal-title>Contemporary Clinical Dentistry</journal-title>
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<issn pub-type="ppub">0976-237X</issn>
<issn pub-type="epub">0976-2361</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
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<article-id pub-id-type="pmc">4229770</article-id>
<article-id pub-id-type="publisher-id">CCD-5-545</article-id>
<article-id pub-id-type="doi">10.4103/0976-237X.142829</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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</article-categories>
<title-group><article-title>Managing the severely proclined maxillary anteriors by extracting traumatized right maxillary central incisor</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Jain</surname>
<given-names>Mahesh</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
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<contrib contrib-type="author"><name><surname>Mogra</surname>
<given-names>Subraya</given-names>
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<xref ref-type="aff" rid="aff1"></xref>
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<contrib contrib-type="author"><name><surname>Chalasani</surname>
<given-names>Srikrishna</given-names>
</name>
<xref ref-type="aff" rid="aff2">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>D’mello</surname>
<given-names>Kuldeep</given-names>
</name>
<xref ref-type="aff" rid="aff3">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dhakar</surname>
<given-names>Nidhi</given-names>
</name>
<xref ref-type="aff" rid="aff4">3</xref>
</contrib>
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<aff id="aff1"><italic>Department of Orthodontics and Dentofacial Orthopaedics, Manipal College of Dental Sciences, Mangalore, India</italic>
</aff>
<aff id="aff2"><label>1</label>
<italic>Hi-tech Dental College, Bhubaneshwar, India</italic>
</aff>
<aff id="aff3"><label>2</label>
<italic>Vyas Dental College and Hospital, Jodhpur, India</italic>
</aff>
<aff id="aff4"><label>3</label>
<italic>Department of Oral Pathology and Microbiology, Pacific Dental College and Hospital, Udaipur, India</italic>
</aff>
<author-notes><corresp id="cor1"><bold>Correspondence:</bold>
Dr. Mahesh Jain, Department of Orthodontics, Manipal College of Dental Sciences, Manipal University, Mangalore, Karnataka, India. E-mail: <email xlink:href="doctormaheshjain@gmail.com">doctormaheshjain@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Oct-Dec</season>
<year>2014</year>
</pub-date>
<volume>5</volume>
<issue>4</issue>
<fpage>545</fpage>
<lpage>549</lpage>
<permissions><copyright-statement>Copyright: © Contemporary Clinical Dentistry</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>A 14-year-old girl reported with severely proclined maxillary anterior teeth with fractured and discolored right maxillary central incisor with questionable prognosis. Autotransplantation of premolar to replace central incisor was considered a risky option as patient was 14-year-old with presence of advanced root development of premolar. The immediate placement of the prosthetic implant was also not possible because of patient's age. Therefore, it was decided to use the space obtained by extracting questionable maxillary right central incisor for orthodontic purpose and also sacrificing the healthy premolar is invariably an excessive biological cost for a modest functional and aesthetic gain. Hence, the treatment plan for this case includes extraction of right maxillary central incisor and left maxillary first premolar, movement of right maxillary lateral incisor mesially, achieving normal axial inclination of maxillary anteriors with normal overjet and overbite. Mandibular arch was treated nonextraction due to congenitally missing central incisors with presence of normally inclined lower anteriors thereby maintaining Angles class I occlusion. Tipping, usually, seen in Begg mechanotherapy was used for our advantage to correct severely proclined maxillary anteriors with simultaneous bite opening mechanics. Case was completed in 19 months and posttreatment records including photographs, radiographs and study models were made. Begg wrap around the retainer was placed in the maxillary arch allowing natural settling of occlusion.</p>
</abstract>
<kwd-group><kwd>Congenitally missing mandibular central incisors</kwd>
<kwd>orthodontic space closure</kwd>
<kwd>traumatized maxillary Incisors</kwd>
</kwd-group>
</article-meta>
</front>
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<name sortKey="D Ello, Kuldeep" sort="D Ello, Kuldeep" uniqKey="D Ello K" first="Kuldeep" last="D Ello">Kuldeep D Ello</name>
<name sortKey="Dhakar, Nidhi" sort="Dhakar, Nidhi" uniqKey="Dhakar N" first="Nidhi" last="Dhakar">Nidhi Dhakar</name>
<name sortKey="Jain, Mahesh" sort="Jain, Mahesh" uniqKey="Jain M" first="Mahesh" last="Jain">Mahesh Jain</name>
<name sortKey="Mogra, Subraya" sort="Mogra, Subraya" uniqKey="Mogra S" first="Subraya" last="Mogra">Subraya Mogra</name>
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