Orthodontic extrusion with palatal circumferential supracrestal fiberotomy improves facial gingival symmetry: a report of two cases

Yoshinuma, Naoto; Sato, Shuichi; Makino, Noritsugu; Saito, Yuichi; Ito, Koichi

doi:10.2334/josnusd.51.651

Cited by 5 publications

(5 citation statements)

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“…Estas acciones permiten que el hueso alveolar y la extensión gingival se desplacen junto con la raíz (Edwards, 1988-Brain, 1969. Se recomienda que la velocidad de extrusión ortodóntica sea de un milímetro de movimiento radicular (Bach et Las ventajas del procedimiento son la ausencia de pérdida de hueso o soporte periodontal, la que generalmente ocurre cuando se hace una extracción; se evita la recidiva de los dientes extruidos y se mejora el aspecto estético dejado por la extrusión (Yoshinuma et al, 2009-Gonçalves et al, 2015.…”

Section: Discussionunclassified

Manejo y Seguimiento de Extrusión Forzada Ortodóntica: Reporte de un Caso. [Versión Original en Español]

et al. 2023

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El presente caso clínico se enfoca en el diagnóstico yel tratamiento de erupción forzada en un paciente contrauma dental. ObjetivoProponer una alternativa de tratamientomultidisciplinario el cual permita incrementarestructura dentaria a través de la extrusión forzada yposteriormente rehabilitarlo en función y estética. MétodosSe describe el caso de un paciente adulto de 78años de sexo masculino, sano y sin antecedentespatológicos, acude a la clínica de la Especialidad deOrtodoncia y Ortopedia Dentomaxilofacial, referidopor un especialista en Endodoncia, debido a fracturacorono-radicular de canino superior derecho, pilar depuente fijo de tres unidadesEn la exploración intraoral presenta fractura cervicalde la corona del canino superior derecho. Comoprimer paso, se realizó tratamiento endodónticoen la pieza dentaria y colocación de un aditamentointraconducto de soporte (endoposte vaciado), con elobjeto de mejorar la tracción ortodóntica.Este aditamento consistió en un poste colado conperforaciones. Se procede a colocar aparatología fijaen la arcada superior con técnica MBT (slot 0.022),del molar derecho hasta el canino izquierdo decementado indirecto y pasivo (con los slots de losbrackets alineados). Inmediatamente después, secolocó un arco rectangular 0.019 x 0.025 de acero inoxidable con un doblez de extrusión anivel del canino superior derecho. En elmismo doblez, se adaptó un loop tipohelix que funcionó como apoyo paracolocar la ligadura pasiva (lace back). ResultadosEl tratamiento realizado en estepaciente es satisfactorio, coadyuvandoen su estado de salud generalmejorando su autoestima. ConclusiónAquí se aprovecharon todas las ventajasque ofrece la extrusión ortodónticaforzada, incluso en un paciente adultomayor, logrando una tracción de cuatromilímetros, que se consiguió gracias alempleo de fuerzas extrusivas ligeras ycontroladas sobre el órgano dentarioafectado.Con la modalidad de tratamientodescrita se puede lograr unalargamiento de corona sin la necesidadde realizar una resección ósea, lo quepermite una correcta rehabilitaciónprotésica, devolviendo la función yestética al diente lesionado y brindandoun beneficio integral al paciente.

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Section: Discussionunclassified

Manejo y Seguimiento de Extrusión Forzada Ortodóntica: Reporte de un Caso. [Versión Original en Español]

et al. 2023

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“…Rapid coronal movement with intense force provides faster clinical results, but has limited indications [ 6 ]. Rapid orthodontic therapy is known to alter the position of the tooth but the bony architecture does not follow the extruded tooth [ 2 ]. When stronger traction forces are exerted, as in rapid extrusion, coronal migration of the tissues supporting the tooth is less pronounced because the rapid movement exceeds their capacity for physiologic adaptation [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Periodontal crown lengthening has been suggested as a treatment option but it usually compromises esthetics [ 1 ]. Orthodontic extrusion/ forced eruption came into the foray as an alternative or adjunct to periodontal crown lengthening [ 2 ]. The factors that dictate treatment planning in such cases are:…”

Section: Introductionmentioning

confidence: 99%

Management of Cervically Fractured Central Incisors: A Multidisciplinary Approach

Rajan

Muddappa

Rajendran³

et al. 2018

TODENTJ

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Introduction:Fracture of tooth structure at or below the gingival margin compromises rehabilitation and hampers esthetics and function.Management:Management of such cases by a post-core and crown restoration, or periodontal surgery or orthodontic extrusion alone may not always suffice in attaining a good result.Case Report:A multi-disciplinary approach which includes all of the above mentioned procedures helps in long term success.Conclusion:Careful case evaluation, treatment planning and meticulous attention to detail are the keys to the best treatment outcome.

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“…1 The various specialties in dentistry-conservative den tistry, prosthodontics, orthodontics, and periodontics all strive to achieve this visually satisfying result either solita rily or in tandem with each other. Multidisciplinary approach involving orthodontics and periodontics often involves maintaining a healthy periodontium and treatment of modalities like correction of midline diastema due to high frenal attachment, 2 supracrestal fiberotomy 3 after completion of orthodontic treatment to prevent relapse, and soon. But the continuous endeavor for innovation of newer inter disciplinary treatment modalities has resulted in the use of a passive object like the orthodontic button being used in cases of root coverage to provide the initial stabilization for coronally advanced flap (CAF) surgeries as presented in our case report.…”

Section: Introductionmentioning

confidence: 99%

Button-assisted Coronally Advanced Flap: An Innovative Ortho-perio Amalgamation

Maroo¹,

Grover²,

Luthra³

2014

JIOS

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Introduction: Esthetics has become an essential criterion of the overall treatment plan in dentistry that comprises of a healthy and beautiful smile at any age. Multidisciplinary approach involving orthodontics and periodontics results in the maintenance of a beautiful smile and a healthy periodontium. The continuous endeavor for innovation of newer interdisciplinary treatment moda lities has resulted in the use of a passive object like the orthodontic button being used to provide the initial stabilization in cases of root coverage using a Coronally advanced flap (CAF).Objective: The objective of this case report is to evaluate the effectiveness of a new treatment approach which consists of coronally advanced flap (CAF) procedure combined with ortho dontic button application for the treatment of Miller's class III recession defects.Methodology: After the application of orthodontic buttons in middle third of tooth surface, a split-full split flap was raised from tooth #22 to #24 and the flap was sutured 3 to 4 mm coronal to cementoenamel junction and the central part of flap was suspended with sutures to the orthodontic button to maximize the stabilization of the immediate postoperative flap location. Clinical parameters were recorded at 1 and 3 months postoperatively.Results: Complete root coverage was achieved when evaluated from baseline to 3 months along with gain in clinical attachment level and keratinized tissue. The final esthetics, both color match and tissue contours, were highly acceptable. Conclusion:Three months postoperative results showed that the CAF combined with orthodontic button is a very effective approach even in the treatment of Miller's Class III recession defects.

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Orthodontic extrusion with palatal circumferential supracrestal fiberotomy improves facial gingival symmetry: a report of two cases

Cited by 5 publications

References 5 publications

Manejo y Seguimiento de Extrusión Forzada Ortodóntica: Reporte de un Caso. [Versión Original en Español]

Manejo y Seguimiento de Extrusión Forzada Ortodóntica: Reporte de un Caso. [Versión Original en Español]

Management of Cervically Fractured Central Incisors: A Multidisciplinary Approach

Button-assisted Coronally Advanced Flap: An Innovative Ortho-perio Amalgamation

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