• Title/Summary/Keyword: Forced orthodontic eruption

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Conservative approach for anterior crown-root fractured teeth: forced eruption (상악 전치부 치관-치근 파절 증례에서의 보존적 접근법: 교정적 정출술)

  • Kim, Ji-Eun;Choi, Sung-Hyeon;Chang, Hoon-Sang;Hwang, Yun-Chan;Hwang, In-Nam;Oh, Won-Mann
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.1
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    • pp.48-54
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    • 2020
  • In the case of crown-root fracture due to traumatic injury in anterior tooth and the fracture margin is located subgingivally, forced eruption has been proposed for the reconstruction of deficient bone and soft tissue. Forced eruption is one of the easiest orthodontic approaches that can have an acceptable outcome and prognosis, and has a low incidence of relapse. However, using heavy forces or very fast movements can also cause tissue damage or ankylosis. The following case reports present forced eruption as treatment option of crown fracture in maxillary anterior teeth.

Use of a Miniplate for Skeletal Anchorage in the Forced Eruption of a Severely Impacted Mandibular Second Molar: Case Report (Miniplate를 골격성 고정원으로 사용한 심도있는 매복 하악 제2대구치의 맹출 치료: 증례보고)

  • Lim, Jae-Sung;Yoon, Hyun-Joong;Lee, Sang-Hwa
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.185-189
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    • 2011
  • Tooth impaction represents the stop of eruption by clinical and radiographical disturbance in eruption path or the dislocation of tooth germ. The most common factor in tooth eruption disorders are spacial deficiency with other causes reported to be odontogenic tumors, periodontal ligament injury, etc. Impaction of the mandibular second molar is relatively rare and reported in about 3 out of 1,000 people. Because the second molars tend to erupt in a mesial direction, this situation can lead to serious problems if untreated, including dental caries, periodontal disease and root resorption of the first molar. Treatment of this problem includes, surgical repositioning and orthodontic forced eruption. Because each procedure have the definite advantages and disadvantages, and influenced by circumferential environment, these have limits for successfu1 recovery as independent treatment. In a case at St. Mary's Hospital, we performed successful correction of a horizontal impacted mandibular second molar using a miniplate skeletal anchorage system. We introduce this treatment as a valid method for an impacted second molar and consider a oromaxillofacial surgeon's role in tooth movement treatment.

TREATMENT OF THE INTRUDED PERMANENT INCISORS : SURGICAL REPOSITION AND ORTHODONTIC TRACTION (외과적 재위치와 교정적 정출술을 이용한 함입된 외상치의 치험례)

  • Shin, Ji-Sun;Kim, Jong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.654-659
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    • 2003
  • Intrusive luxation that takes approximately three percent of permanent teeth commonly occures at anterior teeth. This intrusion frequently leads to pulp necrosis, root resorption, marginal bone loss and these complications are influenced by depth of intrusion and stage of root development. Various treatment approaches have been suggested to manage of intrusive luxation. Techniques aiming to reposition the intruded tooth include an observation for spontaneous re-eruption, surgical or orthodontic repositioning. We report two cases with clinically satisfactory results for traumatically intruded maxillary central incisor. In one case which has a large open apex and mild intrusion depth, we observed for spontaneous eruption and then repositioning by forced eruption method. In other case, which has been completely intruded, was repositioned by surgical extrusion and followed by apexification.

