Forced eruption of impacted maxillary central incisors with severely dilacerated roots

Chang, Na‐Young; Park, Jae Hyun; Kim, Sang-Cheol; Kang, Kyung‐Hwa; Cho, Jin-Hyoung; Cho, Jinwoo; Jang, Hong-Eek; Chae, Jong‐Moon

doi:10.1016/j.ajodo.2016.04.018

Cited by 24 publications

(30 citation statements)

References 22 publications

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“…15,16 A light vertical eruption force was applied by elastics between the ligature wire of the button and mini-plate in the mandibular midline area. During the initial traction period, only a vertical force without rotation was applied to avoid the cortical plate and to prevent root resorption.…”

Section: Discussionmentioning

confidence: 99%

“…By overlaying a small round archwire in the incisor region, a light force was applied to induce bone apposition and to minimize risk of dehiscense. 16,17 The inevitable increase in the applied force with increased diameters of archwires was thereby avoided. In addition, the roots of the incisors were dilacerated, and there was concern that the apices could touch the cortical plate and cause root resorption during torque application.…”

Section: Discussionmentioning

confidence: 99%

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Recovery of multiple impacted maxillary teeth in a hyperdivergent Class I patient using Temporary Skeletal Anchorage Devices and augmented corticotomy

Kim

Hwang

Chung

et al. 2017

The Angle Orthodontist

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Treatment of multiple impacted teeth is challenging. Three-dimensional treatment planning can help in delivering a better outcome. This case report presents a patient with an incomplete dental transposition between the canine and lateral incisor of the maxillary right side associated with the impaction of a dilacerated right central incisor. Using a two-stage surgical exposure and augmented corticotomy, the patient's occlusion and smile esthetics were significantly improved, and Class I occlusal relationships with optimal overjet and overbite were achieved after 50 months of orthodontic treatment. Thirty-month posttreatment records revealed a stable result. (Angle Orthod. 2018;88:107-121)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Recovery of multiple impacted maxillary teeth in a hyperdivergent Class I patient using Temporary Skeletal Anchorage Devices and augmented corticotomy

Kim

Hwang

Chung

et al. 2017

The Angle Orthodontist

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“…Von Crescini und Doldo [20] wird dieser Eingriff generell empfohlen, wenn ein "akuter Wert" für den zwischen Zahnkrone und -wurzel gebildeten Winkel überschritten ist. Chang et al [37] beschreiben einen Patienten, bei dem die labiale Kortkalisschicht perforiert war und der Zahn trotzdem seine Vitalität behielt. Diese Situation lag auch bei dem von uns behandelten Patienten vor.…”

Section: Diskussionunclassified

Erfolgreiche kieferorthopädische Einstellung eines dilazerierten oberen mittleren Inzisivus – ein Fallbericht

Schubert

Proff

Kirschneck

2019

Inf Orthod Kieferorthop

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Zusammenfassung Hintergrund Verlagerte, dilazerierte Inzisiven sind häufig Folge eines dentalen Traumas im Milchgebiss. Aufgrund z.T. erheblicher funktionell-ästhetischer Einschränkungen ist eine adäquate Therapie indiziert, die neben einer Extraktion mit Lückenschluss, (implantat)prothetischer Versorgung oder Autotransplantation bleibender Zahnkeime auch in einer kombiniert chirurgisch-kieferorthopädischen Einstellung in den Zahnbogen bestehen kann. Fallvorstellung Bei einem 9-jährigen Patienten mit dilazeriertem Zahn 21, Mesialstand der Seitenzähne im 2. Quadranten sowie tiefem Überbiss mit traumatischem Einbiss der unteren Inzisiven erfolgte im Rahmen einer festsitzenden kieferorthopädischen Multibrackettherapie eine Einstellung des Zahnes 21 in Okklusion nach chirurgischer Freilegung und Traktion mittels des EWC-Systems (Adenta), skelettal verankert über 2 temporäre mediane palatinale Minischrauben an einer BENEslider-Apparatur (PSM Medical Solutions), welche zudem zur Molarendistalisation im 2. Quadranten genutzt wurde. Schlussfolgerungen Im Fallbericht konnte unter Anwendung einer skelettalen Verankerung und des EWC-Systems im frühen Wechselgebiss ein dilazerierter mittlerer oberer Schneidezahn erfolgreich kieferorthopädisch unter Erhaltung der Zahnvitalität eingestellt werden. Trotz möglicher Risiken (Devitalisierung, Zahnwurzelresorptionen, Ankylosierung) stellt dieses Vorgehen daher bei korrekter biomechanischer Planung eine mögliche zahnerhaltende Therapieoption dar.

