Interdisciplinary approach for bilateral maxillary canine: First premolar transposition with complex problems in an adult patient

Adult patients seeking orthodontic care were increased nowadays not only on esthetic need but also on functional demand. But problems with adult patients were not only malocclusions but also dental caries, pulpal pathology, missing teeth, muco-gingival problems and loss of supporting structures. We...

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Main Authors: Dhivakar Selvaraj, Jhonson Raja, Somasundaram Prasath
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2013;volume=5;issue=6;spage=190;epage=194;aulast=Selvaraj
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author Dhivakar Selvaraj
Jhonson Raja
Somasundaram Prasath
author_facet Dhivakar Selvaraj
Jhonson Raja
Somasundaram Prasath
author_sort Dhivakar Selvaraj
collection DOAJ
description Adult patients seeking orthodontic care were increased nowadays not only on esthetic need but also on functional demand. But problems with adult patients were not only malocclusions but also dental caries, pulpal pathology, missing teeth, muco-gingival problems and loss of supporting structures. We report here a case of 35-year-old female with complete transposition referred as a positional interchange of two permanent teeth within the same quadrant of the dental arch along with gingival recession of the lower anteriors and missing molars. Gingival health was improved by free gingival graft in lower anteriors followed by fixed orthodontic procedure to correct transposition. Based on transposition crown recontouring and restoration was done along with replacement of missing molars with fixed prosthesis. Thus, proper treatment planning with interdisciplinary management improves not only the esthetics and occlusal relationship but also with stable results.
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spelling doaj.art-e7d7dd339d1f492db80f09c3a9041e962022-12-22T01:59:18ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0975-74060976-48792013-01-015619019410.4103/0975-7406.114319Interdisciplinary approach for bilateral maxillary canine: First premolar transposition with complex problems in an adult patientDhivakar SelvarajJhonson RajaSomasundaram PrasathAdult patients seeking orthodontic care were increased nowadays not only on esthetic need but also on functional demand. But problems with adult patients were not only malocclusions but also dental caries, pulpal pathology, missing teeth, muco-gingival problems and loss of supporting structures. We report here a case of 35-year-old female with complete transposition referred as a positional interchange of two permanent teeth within the same quadrant of the dental arch along with gingival recession of the lower anteriors and missing molars. Gingival health was improved by free gingival graft in lower anteriors followed by fixed orthodontic procedure to correct transposition. Based on transposition crown recontouring and restoration was done along with replacement of missing molars with fixed prosthesis. Thus, proper treatment planning with interdisciplinary management improves not only the esthetics and occlusal relationship but also with stable results.http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2013;volume=5;issue=6;spage=190;epage=194;aulast=SelvarajComplete transpositionfree gingival graftgingival recessionmissing toothmaxillary canine and premolar transposition
spellingShingle Dhivakar Selvaraj
Jhonson Raja
Somasundaram Prasath
Interdisciplinary approach for bilateral maxillary canine: First premolar transposition with complex problems in an adult patient
Journal of Pharmacy and Bioallied Sciences
Complete transposition
free gingival graft
gingival recession
missing tooth
maxillary canine and premolar transposition
title Interdisciplinary approach for bilateral maxillary canine: First premolar transposition with complex problems in an adult patient
title_full Interdisciplinary approach for bilateral maxillary canine: First premolar transposition with complex problems in an adult patient
title_fullStr Interdisciplinary approach for bilateral maxillary canine: First premolar transposition with complex problems in an adult patient
title_full_unstemmed Interdisciplinary approach for bilateral maxillary canine: First premolar transposition with complex problems in an adult patient
title_short Interdisciplinary approach for bilateral maxillary canine: First premolar transposition with complex problems in an adult patient
title_sort interdisciplinary approach for bilateral maxillary canine first premolar transposition with complex problems in an adult patient
topic Complete transposition
free gingival graft
gingival recession
missing tooth
maxillary canine and premolar transposition
url http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2013;volume=5;issue=6;spage=190;epage=194;aulast=Selvaraj
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AT jhonsonraja interdisciplinaryapproachforbilateralmaxillarycaninefirstpremolartranspositionwithcomplexproblemsinanadultpatient
AT somasundaramprasath interdisciplinaryapproachforbilateralmaxillarycaninefirstpremolartranspositionwithcomplexproblemsinanadultpatient