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Orthodontic treatment of an eruptive disturbance of the mandibular first permanent molar (하악 제1대구치 맹출 장애의 교정치료)

  • Kim, Tae-Kyung;Baek, Seung-Hak
    • The korean journal of orthodontics
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    • v.35 no.3 s.110
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    • pp.227-237
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    • 2005
  • Eruptive disturbance of the permanent lower first molar is an uncommon condition caused by physical barriers on the eruption path or failure of the eruptive mechanism. Once eruptive disturbance of the permanent lower first molar is diagnosed. treatment should be started as soon as possible to establish a normal eruption pathway and to avoid any detrimental effects on the developing occlusion A case of primary retention of the mandibular first permanent molar treated with operculectomy and forced eruption which showed good treatment results and stability is described

Restoration of Subgingivally Fractured Upper Incisor (치은 연하로 파절된 상악 전치부의 수복)

  • Kim, Ja-Yeong;Lee, Hong-Seok;Ahn, Seung-Geun;Park, Ju-Mi;Song, Kwang-Yeob;Park, Charn-Woon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.4
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    • pp.301-307
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    • 2006
  • The subgingival fracture near the alveolar bone is difficult to treat. This fractured tooth will be treated by many methods. First approach is to preserve the fractured tooth. Periodontal surgery has been used to lengthen the clinical crown, thereby allowing the tooth to be restored. Another method is erupting the tooth with orthodontic eruption (forced eruption) or surgical extrusion. Second approach is the restoration after extraction of the subgingivally fractured tooth. This is restorative with conventional fixed partial denture or implant. This article presents the variable restorative approach of subgingivally fractured upper incisor.

SURGICAL AND ORTHODONIC TREATMENT OF IMPACTED TEETH ASSOCIATED WITH DENTIGEROUS CYSTS : CASE REPORT (함치성낭종으로 인해 매복된 치아의 외과 및 교정적 치료를 이용한 맹출: 증례보고)

  • Kim, Woo-Sung;An, Kyoung-Mi;Sohn, Dong-Seok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.2
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    • pp.173-179
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    • 2009
  • Dentigerous cyst is an odontogenic cyst which occurs in unerupted tooth crown. After the crown formation, enamel epithelium remnants surrounded continuously proliferates and it forms effusionfluid cyst and expands due to increased internal osmotic pressure. Treatments of cysts are mainly enucleation, marsupialization and de-compression. When deciding the way of treatment, the age of a patient, the anatomical circumstances, the region of lesion and the size of cyst should be considered. Marsupialization is that some parts of internal cystic wall would be converted into oral mucosa if the cyst is large size and is concerned about neighboring anatomic structure. It can be accompanied by enucleation later and eruption of related tooth can be possible. If there is a limitation of spontaneous tooth eruption, eruption of tooth can be induced by orthodontic apparatus. There were 3 patients had dentigerous cyst and underwent marsupialization, their impacted teeth had preserved and had induced eruption, all showing satisfactory results.

Factors Influencing the Duration of Forced Eruption in Impacted Maxillary Canines (상악 매복 견치의 견인 기간에 영향을 미치는 요인에 대한 분석)

  • Ji-hye, Han;Yon-joo, Mah
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.4
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    • pp.402-413
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    • 2022
  • The aim of this study was to identify factors that affect the treatment duration and to predict the duration of forced eruption in impacted maxillary canines using panoramic radiographs and cone-beam computed tomography. This retrospective study was performed by reviewing medical records and radiographs of 73 patients (93 impacted maxillary canines) from the age of 8 to 18 years who were treated with surgical and orthodontic interventions on impacted maxillary canines from January 2012 to December 2020 in Ajou University Dental Hospital. Stepwise multiple regression analysis showed that the distance between the canine cusp tip and the occlusal plane, mesio-distal location, bucco-palatal location, patient's age, and use of rapid palatal expansion are significant factors with regard to the duration of forced eruption. There was a statistically significant correlation of the treatment duration with the angulation between the axis of the canine and the occlusal plane and unilateral or bilateral impaction. It can be concluded that the duration of forced eruption in impacted maxillary canines could be shorter when the impacted canine is closer to the occlusal plane and located in the lateral incisor or canine area, buccal or middle, the patient is younger and uses rapid palatal expansion.

