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Dental Extrusion with Orthodontic Miniscrew Anchorage: A Case Report Describing a Modified Method

Identifieur interne : 005882 ( Ncbi/Merge ); précédent : 005881; suivant : 005883

Dental Extrusion with Orthodontic Miniscrew Anchorage: A Case Report Describing a Modified Method

Auteurs : Ricardo Fidos Horliana [Brésil] ; Anna Carolina Ratto Tempestini Horliana [Brésil] ; Alexandre Do Vale Wuo [Brésil] ; Flávio Eduardo Guillin Perez [Brésil] ; Jorge Abrão [Brésil]

Source :

RBID : PMC:4332749

Abstract

In recent years, the skeletal anchorage through miniscrews has expanded the treatment options in orthodontics (Yamaguchi et al., 2012). We hereby present a modified method for tooth extrusion for cases where crown-lengthening surgery is contraindicated for aesthetic reasons. This modified method uses three orthodontic appliances: a mini-implant, an orthodontic wire, and a bracket. The aim of this case report was to increase the length of the clinical crown of a fractured tooth (tooth 23) by means of an orthodontic extrusion with the modified method of Roth and Diedrich.


Url:
DOI: 10.1155/2015/909314
PubMed: 25713739
PubMed Central: 4332749

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PMC:4332749

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<name>
<surname>Horliana</surname>
<given-names>Ricardo Fidos</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Horliana</surname>
<given-names>Anna Carolina Ratto Tempestini</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Wuo</surname>
<given-names>Alexandre do Vale</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Perez</surname>
<given-names>Flávio Eduardo Guillin</given-names>
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<xref ref-type="aff" rid="I3">
<sup>3</sup>
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<contrib contrib-type="author">
<name>
<surname>Abrão</surname>
<given-names>Jorge</given-names>
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<xref ref-type="aff" rid="I4">
<sup>4</sup>
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<aff id="I1">
<sup>1</sup>
School of Dentistry, Santa Cecilia University, Santos, Brazil</aff>
<aff id="I2">
<sup>2</sup>
Departamento da Saúde, Nove de Julho University (UNINOVE), R. Vergueiro 235/249, Liberdade 01504-001, São Paulo, SP, Brazil</aff>
<aff id="I3">
<sup>3</sup>
Department of Stomatology, College of Dentistry, University of São Paulo, Brazil</aff>
<aff id="I4">
<sup>4</sup>
Department of Orthodontics and Pediatric Dentistry, University of São Paulo, Brazil</aff>
<author-notes>
<corresp id="cor1">*Anna Carolina Ratto Tempestini Horliana:
<email>acrth@uninove.br</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Mehmet Bayram</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>2</day>
<month>2</month>
<year>2015</year>
</pub-date>
<volume>2015</volume>
<elocation-id>909314</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>11</month>
<year>2014</year>
</date>
<date date-type="rev-recd">
<day>6</day>
<month>1</month>
<year>2015</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>1</month>
<year>2015</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2015 Ricardo Fidos Horliana et al.</copyright-statement>
<copyright-year>2015</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>In recent years, the skeletal anchorage through miniscrews has expanded the treatment options in orthodontics (Yamaguchi et al., 2012). We hereby present a modified method for tooth extrusion for cases where crown-lengthening surgery is contraindicated for aesthetic reasons. This modified method uses three orthodontic appliances: a mini-implant, an orthodontic wire, and a bracket. The aim of this case report was to increase the length of the clinical crown of a fractured tooth (tooth 23) by means of an orthodontic extrusion with the modified method of Roth and Diedrich.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Findings of initial panoramic radiograph. Insufficient length of filling material of teeth 23, 24, 25, 26, 27, 15, 16, 45, 44, and 35. Old long fixed prosthesis included teeth 23, 24, 13, 14 15, and 16. Absent anterior teeth (22, 21, 11, and 12).</p>