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“…Dilaceration usually occurs unilaterally. Clinically, the dilaceration of a tooth may result in the retention of a permanent tooth [2,4], presence of a persistent deciduous tooth in the mouth, or fenestration of the cortical atrium plate [25][26][27] or cortical palatal plate [6,24]. It is formed at the stage of forming tooth buds [28].…”

Section: Introductionmentioning

confidence: 99%

“…If the injury takes place during the formation of the crown, the formation of the enamel will be disturbed, which results in the incorrect shape of the permanent tooth. If the injury occurs after forming the crown of a permanent tooth, it may lead to inhibition of the process of tooth root formation or its formation at a certain angle to the traumatic dislocated crown and as a result of the formation of the crownroot angulation [26]. The mechanism of post-traumatic dilaceration is the rotation of the tooth's bud due to the trauma of the deciduous tooth.…”

Section: Introductionmentioning

confidence: 99%

Orthodontic and surgical treatment of a patient with an impacted upper central incisor with dilacerations – systematic review of the literature with presentation of a case

Rudnik¹,

Kaczmarczyk²,

Bednarczyk³

et al. 2018

jos

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Introduction: Impacted upper central incisors are a big aesthetic, developmental and social problem for patients. One of the causes of tooth eruption is dilaceration, which is the angulation of the tooth root in relation to its crown. The prognosis regarding the possibility of introducing teeth with dilaceration to the dental arch is uncertain and is characterized by a large number of failures. The aim of the study was to conduct a systematic review of the literature discussing the subject of impacted upper central incisors with confirmed dilaceration and illustrate this problem with the presentation of our own clinical case. Objectives: The aim of the study was to conduct a systematic review of the literature discussing the subject of impacted maxillary central incisors with confirmed dilaceration and to illustrate this problem with the presentation of a clinical case. Material and methods: A systematic review of the literature was conducted by searching the medical databases of PubMed and Scopus. The search was carried out by entering the following keywords: dilaceration, impacted tooth, impacted maxillary central incisors. Non-systematic reviews of the literature were excluded from the analysis. Results: The result of searching the databases was a total of 706 articles. Twenty-nine articles corresponding to the objectives of the study were included in the analysis. Among them were original papers, meta-analyses and case reports. The problem of impacted upper central incisors with the diagnosed dilaceration is illustrated by the description of the orthodontic and surgical treatment of the case. Conclusions: Patients with diagnosed impacted tooth with dilaceration require detailed diagnostics to plan orthodontic treatment. The implementation of a comprehensive orthodontic and surgical treatment at an early stage of tooth development gives the best prognosis to introduce a tooth with dilaceration to the dental arch.

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Forced eruption of impacted maxillary central incisors with severely dilacerated roots

Cited by 24 publications

References 22 publications

Recovery of multiple impacted maxillary teeth in a hyperdivergent Class I patient using Temporary Skeletal Anchorage Devices and augmented corticotomy

Recovery of multiple impacted maxillary teeth in a hyperdivergent Class I patient using Temporary Skeletal Anchorage Devices and augmented corticotomy

Erfolgreiche kieferorthopädische Einstellung eines dilazerierten oberen mittleren Inzisivus – ein Fallbericht

Orthodontic and surgical treatment of a patient with an impacted upper central incisor with dilacerations – systematic review of the literature with presentation of a case

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