The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Conservative orthodontic treatment for severe pathologic migration following total glossectomy: A case report

  • Giap, Hai-Van (Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University) ;
  • Jeon, Ji Yoon (Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University) ;
  • Kim, Kee Deog (Department of Advanced General Dentistry, College of Dentistry, Yonsei University) ;
  • Lee, Kee-Joon (Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University)
  • Received : 2021.08.13
  • Accepted : 2022.01.14
  • Published : 2022.07.25
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Abstract

Glossectomy combined with radiotherapy causes different levels of tongue function disorders and leads to severe malocclusion, with poor periodontal status in cancer survivors. Although affected patients require regular access to orthodontic care, special considerations are crucial for treatment planning. This case report describes the satisfactory orthodontic management for the correction of severe dental crowding in a 43-year-old female 6 years after treatment for tongue cancer with total glossectomy combined with radiotherapy, to envision the possibility of orthodontic care for oral cancer survivors. Extraction was performed to correct dental crowding and establish proper occlusion following alignment, after considering the possibility of osteoradionecrosis. Orthodontic mini-implants were used to provide skeletal anchorage required for closure of the extraction space and intrusion of the anterior teeth. The dental crowding was corrected, and Class I occlusal relationship was established after 36 months of treatment. The treatment outcome was sustained after 15 months of retention, and long-term follow-up was recommended.

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References

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