[Importance of dental malposition and migration in periodontics. II. Tissue reactions during orthdontic movement].
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Adult↗
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Removal of a premolar with extreme distal migration by sagittal osteotomy of the mandibular ramus: report of case.
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Adult↗
Changing positions of supernumerary teeth in the premaxilla: a radiographic study.
To evaluate possible change of position of unerupted supernumerary teeth in the premaxilla, thirty-one patients were followed clinically and radiographically. Alteration in position could be observed in fourteen cases. Occasionally, migration of supernumerary teeth may occur if surgical intervention is postponed, resulting in a more accessible position.
Child↗
Extreme distal migration of a maxillary canine.
A case of extreme distal migration of the left maxillary canine is reported. The canine had erupted buccal to the contact area between the left second premolar and first molar. Past reports of similar ectopia are reviewed.
Adult↗
Surgical removal of a dislocated lower third molar from the condyle region: case report.
INTRODUCTION: Migration of dislocated lower third molar into the condylar region is quite rare. Attention should be taken to avoid condyle fracture. METHODS: 49-year-old patient had an ectopic lower left third molal in the condylar region, suffered from a submandibular and masseter space abscess. Removal of the molar via intraoral approach was chosen avoiding facial nerve branches and unnecessary scar formation. Coronoid process is removed, the tooth is separated and removed. The defect is filled with iliac cancellous bone. The coronoid process was fixed as a cover with a resorbable plate and screws (BIONX). RESULTS: Removal via intraoral approach is possible. Hypesthesia existed postoperatively, became normal later. CONCLUSION: Annual observation is strongly recommended. Intraoral approach is superior to the extraoral approach. Removal of the coronoid process minimizes the masticator forces. Separation of the tooth is essential. Filling the defect with cancellous bone accelerates the healing.
Abscess↗
[Space maintenance following the premature loss of temporary teeth].
Despite contemporary techniques, we still don't have the ability of saving all deciduous teeth in their place on the dental arch until the time of physiological loss. A premature loss of temporary teeth interferes with the harmony of the adult dentition. The principal consequence of this premature loss is crowding, caused by migration of the adjacent teeth. This article ames to guide our policies in the decision making process whether or not maintaining space, in causes of premature loss of one or more deciduous teeth.
Child↗
Orthodontic treatment of a patient with multiple supernumerary teeth and mental retardation.
Supernumerary teeth may lead to impaction or ectopic eruption of maxillary incisors, crowding, oronasal fistula, follicular cyst, migration of adjacent teeth and root resorption. In this presentation, an 11-year-old male patient with 4 supernumerary teeth in the maxillary anterior region and a slight mental retardation problem will be presented. After extraction of the supernumerary teeth, the large space created by distal migration of central incisors was closed by orthodontic treatment. Although initial patient compliance was weak and caused difficulties in the course of treatment, orthodontic treatment was completed successfully.
Cephalometry↗
Transmigration of unerupted mandibular canines: a literature review and a report of five cases.
Migration of a mandibular canine across the midline (transmigration) is a rare condition. Bilateral transmigration is extremely rare, there being only two published accounts. Of the five cases of transmigration described in this report, one involved bilateral transmigration. Treatment options are discussed.
Adolescent↗
Unusual intraosseous transmigration of a palatally impacted canine.
Intraosseous migration of impacted teeth across the midline to the opposite side of the jaw is a rare dental anomaly of unknown etiology. Transmigration of an impacted mandibular canine through the symphysis to the contralateral side of the arch has been documented. Transmigration of an impacted maxillary canine across the midpalatal suture to the opposite side of the maxilla has not been previously observed and is reported here for the first time.
Adolescent↗
Orientation and eruptive patterns of the mandibular second premolar.
Distal migration of the mandibular second premolar into a first molar extraction site is a clinical finding often correlated with the early loss of a permanent mandibular first molar. Signs of this tendency can be detected radiographically as early as 6 to 7 years of age when the mineralization of the crown of the mandibular second premolar is almost complete. The results of a study of 2000 panoramic dental radiographs of children, aged 8 to 18 years, are reported.
Adolescent↗
Ectopic movement of an unerupted mandibular canine.
