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Moving an incisor across the midline: a treatment alternative in an adolescent patient. Am J Orthod Dentofacial Orthop 2011 Apr;139(4):533-43

Date

04/05/2011

Pubmed ID

21457865

DOI

10.1016/j.ajodo.2009.10.041

Scopus ID

2-s2.0-79953308937 (requires institutional sign-in at Scopus site)   12 Citations

Abstract

A 13-year-old sought treatment for a severely compromised maxillary left central incisor and an impacted fully developed left canine. Extraction of both teeth became necessary. As the key component of the revised comprehensive treatment plan, the right maxillary central incisor was moved into the position of the left central incisor. All other maxillary teeth were moved mesially to close any gaps. Active orthodontic treatment was completed after 34 months. Frenectomy, minor periodontal surgeries, and bonded lingual retainers were used to improve aesthetics and stabilize the tooth positions. The patient was pleased with the treatment outcome. Cone-beam computed tomography provided evidence that the tooth movement was accompanied by a deviation of the most anterior portion of the median palatine suture. This observation may make relapse more likely if long-term retention cannot be ensured. Root resorption was not observed as a consequence of the major tooth movement.

Author List

Bosio JA, Bradley TG, Hefti AF

Author

Arthur Hefti DDS,PhD Associate Dean - Research & Graduate Studies in the Dentistry department at Marquette University




MESH terms used to index this publication - Major topics in bold

Adolescent
Cephalometry
Cuspid
Gingivoplasty
Humans
Incisor
Labial Frenum
Male
Malocclusion, Angle Class II
Maxilla
Orthodontic Retainers
Patient Care Planning
Patient Satisfaction
Retrognathia
Tooth Extraction
Tooth Movement Techniques
Tooth, Impacted
Treatment Outcome