Prosthetic Rehabilitation of Child Victim of Avulsion of Anterior Teeth with Orthodontic Mini-Implant
Identifieur interne : 007258 ( Ncbi/Merge ); précédent : 007257; suivant : 007259Prosthetic Rehabilitation of Child Victim of Avulsion of Anterior Teeth with Orthodontic Mini-Implant
Auteurs : Natalice Sousa De Oliveira [Brésil] ; Gabriella Lopes De Rezende Barbosa [Brésil] ; Lincoln Dias Lanza [Brésil] ; Henrique Pretti [Brésil]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2017.
Abstract
The treatment of choice in cases of avulsed permanent teeth is the immediate reimplantation. However, this conduct does not always work favorably, either by failures in the initial approach or by inappropriate interventions. In this sense, the aim of this study is to present an alternative prosthetic rehabilitation with the use of orthodontic mini-implants in the anterior region. This case reports a ten-year-old child with history of avulsion of superior central incisors. The therapeutic approach was planned to promote physiological teeth contacts and acceptable esthetics and phonetics. First, the occlusal-gingival insertion of two orthodontic mini-implants was performed in the alveolar ridge, and, immediately after that, two provisional crowns were attached to the implants. The interventions achieved satisfactory cosmetic and functional results. After one-year follow-up, the adjacent periodontal tissues remained without signs and/or symptoms of inflammation. The provisional crowns presented no mobility and fractures. During radiographic examination, a healthy bone tissue appearance was observed. The simplicity of mini-implant installation makes them a promising alternative for temporary prosthetic rehabilitation of patients undergoing growth and development. The technique provides positive aesthetic and functional results that may reflect on self-esteem and social inclusion of children and adolescents.
Url:
DOI: 10.1155/2017/8905965
PubMed: 29093976
PubMed Central: 5637864
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<author><name sortKey="Barbosa, Gabriella Lopes De Rezende" sort="Barbosa, Gabriella Lopes De Rezende" uniqKey="Barbosa G" first="Gabriella Lopes De Rezende" last="Barbosa">Gabriella Lopes De Rezende Barbosa</name>
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<front><div type="abstract" xml:lang="en"><p>The treatment of choice in cases of avulsed permanent teeth is the immediate reimplantation. However, this conduct does not always work favorably, either by failures in the initial approach or by inappropriate interventions. In this sense, the aim of this study is to present an alternative prosthetic rehabilitation with the use of orthodontic mini-implants in the anterior region. This case reports a ten-year-old child with history of avulsion of superior central incisors. The therapeutic approach was planned to promote physiological teeth contacts and acceptable esthetics and phonetics. First, the occlusal-gingival insertion of two orthodontic mini-implants was performed in the alveolar ridge, and, immediately after that, two provisional crowns were attached to the implants. The interventions achieved satisfactory cosmetic and functional results. After one-year follow-up, the adjacent periodontal tissues remained without signs and/or symptoms of inflammation. The provisional crowns presented no mobility and fractures. During radiographic examination, a healthy bone tissue appearance was observed. The simplicity of mini-implant installation makes them a promising alternative for temporary prosthetic rehabilitation of patients undergoing growth and development. The technique provides positive aesthetic and functional results that may reflect on self-esteem and social inclusion of children and adolescents.</p>
</div>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
<journal-id journal-id-type="publisher-id">CRID</journal-id>
<journal-title-group><journal-title>Case Reports in Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-6447</issn>
<issn pub-type="epub">2090-6455</issn>
<publisher><publisher-name>Hindawi</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">29093976</article-id>
<article-id pub-id-type="pmc">5637864</article-id>
<article-id pub-id-type="doi">10.1155/2017/8905965</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Prosthetic Rehabilitation of Child Victim of Avulsion of Anterior Teeth with Orthodontic Mini-Implant</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-7509-8872</contrib-id>
<name><surname>de Oliveira</surname>
<given-names>Natalice Sousa</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barbosa</surname>
<given-names>Gabriella Lopes de Rezende</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lanza</surname>
<given-names>Lincoln Dias</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-8309-5118</contrib-id>
