TY - JOUR
T1 - New surgical technique and distraction osteogenesis for ankylosed dental movement
AU - Agabiti, Ivo
AU - Capparè, Paolo
AU - Gherlone, Enrico Felice
AU - Mortellaro, Carmen
AU - Bruschi, Giovanni B.
AU - Crespi, Roberto
PY - 2014/5
Y1 - 2014/5
N2 - Dental ankylosis often presents a significant vertical alveolar defect that is an esthetic problem for prosthetic rehabilitation. Moreover, surgical-orthodontic treatment by corticotomies and distraction devices provides special attention to avoid the loss of blood supply to the segment; furthermore, gingival recessions may appear because the gingival tissues cannot proliferate as fast as the immediate repositioning of the tooth.This case report presents a surgical technique for buccal, palatal, and vertical movements, and examines the effects of a tooth/arch-borne tooth distractor appliance, for the alignment of ankylosed teeth.The slow movements of tooth and bone block and fine cut simplifies orthodontic treatment in patients and makes it possible to achieve complex movements in a relatively short period. The reported dislocation procedure allows a use of buccal-lingual vertical osteotomy with horizontal osteotomy to correct tooth positions via bony block movement maintaining gingival tissues in position. The used sonic saw have proven to be a valuable alternative to manual or rotating tools, oscillating saws, or piezoelectric units because it is faster and easier for surgical approach.
AB - Dental ankylosis often presents a significant vertical alveolar defect that is an esthetic problem for prosthetic rehabilitation. Moreover, surgical-orthodontic treatment by corticotomies and distraction devices provides special attention to avoid the loss of blood supply to the segment; furthermore, gingival recessions may appear because the gingival tissues cannot proliferate as fast as the immediate repositioning of the tooth.This case report presents a surgical technique for buccal, palatal, and vertical movements, and examines the effects of a tooth/arch-borne tooth distractor appliance, for the alignment of ankylosed teeth.The slow movements of tooth and bone block and fine cut simplifies orthodontic treatment in patients and makes it possible to achieve complex movements in a relatively short period. The reported dislocation procedure allows a use of buccal-lingual vertical osteotomy with horizontal osteotomy to correct tooth positions via bony block movement maintaining gingival tissues in position. The used sonic saw have proven to be a valuable alternative to manual or rotating tools, oscillating saws, or piezoelectric units because it is faster and easier for surgical approach.
KW - Cementum
KW - Dental ankylosis
KW - Distraction device (DD)
KW - Distraction osteogenesis
KW - Root fusion
KW - Sonic saw
KW - Tooth-borne distractor
KW - Vertical corticotomy
UR - http://www.scopus.com/inward/record.url?scp=84900848335&partnerID=8YFLogxK
U2 - 10.1097/SCS.0000000000000737
DO - 10.1097/SCS.0000000000000737
M3 - Article
SN - 1049-2275
VL - 25
SP - 828
EP - 830
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 3
ER -