Multi-disciplinary management of a patient with a post-traumatised incisor presenting concurrent replacement and inflammatory resorption: a case report
This case report describes the multidisciplinary management of a young male who presented with a Class I incisor relationship and bi-maxillary dento-alveolar protrusion on a Class I skeletal base. The occlusion was complicated by an ankylosed and moderately infra-positioned upper left permanent cent...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2015-11-01
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| Series: | Australasian Orthodontic Journal |
| Online Access: | https://doi.org/10.21307/aoj-2020-158 |
| _version_ | 1818159958978461696 |
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| author | Doğramacı Esma J. Rossi-Fedele Giampiero Jones Allan G. |
| author_facet | Doğramacı Esma J. Rossi-Fedele Giampiero Jones Allan G. |
| author_sort | Doğramacı Esma J. |
| collection | DOAJ |
| description | This case report describes the multidisciplinary management of a young male who presented with a Class I incisor relationship and bi-maxillary dento-alveolar protrusion on a Class I skeletal base. The occlusion was complicated by an ankylosed and moderately infra-positioned upper left permanent central incisor, an anterior crossbite, crowding, a reduced overbite and centreline discrepancy. The incisor was traumatised and avulsed when the root was immature and the tooth was reimplanted with delay. On referral for orthodontic treatment at age 11.5 years, the upper left central incisor was experiencing ankylosis-related (osseous replacement) resorption and external root resorption simultaneously. Aside from the orthodontic aims, it was important to address the disrupted alveolar development to facilitate later prosthodontic replacement of the upper left permanent central incisor by idealising the inter-coronal and inter-radicular spaces. Treatment consisted of fixed orthodontic appliances in conjunction with the extraction of all second premolars and the upper left permanent central incisor with episodic surgical curettage. An upper Hawlix retainer was provided immediately at debond and a cantilevered resin-retained bridge was placed four months later. |
| first_indexed | 2024-12-11T15:54:15Z |
| format | Article |
| id | doaj.art-7519fe43bfa349cf9ee2f6c03be81a96 |
| institution | Directory Open Access Journal |
| issn | 2207-7480 |
| language | English |
| last_indexed | 2024-12-11T15:54:15Z |
| publishDate | 2015-11-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Australasian Orthodontic Journal |
| spelling | doaj.art-7519fe43bfa349cf9ee2f6c03be81a962022-12-22T00:59:29ZengSciendoAustralasian Orthodontic Journal2207-74802015-11-0131221622510.21307/aoj-2020-158Multi-disciplinary management of a patient with a post-traumatised incisor presenting concurrent replacement and inflammatory resorption: a case reportDoğramacı Esma J.0Rossi-Fedele Giampiero1Jones Allan G.2*School of Dentistry, The University of Adelaide, Adelaide, Australia*School of Dentistry, The University of Adelaide, Adelaide, Australia†Kingston Hospital NHS Foundation Trust, Surrey, UKThis case report describes the multidisciplinary management of a young male who presented with a Class I incisor relationship and bi-maxillary dento-alveolar protrusion on a Class I skeletal base. The occlusion was complicated by an ankylosed and moderately infra-positioned upper left permanent central incisor, an anterior crossbite, crowding, a reduced overbite and centreline discrepancy. The incisor was traumatised and avulsed when the root was immature and the tooth was reimplanted with delay. On referral for orthodontic treatment at age 11.5 years, the upper left central incisor was experiencing ankylosis-related (osseous replacement) resorption and external root resorption simultaneously. Aside from the orthodontic aims, it was important to address the disrupted alveolar development to facilitate later prosthodontic replacement of the upper left permanent central incisor by idealising the inter-coronal and inter-radicular spaces. Treatment consisted of fixed orthodontic appliances in conjunction with the extraction of all second premolars and the upper left permanent central incisor with episodic surgical curettage. An upper Hawlix retainer was provided immediately at debond and a cantilevered resin-retained bridge was placed four months later.https://doi.org/10.21307/aoj-2020-158 |
| spellingShingle | Doğramacı Esma J. Rossi-Fedele Giampiero Jones Allan G. Multi-disciplinary management of a patient with a post-traumatised incisor presenting concurrent replacement and inflammatory resorption: a case report Australasian Orthodontic Journal |
| title | Multi-disciplinary management of a patient with a post-traumatised incisor presenting concurrent replacement and inflammatory resorption: a case report |
| title_full | Multi-disciplinary management of a patient with a post-traumatised incisor presenting concurrent replacement and inflammatory resorption: a case report |
| title_fullStr | Multi-disciplinary management of a patient with a post-traumatised incisor presenting concurrent replacement and inflammatory resorption: a case report |
| title_full_unstemmed | Multi-disciplinary management of a patient with a post-traumatised incisor presenting concurrent replacement and inflammatory resorption: a case report |
| title_short | Multi-disciplinary management of a patient with a post-traumatised incisor presenting concurrent replacement and inflammatory resorption: a case report |
| title_sort | multi disciplinary management of a patient with a post traumatised incisor presenting concurrent replacement and inflammatory resorption a case report |
| url | https://doi.org/10.21307/aoj-2020-158 |
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