Orthodontic alignment of ankylosed teeth with aid of surgical luxation: Case series.

IF 1.4 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Orthodontics Pub Date : 2024-09-01 Epub Date: 2023-07-04 DOI:10.1177/14653125231185362

Jun Ai Chong, Eng Ching Mah

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Abstract

Background: Identification of tooth ankylosis before comprehensive orthodontic treatment can be challenging. This case series illustrates different presentations of tooth ankylosis, the importance of early diagnosis, the use of surgical luxation to aid orthodontic alignment of ankylosed teeth and its sequelae.

Case presentation: All three cases were adolescents: a 14-year-old girl with a highly placed upper left lateral incisor and history of general anaesthesia; a 14-year-old boy with an impacted upper right first premolar and history of dental trauma; and a 13-year-old girl with an infraoccluded upper left central incisor with history of replantation due to avulsion. Iatrogenic malocclusion developed from attempts to align these ankylosed teeth. Subsequently, surgical luxation was performed, and the ankylosed teeth were successfully aligned. However, it was associated with pulp calcification, root resorption and recurrence of ankylosis.

Conclusion: Surgical luxation and orthodontic alignment of ankylosed teeth can be considered a useful short-term solution to delay the need of surgical removal and teeth replacement.

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借助外科松动术矫正强直牙：病例系列。

背景：在全面正畸治疗前识别牙齿强直可能具有挑战性。本病例系列说明了牙齿强直的不同表现形式、早期诊断的重要性、使用手术松动术帮助强直牙齿矫正排列及其后遗症：三例病例均为青少年：一名14岁女孩，左上侧切牙位置偏高，有全身麻醉史；一名14岁男孩，右上第一前磨牙受撞击，有牙齿外伤史；一名13岁女孩，左上中切牙内隐裂，因撕脱导致再植。由于试图对齐这些强直的牙齿，导致了先天性错颌畸形。随后，进行了手术松动，强直的牙齿被成功对齐。然而，这与牙髓钙化、牙根吸收和强直复发有关：结论：对强直的牙齿进行手术松动和正畸排列可被视为一种有效的短期解决方案，以延迟手术拔除和牙齿替换的需要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.60

自引率

15.40%

发文量

期刊介绍： The Journal of Orthodontics has an international circulation, publishing papers from throughout the world. The official journal of the British Orthodontic Society, it aims to publish high quality, evidence-based, clinically orientated or clinically relevant original research papers that will underpin evidence based orthodontic care. It particularly welcomes reports on prospective research into different treatment methods and techniques but also systematic reviews, meta-analyses and studies which will stimulate interest in new developments. Regular features include original papers on clinically relevant topics, clinical case reports, reviews of the orthodontic literature, editorials, book reviews, correspondence and other features of interest to the orthodontic community. The Journal is published in full colour throughout.