A case history has been given with the radiographic evidence of the migration, during development of an unerupted mandibular canine from its normal position. In a 30-month period the canine assumed a horizontal position and moved to a site that was apical to the mandibular incisors, still in the confines of the cortical plates. Because erratic movements of unerupted teeth cannot be anticipated, it would seem wise to defer the elective removal of permanent teeth during the mixed dentition stage until the clinician is assured of a normal eruption pattern of the succedaneous teeth.
Child↗
Growth, function and homology: aspects of dental replacement in toothcombed strepsirhines.
In maturing juvenile lemurs and lorises, it was found that the anteriormost lower deciduous premolar migrates forward and may become associated with the teeth of the toothcomb; this is similar to previous observations on the dentition of indriines. The mesial shift of dp2 appears to be associated with the eruption of P2 but, more importantly, also with replacement of the deciduous by the permanent teeth of the toothcomb--which is a period of functional disruption at the front of the jaw. It is suggested that this growth-related phenomenon should not be confused with other aspects of dental development and eruption which might be indicative of homology.
Animals↗
The influence of alveolar bone grafting on the orthodontic and prosthodontic treatment of patients with cleft lip and palate.
The introduction of mixed dentition bone grafting of alveolar clefts means that the alveolar process can be fully restored, permitting adjacent teeth to migrate or be orthodontically moved into the grafted bone. Thus a complete dental arch can be obtained without prosthodontics in the great majority of patients. In addition, oral-nasal fistulae are closed, mucosal recesses eliminated (facilitating oral hygiene) and the long-term periodontal health of the teeth adjacent to the former cleft is improved. Alveolar bone grafting with subsequent orthodontic treatment, together with advances in dental materials, have contributed substantially to the care of patients with alveolar clefts, reducing the need for prosthodontic procedures and allowing completion of the dental treatment at an earlier age.
Alveolar Ridge Augmentation↗
A new reinforced intracoronal composite resin splint. Clinical results after 1 year.
An intracoronal technique for semipermanent splinting of mobile or migrating teeth is described and clinically evaluated. Circumferential grooves of 1 to 1.5 mm depth were cut into the enamel in the occlusal third of the teeth to be splinted. The teeth were splinted by placing a polyester ligature in two or more figure-8 loops along the grooves, and sealing the grooves and interproximal contact areas with an acid-etch composite resin system. A total of 51 splints involving 183 teeth and 132 interproximal contact areas were placed in 34 patients. One year after insertion, 46 splints were found intact. Five splints presented with one fractured interdental element, each. Average mobility of the splinted teeth was 51% below the preoperative level. Splinting improved the masticatory comfort. The esthetic results were satisfactory.
Acid Etching, Dental↗
Genetic dissection of Pitx2 in craniofacial development uncovers new functions in branchial arch morphogenesis, late aspects of tooth morphogenesis and cell migration.
Pitx2, a paired-related homeobox gene that encodes multiple isoforms, is the gene mutated in the haploinsufficient Rieger Syndrome type 1 that includes dental, ocular and abdominal wall anomalies as cardinal features. Previous analysis of the craniofacial phenotype of Pitx2-null mice revealed that Pitx2 was both a positive regulator of Fgf8 and a repressor of Bmp4-signaling, suggesting that Pitx2 may function as a coordinator of craniofacial signaling pathways. We show that Pitx2 isoforms have interchangeable functions in branchial arches and that Pitx2 target pathways respond to small changes in total Pitx2 dose. Analysis of Pitx2 allelic combinations that encode varying levels of Pitx2 showed that repression of Bmp signaling requires high Pitx2 while maintenance of Fgf8 signaling requires only low Pitx2. Fate-mapping studies with a Pitx2 cre recombinase knock in allele revealed that Pitx2 daughter cells are migratory and move aberrantly in the craniofacial region of Pitx2 mutant embryos. Our data reveal that Pitx2 function depends on total Pitx2 dose and rule out the possibility that the differential sensitivity of target pathways was a consequence of isoform target specificity. Moreover, our results uncover a new function of Pitx2 in regulation of cell motility in craniofacial development.
