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221.

CASE REPORT

Surgical Luxation and Orthodontic Traction of an Ankylosed Upper First Molar

Volume 50 : Number 5 : Page 0 : May 2016

Dental ankylosis is a cellular change in the periodontal ligament that results in continuity or fusion between the alveolar bone and cementum, making it impossible for a tooth to erupt completely. It is identified clinically by the failure of a tooth to erupt through the oral epithelium, by incomplete eruption, or by a lack of vertical movement compared with the adjacent teeth and the alveolar bone. Although ankylosis is more common in the primary dentition, it may also affect the permanent teeth, typically the molars. Bone defects are often associated, especially when ankylosis occurs during active vertical growth of the maxilla.

222.

CASE REPORT

Orthodontic Uprighting of Horizontally Impacted Mandibular Second Molars

Volume 32 : Number 10 : Page 621 : Oct 1998

The following case was treated in two phases. During Phase I, iatrogenic impactions of the mandibular second molars occurred. Later, Phase II therapy corrected that problem. Phase I Treatment A 9-1/2-...

223.

CASE REPORT

An Effective Approach to Correcting Anterior Crossbite in a Class III Patient

Volume 54 : Number 11 : Page 705 : Nov 2020

When early treatment is impossible, permanent teeth can be moved to compensate for a skeletal Class III discrepancy and anterior crossbite. The authors demonstrate the use of a 2 × 4 appliance and acrylic biteplane to correct a late-diagnosed skeletal Class III malocclusion.

224.

CASE REPORT

Mandibular Molar Protraction with the Forsus Appliance as Anchorage Reinforcement

Volume 56 : Number 12 : Page 725 : Dec 2022

A Forsus fixed functional appliance is used for anchorage during protraction of the lower molars in a young patient with missing lower second premolars. This approach corrects the Class II, division 1 malocclusion while avoiding overretraction of the lower incisors.

225.

CASE REPORT

Lower Incisor Extraction Treatment with the Invisalign System

Volume 36 : Number 2 : Page 95 : Feb 2002

Single-lower-incisor extraction cases have rarely been published, perhaps because there are few patients who meet the standards for such treatment. The following diagnostic characteristics are usually...

226.

CASE REPORT

Late-Forming Supernumeraries in the Premolar Regions

Volume 28 : Number 3 : Page 0 : Mar 1994

Ninety to 98% of all supernumerary teeth occur in the maxilla, most commonly in the premaxilla.1-3 Maxillary midline supernumeraries are the most common, followed by maxillary lateral incisors, mandib...

227.

CASE REPORT

Surgical-Orthodontic Treatment Using the Invisalign System

Volume 42 : Number 4 : Page 237 : Apr 2008

Orthodontic malocclusions involving severe skeletal jaw discrepancies are best managed with a combination of orthodontic and surgical treatment. Historically, the surgery has been performed with fixed...

228.

CASE REPORT

Treatment of Mandibular Alveolar Prognathism by a Lower Anterior Subapical Osteotomy

Volume 32 : Number 12 : Page 747 : Dec 1998

Mandibular alveolar prognathism is often treated by orthodontic treatment without accompanying surgery, in cases where the malocclusion and protrusive profile are not severe enough to warrant sagittal...

229.

CASE REPORT

Treatment of a Deeply Impacted Mandibular First Permanent Molar

Volume 43 : Number 1 : Page 59 : Jan 2009

Accidental trauma to permanent teeth in children can result in the cessation of eruption due to ankylosis.1-6 Although this situation almost always occurs in the anterior segments, histological analys...

230.

CASE REPORT

Late Expression of Class III Malocclusion

Volume 45 : Number 5 : Page 275 : May 2011

Early intervention in a Class III case with some combination of a protraction face mask, Frankel and fixed appliances, and a chin cup generally has a good prognosis,1,2 as long as the patient is follo...

231.

CASE REPORT

Orthodontic Management of a Transposed Maxillary Canine and Lateral Incisor

Volume 41 : Number 7 : Page 0 : Jul 2007

Canines are most frequently transposed with first premolars, and less often with lateral incisors.1-9 Such transposition, which usually occurs in the maxillary arch,2,4,7 is most commonly unilateral,5...

