Optimization approach for the mesialization of lower molars: a case report

Premature molar loss results in inclination of teeth adjacent to the edentulous gap, uneven marginal ridges, posterior collapse of bite, and atrophy of the residual bone width. The orthodontic treatment aimed at closing post-extraction spaces, is one possible treatment plan. However, in many cases t...

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Main Authors: Virginia Beatriz Montilla-Puente, María Valentina Martínez-Morales, Dayanna Tomich-Biber
Format: Article
Language:English
Published: Universidad de Antioquia 2020-08-01
Series:Revista Facultad de Odontología Universidad de Antioquia
Subjects:
Online Access:https://revistas.udea.edu.co/index.php/odont/article/view/330814/20803407
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author Virginia Beatriz Montilla-Puente
María Valentina Martínez-Morales
Dayanna Tomich-Biber
author_facet Virginia Beatriz Montilla-Puente
María Valentina Martínez-Morales
Dayanna Tomich-Biber
author_sort Virginia Beatriz Montilla-Puente
collection DOAJ
description Premature molar loss results in inclination of teeth adjacent to the edentulous gap, uneven marginal ridges, posterior collapse of bite, and atrophy of the residual bone width. The orthodontic treatment aimed at closing post-extraction spaces, is one possible treatment plan. However, in many cases this movement is compromised by the collapse of cortical plates and the decrease of the osseous corridor. Due to this problem, flexicorticotomy may be considered as an alternative in the mesialization of molars to improve residual bone width and to accelerate orthodontic movement. A 22-year-old female patient underwent extraction of the right mandibular first molar. A flexicorticotomy was performed to accelerate the mesial movement of teeth number 37 and 38, using a miniscrew for absolute anchorage. This technique helped mesialize teeth number 37 and 38, attaining a stable class I relationship, thus finding an orthodontic solution to a problem that was historically treated only prosthetically. In conclusion, this technique facilitates the mesial movement of molars, reaching treatment goals more effectively, and saving costs by avoiding further prosthetic treatment.
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spelling doaj.art-b4ba695955064d00a20085620cf8a7602022-12-21T18:59:06ZengUniversidad de AntioquiaRevista Facultad de Odontología Universidad de Antioquia0121-246X2145-76702020-08-0132189103https://doi.org/10.17533/udea.rfo.v32n1a9Optimization approach for the mesialization of lower molars: a case reportVirginia Beatriz Montilla-Puente0https://orcid.org/0000-0003-1203-0349María Valentina Martínez-Morales1https://orcid.org/0000-0002-5375-2623Dayanna Tomich-Biber2Universidad de CaraboboUniversidad de CaraboboUniversidad de CaraboboPremature molar loss results in inclination of teeth adjacent to the edentulous gap, uneven marginal ridges, posterior collapse of bite, and atrophy of the residual bone width. The orthodontic treatment aimed at closing post-extraction spaces, is one possible treatment plan. However, in many cases this movement is compromised by the collapse of cortical plates and the decrease of the osseous corridor. Due to this problem, flexicorticotomy may be considered as an alternative in the mesialization of molars to improve residual bone width and to accelerate orthodontic movement. A 22-year-old female patient underwent extraction of the right mandibular first molar. A flexicorticotomy was performed to accelerate the mesial movement of teeth number 37 and 38, using a miniscrew for absolute anchorage. This technique helped mesialize teeth number 37 and 38, attaining a stable class I relationship, thus finding an orthodontic solution to a problem that was historically treated only prosthetically. In conclusion, this technique facilitates the mesial movement of molars, reaching treatment goals more effectively, and saving costs by avoiding further prosthetic treatment.https://revistas.udea.edu.co/index.php/odont/article/view/330814/20803407movementaccelerationalveolar bone lossmesial movementmovimientoaceleraciónpérdida de hueso alveolar
spellingShingle Virginia Beatriz Montilla-Puente
María Valentina Martínez-Morales
Dayanna Tomich-Biber
Optimization approach for the mesialization of lower molars: a case report
Revista Facultad de Odontología Universidad de Antioquia
movement
acceleration
alveolar bone loss
mesial movement
movimiento
aceleración
pérdida de hueso alveolar
title Optimization approach for the mesialization of lower molars: a case report
title_full Optimization approach for the mesialization of lower molars: a case report
title_fullStr Optimization approach for the mesialization of lower molars: a case report
title_full_unstemmed Optimization approach for the mesialization of lower molars: a case report
title_short Optimization approach for the mesialization of lower molars: a case report
title_sort optimization approach for the mesialization of lower molars a case report
topic movement
acceleration
alveolar bone loss
mesial movement
movimiento
aceleración
pérdida de hueso alveolar
url https://revistas.udea.edu.co/index.php/odont/article/view/330814/20803407
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