THE FORCED ERUPTION OF IMPACTED MAXILLARY INCISOR: CASE REPORT (매복된 상악 중절치의 교정적 견인을 이용한 치험례)

  • Kim, Jong-Sik;Kim, Eun-Jung;Kim, Hyun-Jung;Nam, Soon-Hyeun;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.26-32
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    • 2005
  • A tooth impaction means a state that a tooth does not erupt out of oral mucosa or alveolar bone for many reasons. The reasons for an impaction of the Maxillary central incisor are an odontoma, supernumerary tooth, space loss, prolonged remaining or early loss of a preceding deciduous tooth, abnormalities of crown or root caused by trauma of a deciduous tooth and an ectopic position of a tooth germ. In the case of the impacted maxillary incisor, a rapid mesial movement of a lateral incisor leads a space loss and a midline deviation can be happened. Furthermore, it can cause a cyst. When we treated a patient with an impacted central incisor early, we could see a better prognosis. It means an early diagnosis and an exact treatment are very important. Generally if the impaction is not severe or it is caused by a keratinized covering tissue, a surgical exposure can induce an eruption easily but an orthodontic force is recommended when an eruption does not happen after a surgical method, when the eruption path is too transpositioned to be corrected spontaneously and when an impacted tooth is located so deeply. In the treatment using an orthodontic force, careful considerations about a root length, pulp, and a periodontal tissue can improve the periodontal and esthetic prognosis for the long follow-up results. This case is using an orthodontic traction following a periodic observation and in no expectation of spontaneous eruption. After treatment of this case, I have got some knowledges, so I report this case.

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The Treatment of on Ankylosed Canine : Luxation and Forced Eruption (골유착된 견치의 교정적 치험례 : 탈구 및 인위적 맹출)

  • Im, Dong-Hyuk;Nahm, Dong-Seok;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.32 no.6 s.95
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    • pp.395-400
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    • 2002
  • This paper outlines the case of a 56 year-old man undertaking treatment by means of luxation and forced eruption of an ankylosed canine. At the time of diagnosis, the ankylosis of the tooth was not suspected, because there were not signs of intrusive luxation nor horizontal diaplacement. Only after the application of a vertical elastic force failed to erupt the maxillary left canine, was the ankylosis of that tooth suspected. At the time of reevaluation, the maxillary left canine hads no physiologic tooth mobility and emitted a sharp, ringing sound upon percussion. Hence, the maxillary left canine was considered ankylosed. The treatment course then changed to the extrusion of the canine through the surgical luxation of the tooth and the prompt application of vertical extrusive forces. The above outcome was successful for the patient not only in the orthodontic aspect, but also in terms of the periodontal considerations

The use of laryngeal mask airway in dental treatment during sevoflurane deep sedation

  • Lee, Sangeun;Kim, Jongsoo;Kim, Jongbin;Kim, Seungoh
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.1
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    • pp.49-53
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    • 2016
  • Background: General anesthesia is frequently considered for pediatric patients, as they often find it difficult to cooperate and stay calm during administration of potentially painful treatments. Sedation can overcome these adversities; however, this is challenging while maintaining unobstructed airways. Methods: The study involved 11 pediatric dental patients treated with LMA under deep sedation with sevoflurane, from 2011 through 2015. LMA size, sevoflurane concentration, and the vital signs of patients were assessed through a chart review. Results: The age distribution of the patients ranged from 6 to 10 years old. A total of 3 patients underwent mesiodens extraction, while the remaining 8 underwent an surgically assisted orthodontic forced tooth eruption The average sedation period was approximately 45 minutes and the LMA size was $2\small{^1/_2}$. The sevoflurane concentration was maintained at 2% on average, and overall, the measurements of vital signs were within the normal range; the patients had an average blood pressure of 98/49 mmHg, breathing rate of 26 times/min, pulse frequency of 95 times/min, $SpO_2s$ level of 99 mmHg, and $ETCO_2$ level of 41.2 mmHg. Conclusions: Deep sedation with sevoflurane coupled with LMA may be applied successfully in pediatric patients who undergo mesiodens extraction or a surgically assisted orthodontic forced tooth eruption