Abnormalities, Multiple↗
Occlusal migration of the maxillary first primary molars subsequent to the loss of antagonists.
The purpose of this study was to observe the vertical changes in unopposed maxillary first primary molars longitudinally. The subjects of this study were 17 children whose lower first primary molars had to be extracted. Space closure were prevented by crown-loop space maintainers for all these children. Plaster casts were made every 4 months for 16 to 24 months after the extraction. These series of casts were standardized, and vertical changes of the maxillary first primary molars against the occlusal plane were measured using a micro-reader. The mean changes indicated that maxillary first primary molars without intercuspidation tend to drift toward the extraction space. On the control side with antagonists, the maxillary first molars seemed to move reversed to apical throughout the observation period. Accordingly, the results of this study showed new trends after the premature loss of primary molars. The vertical changes toward extraction space varied from -0.40 mm to 1.43 mm at the 16 months after extraction. Mean changes were small, but there were some individual differences in reaction, giving negative values. However, we should always be concerned about loss of arch length and also occlusal drift of unopposed teeth, because the vertical changes were greater than 1 mm at 16 months after extraction in some cases.
Child↗
Orthodontic movement into infrabony defects in patients with advanced periodontal disease: a clinical and radiological study.
BACKGROUND: In cases of advanced periodontal disease with a pathologic flaring of frontal teeth, a combined periodontic-orthodontic therapy may be a reliable approach in order to solve both functional and esthetic problems. The aim of the present study was to evaluate the periodontal tissue alterations following periodontal surgery and orthodontic intrusion in migrated upper central incisors with intrabony defects. METHODS: Ten patients with advanced periodontal disease and an extruded maxillary central incisor infrabony defect at its mesial aspect and probing depth (PD) > or = 6 mm were included in the present study. At baseline, PD and clinical attachment level (CAL) were measured. The vertical and horizontal dimensions of the defects were assessed on standardized radiographs. Seven to 10 days after surgery the active orthodontic treatment started using the segmented arch technique, in order to intrude and move the teeth into the defects. Maintenance therapy was performed every 2 to 3 months until the orthodontic treatment was completed. RESULTS: At the end of treatment, mean PD reduction was 4.35 mm, with a residual mean PD of 2.80 mm. Mean CAL gain was 5.50 mm. The mean radiological vertical and horizontal bone fills were, respectively, 1.35 mm and 1.40 mm. All differences were of statistical significance (P<0.001). CONCLUSION: The present study showed that the combined orthodontic and periodontic therapy performed resulted in the realignment of extruded teeth with infrabony defects, obtaining a significant probing depth reduction, clinical attachment gain, and radiological bone fill.
Adult↗
Unilateral distalization of a maxillary molar with sliding mechanics: a case report.
INTRODUCTION: A unilateral Class II relationship could arise due to early loss of an upper second deciduous molar on one side during the mixed dentition period. This would allow the mesial drift of the molars, which may block the eruption of the second premolar. METHODS AND RESULTS: A 15-year 8-month-old male patient presented with a Class II molar relationship on the right, and Class I canine and molar relationship on the left side. His E was extracted when he was 5 years old. The 54 were impacted and the 3 was ectopically positioned due to the space loss from the mesial migration of the 76. In addition 21 1 were in cross-bite. Skeletally he had Class III tendency with low MMPA. He presented with a straight profile and retruded upper lip. For maxillary molar distalization, a newly developed 'Keles Slider' was used. The appliance was composed of one premolar and two molar bands, and the anchorage unit was composed of a wide Nance button. 46 were connected to the Nance button and, therefore, included into the anchorage unit. The point of distal force application was close to the centre of resistance of the 6 and parallel to the occlusal plane. Ni-Ti coil springs were used and 200 g of distal force was applied. Seven months later the space required for eruption of the permanent premolars and canine was regained, and the anterior cross-bite corrected. The appliance was removed and final alignment of the teeth was achieved with fixed appliances. CONCLUSION: At the end of the second phase treatment Class I molar and canine relationship was achieved on the both sides, the anterior cross-bite was corrected, inter-incisal angle was improved, and ideal overbite and overjet relationship was achieved. The active treatment time was 27 months.
Adolescent↗