PRE-PROSTHETIC ORTHODONTIC RETREATMENT OF A PATIENT WITH CONGENITAL MISSING CENTRAL INCISOR: A CASE REPORT

Abstract

The aim of this case report is to present a multidisciplinary treatment of a patient who had previously received orthodontic treatment and a congenital missing maxillary central incisor. Radiographic examination of a 20-year-old female revealed that the adjacent lateral incisor moved towards the maxillary central incisor cavity. The adequate mesiodistal distance was prepared with orthodontic treatment and a dental implant was placed in the area. For the treatment of congenital missing central incisor present in the patient, the proper dental implant space could not be obtained with the previous orthodontic treatment, which was successfully resolved after making an ideal orthodontic treatment with a multidisciplinary approach.

Keywords

• congenital missing tooth,orthodontics,multidisciplinary approach,anterior aesthetics

KONJENİTAL SANTRAL KESİCİ DİŞ EKSİKLİĞİ OLAN HASTANIN PRE-PROTETİK ORTODONTİK TEDAVİSİ: OLGU SUNUMU

Abstract

Bu vaka raporunun amacı, daha önce ortodontik tedavi görmüş konjenital maksiller santral diş eksikliği olan hastanın multidisipliner tedavi yaklaşımı ile tedavisinin sunulmasıdır. Yirmi yaşındaki kadın hastanın radyografik muayenesinde komşu lateral dişin maksiller santral diş eksikliği boşluğuna doğru hareket ettiği belirlenmiştir. Yeterli meziodistal mesafe ortodontik tedaviyle hazırlanmış ve bölgeye bir adet dental implant yerleştirilmiştir. Hastada var olan konjenital santral eksikliğinin tedavisi için, daha önce yapılan ortodontik tedavi ile tam olarak uygun dental implant boşluğu elde edilememiştir, bu durum multidisipliner bir yaklaşımla önce ideal ortodontik olarak hazırlık yapıldıktan sonra başarılı bir şekilde giderilmiştir.

Keywords

• Konjenital diş eksikliği,ortodonti,dental implant,multidisipliner yaklaşım,ön bölge estetiği

References

1. 1. Akoğlan M, Benlidayı ME, Tatlı U. Konjenital Lateral Eksikliğinin Ortodontik Tedavi Sonrası Hemen Yüklenen İmplant ile Tedavisi: Olgu Sunumu. 7tepe Klinik Dergisi. 2016;12(3), 53-56. 2. Ward DH. Proportional smile design using the recurring esthetic dental (red) proportion. Dent Clin North Am 2001; 45: 143–154. 3. Rosa M, Zachrisson BU. Integrating space closure and esthetic dentistry in patients with missing maxillary lateral incisors. J Clin Orthod 2007; 41: 563–573. 4. Balshi TJ. Osseointegration and orthodontics: modern treatment for congenitally missing teeth. Int J Periodontics Restorative Dent 1993; 13: 494–505. 5. Thomas B, Joseph RM, Sholapurkar A. Management of a patient with congenitally missing lateral incisor: a multidisciplinary team approach. Rev. clin. pesq. odontol. 2009; 5: 293–299. 6. Bilhan H, Arat S, Mumcu E, Demirkaya AA. Multidisipliner Yaklaşımla Üst Ön Bölge Estetiğinin Ortodontik, İmplantolojik ve Protetik Tedavilerle Sağlanması: Bir Vaka Sunumu. Journal of Istanbul University Faculty of Dentistry. 2009;43(1-2):45-51. 7. Richardson G, Russell KA. Congenitally missing maxillary lateral incisors and orthodontic treatment considerations for the single-tooth implant. J Can Dent Assoc 2001; 67: 25-8. 8. Kokich VG, Spear FM. Guidelines for managing the orthodontic-restorative patient. Semin Orthod 1997; 3: 3-20. 9. Shroff B, Siegel SM, Feldman S, Siegel SC. Combined orthodontic and prosthetic therapy. Special considerations. Dent Clin North Am 1996; 40: 911-43. 10. Spear FM, Mathews DM, Kokich VG. Interdisciplinary management of single-tooth implants. Semin Orthod 1997; 3: 45-72. 11. Kokich V. Esthetics and anterior tooth position: an orthodontic perspective. Part III: Mesiolateral relationships. J Esthetic Dent 1993; 5: 200-07 12. Ong MA, Wang HL, Smith FN. Interrelationship between periodontics and adult orthodontics. J Clin Periodontol 1998; 25: 271- 7.