232.

CASE REPORT

Orthodontic Management of Asymmetry after Surgical Removal of a Keratocystic Odontogenic Tumor of the Mandible

Volume 54 : Number 8 : Page 473 : Aug 2020

This adult patient presented with a recurring cyst that had resulted in a severe asymmetrical occlusal deformity. Treatment involving rapid maxillary expansion, followed by asymmetrical orthodontic mechanics with intermaxillary elastics, achieves a functional occlusion and esthetic result.

233.

CASE REPORT

Hemisection of an Ankylosed Lower Second Deciduous Molar for Orthodontic Closure of a Congenitally Missing Second-Premolar Space

Volume 58 : Number 6 : Page 367 : Jun 2024

In a patient with a missing lower second premolar, the distal half of an ankylosed second deciduous molar is removed to enable mesial drift of the first permanent molar. The mesial half of the tooth is later extracted to allow further mesialization of the first molar using Class II elastics.

234.

CASE REPORT

Simplified Surgical-Orthodontic Treatment of a Dentigerous Cyst

Volume 28 : Number 2 : Page 0 : Feb 1994

Large dentigerous cysts in the mixed dentition are generally associated with jaw deformity and dislocation of one or more germs of permanent teeth.1 Surgical treatment of cysts usually consists of com...

235.

CASE REPORT

Uprighting a Horizontally Impacted Mandibular Second Molar

Volume 39 : Number 3 : Page 143 : Mar 2005

The incidence of impacted second molars has been estimated at as many as three in 1,000 cases. Because the second molars tend to erupt at a mesial angle, mesially rotated impactions are fairly common ...

236.

CASE REPORT

Mini-Implant Anchorage in a Unilateral Class II Patient

Volume 46 : Number 5 : Page 293 : May 2012

Unilateral molar distalization has been addressed by numerous treatment strategies, including intermaxillary elastics, asymmetrical headgear, unilateral premolar extraction, and intraoral distalizatio...

237.

CASE REPORT

Targeted Mechanics for Limited Posterior Treatment with Mini-Implant Anchorage

Volume 49 : Number 12 : Page 777 : Dec 2015

The introduction of temporary anchorage devices (TADs) has facilitated orthodontic management of complex dentofacial problems. TADs have also elicited the creativity of orthodontists in designing new appliances and approaches for treating different malocclusions. One such approach involves delivering orthodontic forces directly from mini-implants in the buccal segments without bonding the posterior teeth. Introduced by Chung and colleagues, this "biocreative therapy" obtains skeletal anchorage from sandblasted and acid-etched miniscrews, called C-implants, which are placed interdentally between the first molars and second premolars. The archwire is inserted in the anterior brackets and secured posteriorly in the slots of the C-implants to retract the anterior teeth during space closure. Because the implants are partially osseointegrated, they can resist these torsional forces without failing. Chung and colleagues have indicated that biocreative therapy was especially appropriate for cases of bimaxillary dentoalveolar protrusion and Class II cases with good buccal occlusion. Advantages of their method include three-dimensional control of the active units, a minimal need for patient compliance, and significantly reduced risks of root resorption or white-spot lesions in the posterior segments.

238.

CASE REPORT

Stability of Upper Incisors After Surgical Exposure and Orthodontics

Volume 19 : Number 11 : Page 815 : Nov 1985

Case ReportAn 11-year-old boy presented with a Class I occlusion with unerupted maxillary permanent central incisors. He had poor oral hygiene, severe gingivitis, and tongue thrust and infantile swall...

239.

CASE REPORT

Increasing Maxillary Arch Length with a Modified Herbst Appliance

Volume 23 : Number 12 : Page 0 : Dec 1989

Patients with severe crowding of the maxillary arch, blocked-out cuspids, a Class II molar relationship, and a complete mandibular arch can be treated in a number of ways: 1. Extraction of maxillary f...

240.

CASE REPORT

Adult Nonextraction Treatment with a Jasper Jumper

Volume 25 : Number 1 : Page 0 : Jan 1991

This article describes an adult patient with a bilateral Class II malocclusion and an anterior open bite who was treated without extractions, using a Jasper Jumper appliance (Fig. 1) to distalize and ...

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