<name><surname>Pretti</surname>
<given-names>Henrique</given-names>
</name>
<email>bhpretti@gmail.com</email>
<xref ref-type="aff" rid="I4"><sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Department of Pediatric Dentistry and Orthodontics, Division of Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil</aff>
<aff id="I2"><sup>2</sup>
Department of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil</aff>
<aff id="I3"><sup>3</sup>
Department of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil</aff>
<aff id="I4"><sup>4</sup>
Department of Pediatric Dentistry and Orthodontics, Division of Pediatric Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil</aff>
<author-notes><fn fn-type="other"><p>Academic Editor: H. Cem Güngör</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2017</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>9</month>
<year>2017</year>
</pub-date>
<volume>2017</volume>
<elocation-id>8905965</elocation-id>
<history><date date-type="received"><day>11</day>
<month>5</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>25</day>
<month>7</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2017 Natalice Sousa de Oliveira et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/"><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>The treatment of choice in cases of avulsed permanent teeth is the immediate reimplantation. However, this conduct does not always work favorably, either by failures in the initial approach or by inappropriate interventions. In this sense, the aim of this study is to present an alternative prosthetic rehabilitation with the use of orthodontic mini-implants in the anterior region. This case reports a ten-year-old child with history of avulsion of superior central incisors. The therapeutic approach was planned to promote physiological teeth contacts and acceptable esthetics and phonetics. First, the occlusal-gingival insertion of two orthodontic mini-implants was performed in the alveolar ridge, and, immediately after that, two provisional crowns were attached to the implants. The interventions achieved satisfactory cosmetic and functional results. After one-year follow-up, the adjacent periodontal tissues remained without signs and/or symptoms of inflammation. The provisional crowns presented no mobility and fractures. During radiographic examination, a healthy bone tissue appearance was observed. The simplicity of mini-implant installation makes them a promising alternative for temporary prosthetic rehabilitation of patients undergoing growth and development. The technique provides positive aesthetic and functional results that may reflect on self-esteem and social inclusion of children and adolescents.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Clinical and radiographic aspects of the edentulous region with transverse deficiency due to mesialization of the lateral incisors.</p>
</caption>
<graphic xlink:href="CRID2017-8905965.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>Manual instrument (Morelli, Sorocaba, São Paulo, Brazil) ((a) and (b)); anatomical conformation of temporary crowns (c); coupling test of the mini-implant and cavity created in the crown (d).</p>
</caption>
<graphic xlink:href="CRID2017-8905965.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>Edentulous region after mini-implants insertion ((a) and (b)); temporary crowns adapted to the heads of the mini-implants (c).</p>
</caption>
<graphic xlink:href="CRID2017-8905965.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label>
<caption><p>Clinical and radiographic aspects 6 months after mini-implant placement.</p>
</caption>
<graphic xlink:href="CRID2017-8905965.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label>
<caption><p>Clinico- and radiographic aspects one year after mini-implant placement.</p>
</caption>
<graphic xlink:href="CRID2017-8905965.005"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Brésil</li>
</country>
<region><li>Minas Gerais</li>
<li>État de São Paulo</li>
</region>
</list>
<tree><country name="Brésil"><region name="Minas Gerais"><name sortKey="De Oliveira, Natalice Sousa" sort="De Oliveira, Natalice Sousa" uniqKey="De Oliveira N" first="Natalice Sousa" last="De Oliveira">Natalice Sousa De Oliveira</name>
</region>
<name sortKey="Barbosa, Gabriella Lopes De Rezende" sort="Barbosa, Gabriella Lopes De Rezende" uniqKey="Barbosa G" first="Gabriella Lopes De Rezende" last="Barbosa">Gabriella Lopes De Rezende Barbosa</name>
<name sortKey="Lanza, Lincoln Dias" sort="Lanza, Lincoln Dias" uniqKey="Lanza L" first="Lincoln Dias" last="Lanza">Lincoln Dias Lanza</name>
<name sortKey="Pretti, Henrique" sort="Pretti, Henrique" uniqKey="Pretti H" first="Henrique" last="Pretti">Henrique Pretti</name>
</country>
</tree>
</affiliations>
</record>
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