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Planning esthetic treatment after avulsion of maxillary incisors.

Identifieur interne : 001A54 ( PubMed/Checkpoint ); précédent : 001A53; suivant : 001A55

Planning esthetic treatment after avulsion of maxillary incisors.

Auteurs : Björn U. Zachrisson [Norvège]

Source :

RBID : pubmed:18978386

Descripteurs français

English descriptors

Abstract

When a young patient accidentally loses two neighboring maxillary incisors, the choice of treatment plan is difficult. Although implant restorations are a popular option, they cannot be placed until skeletal growth is finished. Furthermore, the use of two neighboring implant crowns represents a considerable challenge from an esthetic point of view. This case report describes an innovative solution that combined autotransplantation of a developing premolar and orthodontic space closure.

PubMed: 18978386


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pubmed:18978386

Le document en format XML

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<name sortKey="Zachrisson, Bjorn U" sort="Zachrisson, Bjorn U" uniqKey="Zachrisson B" first="Björn U" last="Zachrisson">Björn U. Zachrisson</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Orthodontics, University of Oslo, Norway. zachriss@odont.uio.no</nlm:affiliation>
<country xml:lang="fr">Norvège</country>
<wicri:regionArea>Department of Orthodontics, University of Oslo</wicri:regionArea>
<wicri:noRegion>University of Oslo</wicri:noRegion>
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<term>Bicuspid (transplantation)</term>
<term>Child</term>
<term>Esthetics, Dental</term>
<term>Female</term>
<term>Humans</term>
<term>Incisor (injuries)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Malocclusion, Angle Class II (therapy)</term>
<term>Mandible (surgery)</term>
<term>Maxilla</term>
<term>Orthodontic Space Closure (methods)</term>
<term>Patient Care Planning</term>
<term>Tooth Avulsion (therapy)</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Dentisterie esthétique</term>
<term>Enfant</term>
<term>Extrusion dentaire ()</term>
<term>Femelle</term>
<term>Fermeture d'espaces ()</term>
<term>Humains</term>
<term>Incisive (traumatismes)</term>
<term>Malocclusion de classe II ()</term>
<term>Mandibule ()</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Planification des soins du patient</term>
<term>Prémolaire (transplantation)</term>
<term>Résultat thérapeutique</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Incisor</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Orthodontic Space Closure</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
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<term>Mandible</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Malocclusion, Angle Class II</term>
<term>Tooth Avulsion</term>
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<term>Bicuspid</term>
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<term>Incisive</term>
<term>Prémolaire</term>
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<term>Child</term>
<term>Esthetics, Dental</term>
<term>Female</term>
<term>Humans</term>
<term>Maxilla</term>
<term>Patient Care Planning</term>
<term>Treatment Outcome</term>
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<term>Fermeture d'espaces</term>
<term>Humains</term>
<term>Malocclusion de classe II</term>
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<div type="abstract" xml:lang="en">When a young patient accidentally loses two neighboring maxillary incisors, the choice of treatment plan is difficult. Although implant restorations are a popular option, they cannot be placed until skeletal growth is finished. Furthermore, the use of two neighboring implant crowns represents a considerable challenge from an esthetic point of view. This case report describes an innovative solution that combined autotransplantation of a developing premolar and orthodontic space closure.</div>
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<Title>Journal of the American Dental Association (1939)</Title>
<ISOAbbreviation>J Am Dent Assoc</ISOAbbreviation>
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<ArticleTitle>Planning esthetic treatment after avulsion of maxillary incisors.</ArticleTitle>
<Pagination>
<MedlinePgn>1484-90</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">When a young patient accidentally loses two neighboring maxillary incisors, the choice of treatment plan is difficult. Although implant restorations are a popular option, they cannot be placed until skeletal growth is finished. Furthermore, the use of two neighboring implant crowns represents a considerable challenge from an esthetic point of view. This case report describes an innovative solution that combined autotransplantation of a developing premolar and orthodontic space closure.</AbstractText>
<AbstractText Label="CASE DESCRIPTION" NlmCategory="METHODS">An 11-year-old girl sought treatment for avulsion of both her maxillary right lateral incisor and her central incisor, which occurred as a result of a horseback-riding accident. Replantation by her general dentist was unsuccessful. An oral surgeon transplanted the mandibular right second premolar to the injury site, and the author moved the maxillary right quadrant mesially to close all spaces. The first premolar was intruded, and the canine extruded, to provide normal marginal gingival contours. A prosthodontist, working with his dental technician, restored the "abnormal" crowns with three porcelain veneers. The outcome was almost indistinguishable from a natural dentition.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">and</AbstractText>
<AbstractText Label="CLINICAL IMPLICATIONS" NlmCategory="CONCLUSIONS">When faced with treating severe traumatic injuries in growing patients, even after avulsion of incisors, clinicians working in cooperation can optimize the outcome. A combination of transplantation and space closure may represent the best treatment option, particularly when coupled with elements of esthetic dentistry. The advantage of this approach is that a concomitant malocclusion can be treated simultaneously, and that the treatment result is permanent. Interdisciplinary cooperation between orthodontists and other dentists, such as oral surgeons, prosthodontists and general practitioners, appears to be of increasing importance in achieving high-quality treatment results in such cases.</AbstractText>
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