Orthodontic treatment of severe anterior open bite and alveolar bone defect complicated by an ankylosed maxillary central incisor: a case report

Head & Face Medicine

Zhenyu Ni¹  Qiushuo Chen³  Linjie Yao²  Hao Sun³  Feiou Lin³ 

[1] Orthodontic Department, School of Stomatology, Wenzhou Medical University, No. 113 West Xueyuan Road, Wenzhou, Zhejiang, China;Pedodontic Department, School of Stomatology, Wenzhou Medical University, Wenzhou, China;Orthodontic Department, School of Stomatology, Wenzhou Medical University, Wenzhou, China

关键词: Dental trauma;    Alveolar bone defect;    Open bite;    Orthodontic;   

Others  :  1136064
DOI  :  10.1186/1746-160X-10-47

 received in 2014-08-07, accepted in 2014-11-11,  发布年份 2014

【 摘 要 】

Incisor trauma is common in children, and can cause severe complications during adolescent growth and development. This report describes the treatment of a 16-year-old patient with severe anterior open bite due to ankylosis of the maxillary left incisor after dental trauma as an 8-year-old. No examination or active treatment was undertaken until he was 16 years old. Clinical examination revealed that the maxillary left incisor was severely intruded accompanied by a vertical alveolar bone defect. Orthodontic treatment combined with surgical luxation took 3 years and 7 months. During treatment, the intruded incisor was moved to the occlusal level and the alveolar bone defect was restored, achieving normal occlusion. After two years of retention, the maxillary left incisor was retained in a stable normal position with a slightly reduced overbite. This case demonstrates that surgical luxation with orthodontic traction can be an effective approach, especially when the ankylosed tooth has a single root. Long-term monitoring of orthodontic stability and the maintenance of periodontal health are crucial in the post-treatment period.

【 授权许可】

   
2014 Lin et al.; licensee BioMed Central Ltd.

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