New surgical technique and distraction osteogenesis for ankylosed dental movement

Autor: Ivo Agabiti, Giovanni B. Bruschi, Enrico Gherlone, Carmen Mortellaro, Roberto Crespi, Paolo Capparè
Přispěvatelé: Agabiti, I, Cappare', Paolo, Gherlone, FELICE ENRICO, Mortellaro, C, Bruschi, Gb, Crespi, R.
Rok vydání: 2014
Předmět:
Zdroj: The Journal of craniofacial surgery. 25(3)
ISSN: 1536-3732
Popis: Dental ankylosis often presents a significant vertical al-veolar defect that is an esthetic problem for prosthetic rehabilitation.Moreover, surgical-orthodontic treatment by corticotomies and dis-traction devices provides special attention to avoid the loss of bloodsupply to the segment; furthermore, gingival recessions may appearbecause the gingival tissues cannot proliferate as fast as the immedi-ate 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 anky-losed teeth.The slow movements of tooth and bone block and fine cutsimplifies orthodontic treatment in patients and makes it possibleto achieve complex movements in a relatively short period. Thereported dislocation procedure allows a use of buccal-lingual verti-cal osteotomy with horizontal osteotomy to correct tooth positionsvia bony block movement maintaining gingival tissues in position.The used sonic saw have proven to be avaluable alternative to man-ual or rotating tools, oscillating saws, or piezoelectric units becauseit is faster and easier for surgical approach.Key Words: Dental ankylosis, distraction osteogenesis, verticalcorticotomy, tooth-borne distractor, cementum, root fusion,sonic saw, distraction device (DD)(J Craniofac Surg 2014;25: 828–830)
Databáze: OpenAIRE