</caption>
<graphic xlink:href="CRID2015-909314.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Clinical findings prior to treatment: inadequate prosthetic reconstruction in the anterior upper jaw.</p>
</caption>
<graphic xlink:href="CRID2015-909314.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>In this radiograph, there is a mesial fracture on the cervical third of tooth 23. Considering the long span of the fixed prosthesis, it could have overloaded the canine. In addition, insufficient length of the intraradicular retainer could have promoted inadequate tension distribution along the root. Also shown is the fixed partial denture supported by teeth 23 and 24. Tooth 25 presents a provisional prosthetic crown supported by a prefabricated pin. All teeth (23, 24, 25, and 26) show unsuccessful endodontic treatment.</p>
</caption>
<graphic xlink:href="CRID2015-909314.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Removable partial temporary prosthesis installed after removing the fixed prosthesis.</p>
</caption>
<graphic xlink:href="CRID2015-909314.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>The medial fracture of tooth 23 was surgically extracted.</p>
</caption>
<graphic xlink:href="CRID2015-909314.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Bracket Top TAD miniscrew inserted vestibularly into the alveolar bone of the region of tooth 22.</p>
</caption>
<graphic xlink:href="CRID2015-909314.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float">
<label>Figure 7</label>
<caption>
<p>Clinical illustration of extrusion appliance.</p>
</caption>
<graphic xlink:href="CRID2015-909314.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float">
<label>Figure 8</label>
<caption>
<p>Radiographic illustration of extrusion appliance.</p>
</caption>
<graphic xlink:href="CRID2015-909314.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float">
<label>Figure 9</label>
<caption>
<p>Illustration of extrusion appliance.</p>
</caption>
<graphic xlink:href="CRID2015-909314.009"></graphic>
</fig>
<fig id="fig10" orientation="portrait" position="float">
<label>Figure 10</label>
<caption>
<p>Initial and final radiographs.</p>
</caption>
<graphic xlink:href="CRID2015-909314.010"></graphic>
</fig>
<fig id="fig11" orientation="portrait" position="float">
<label>Figure 11</label>
<caption>
<p>Initial and final clinical situation of extruded left upper cuspid (tooth 23). On the day of the patient's discharge, the tooth had normal periodontal probing depth (less than 3 mm all around).</p>
</caption>
<graphic xlink:href="CRID2015-909314.011"></graphic>
</fig>
<fig id="fig12" orientation="portrait" position="float">
<label>Figure 12</label>
<caption>
<p>Fixed retainer of tooth 23. It must be used until the future prosthetic restoration can be installed.</p>
</caption>
<graphic xlink:href="CRID2015-909314.012"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations>
<list>
<country>
<li>Brésil</li>
</country>
<region>
<li>État de São Paulo</li>
</region>
<settlement>
<li>São Paulo</li>
</settlement>
<orgName>
<li>Université de São Paulo</li>
</orgName>
</list>
<tree>
<country name="Brésil">
<noRegion>
<name sortKey="Horliana, Ricardo Fidos" sort="Horliana, Ricardo Fidos" uniqKey="Horliana R" first="Ricardo Fidos" last="Horliana">Ricardo Fidos Horliana</name>
</noRegion>
<name sortKey="Abrao, Jorge" sort="Abrao, Jorge" uniqKey="Abrao J" first="Jorge" last="Abrão">Jorge Abrão</name>
<name sortKey="Horliana, Anna Carolina Ratto Tempestini" sort="Horliana, Anna Carolina Ratto Tempestini" uniqKey="Horliana A" first="Anna Carolina Ratto Tempestini" last="Horliana">Anna Carolina Ratto Tempestini Horliana</name>
<name sortKey="Perez, Flavio Eduardo Guillin" sort="Perez, Flavio Eduardo Guillin" uniqKey="Perez F" first="Flávio Eduardo Guillin" last="Perez">Flávio Eduardo Guillin Perez</name>
<name sortKey="Wuo, Alexandre Do Vale" sort="Wuo, Alexandre Do Vale" uniqKey="Wuo A" first="Alexandre Do Vale" last="Wuo">Alexandre Do Vale Wuo</name>
</country>
</tree>
</affiliations>
</record>

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