Nonextraction Orthodontic Treatment of Severely Impacted Maxillary Canines through Transalveolar Transplantation in a 10-Year-Old Patient: A Case Report with a 6-Year Follow-Up Period
Objective: This case report describes the interdisciplinary treatment of a 10-year-old girl with asymmetric Class III malocclusion, severe maxillary crowding, and bilaterally impacted maxillary canines. Clinical considerations: The clinical decision-making factors regarding treatment alternatives an...
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MDPI AG
2023-10-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/13/21/11665 |
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| author | Jae Hyun Park Jiyoung Oh Kooyoung Lim Alex Hung Kuo Chou Yoon-Ah Kook Seong Ho Han |
| author_facet | Jae Hyun Park Jiyoung Oh Kooyoung Lim Alex Hung Kuo Chou Yoon-Ah Kook Seong Ho Han |
| author_sort | Jae Hyun Park |
| collection | DOAJ |
| description | Objective: This case report describes the interdisciplinary treatment of a 10-year-old girl with asymmetric Class III malocclusion, severe maxillary crowding, and bilaterally impacted maxillary canines. Clinical considerations: The clinical decision-making factors regarding treatment alternatives and the final treatment plan are discussed. A two-phase nonextraction therapy was implemented to relieve severe crowding, eliminate the maxillary canine impactions, and compensate for skeletal Class III malocclusion. The first treatment phase involved aligning the left canine through conventional orthodontic traction, while the more deeply horizontally impacted right canine was corrected through transalveolar transplantation. In the second phase, the Class III dental relationship was corrected through mandibular molar retraction. The effective use of various temporary skeletal anchorage devices such as modified c-palatal plates and mini-implants was illustrated. Conclusions: At the end of the treatment, esthetic dental alignment was achieved, along with improved facial balance. The transplanted maxillary right canine showed good health and a favorable long-term prognosis over six years after the procedure. |
| first_indexed | 2024-03-11T11:34:19Z |
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| id | doaj.art-0ac5a771a6964d1e9b40a052ae739a66 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-11T11:34:19Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
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| series | Applied Sciences |
| spelling | doaj.art-0ac5a771a6964d1e9b40a052ae739a662023-11-10T14:58:20ZengMDPI AGApplied Sciences2076-34172023-10-0113211166510.3390/app132111665Nonextraction Orthodontic Treatment of Severely Impacted Maxillary Canines through Transalveolar Transplantation in a 10-Year-Old Patient: A Case Report with a 6-Year Follow-Up PeriodJae Hyun Park0Jiyoung Oh1Kooyoung Lim2Alex Hung Kuo Chou3Yoon-Ah Kook4Seong Ho Han5Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, AZ 85206, USADepartment of Orthodontics, Seoul St. Mary’s Hospital, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of KoreaHephzibah Dental Clinic, Seoul 06132, Republic of KoreaDepartment of Orthodontics, Seoul St. Mary’s Hospital, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of KoreaDepartment of Orthodontics, Seoul St. Mary’s Hospital, College of Medicine, Catholic University of Korea, Seoul 06591, Republic of KoreaDivision of Orthodontics, Department of Dentistry, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of KoreaObjective: This case report describes the interdisciplinary treatment of a 10-year-old girl with asymmetric Class III malocclusion, severe maxillary crowding, and bilaterally impacted maxillary canines. Clinical considerations: The clinical decision-making factors regarding treatment alternatives and the final treatment plan are discussed. A two-phase nonextraction therapy was implemented to relieve severe crowding, eliminate the maxillary canine impactions, and compensate for skeletal Class III malocclusion. The first treatment phase involved aligning the left canine through conventional orthodontic traction, while the more deeply horizontally impacted right canine was corrected through transalveolar transplantation. In the second phase, the Class III dental relationship was corrected through mandibular molar retraction. The effective use of various temporary skeletal anchorage devices such as modified c-palatal plates and mini-implants was illustrated. Conclusions: At the end of the treatment, esthetic dental alignment was achieved, along with improved facial balance. The transplanted maxillary right canine showed good health and a favorable long-term prognosis over six years after the procedure.https://www.mdpi.com/2076-3417/13/21/11665dental autotransplantationmaxillary canine impactionClass III malocclusionorthodontic space gainingtemporary skeletal anchorage devicescase report |
| spellingShingle | Jae Hyun Park Jiyoung Oh Kooyoung Lim Alex Hung Kuo Chou Yoon-Ah Kook Seong Ho Han Nonextraction Orthodontic Treatment of Severely Impacted Maxillary Canines through Transalveolar Transplantation in a 10-Year-Old Patient: A Case Report with a 6-Year Follow-Up Period Applied Sciences dental autotransplantation maxillary canine impaction Class III malocclusion orthodontic space gaining temporary skeletal anchorage devices case report |
| title | Nonextraction Orthodontic Treatment of Severely Impacted Maxillary Canines through Transalveolar Transplantation in a 10-Year-Old Patient: A Case Report with a 6-Year Follow-Up Period |
| title_full | Nonextraction Orthodontic Treatment of Severely Impacted Maxillary Canines through Transalveolar Transplantation in a 10-Year-Old Patient: A Case Report with a 6-Year Follow-Up Period |
| title_fullStr | Nonextraction Orthodontic Treatment of Severely Impacted Maxillary Canines through Transalveolar Transplantation in a 10-Year-Old Patient: A Case Report with a 6-Year Follow-Up Period |
| title_full_unstemmed | Nonextraction Orthodontic Treatment of Severely Impacted Maxillary Canines through Transalveolar Transplantation in a 10-Year-Old Patient: A Case Report with a 6-Year Follow-Up Period |
| title_short | Nonextraction Orthodontic Treatment of Severely Impacted Maxillary Canines through Transalveolar Transplantation in a 10-Year-Old Patient: A Case Report with a 6-Year Follow-Up Period |
| title_sort | nonextraction orthodontic treatment of severely impacted maxillary canines through transalveolar transplantation in a 10 year old patient a case report with a 6 year follow up period |
| topic | dental autotransplantation maxillary canine impaction Class III malocclusion orthodontic space gaining temporary skeletal anchorage devices case report |
| url | https://www.mdpi.com/2076-3417/13/21/11665 |
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