New Surgical Technique and Distraction Osteogenesis for Ankylosed Dental Movement
New Surgical Technique and Distraction Osteogenesis for Ankylosed Dental Movement
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DOI：
10.1097/scs.0000000000000737
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发表时间：
2014-05-01
影响因子：
0.9
通讯作者：
Crespi, Roberto
中科院分区：
文献类型：
--
作者：
Agabiti, Ivo;Cappare, Paolo;Crespi, Roberto
牙齿强直通常会出现明显的垂直牙槽缺损，这是修复修复的美观问题。此外，通过皮质切开术和牵引装置进行的外科正畸治疗特别注意避免该节段的血液供应损失；此外，由于牙龈组织的增殖速度赶不上牙齿的立即重新定位，可能会出现牙龈退缩。本病例报告介绍了颊侧、腭侧和垂直运动的手术技术，并检查了牙齿/牙弓牵引矫治器对强直缺失牙齿的对齐效果。牙齿和骨块的缓慢移动以及精细切割简化了患者的正畸治疗，并使在相对较短的时间内实现复杂的运动成为可能期间。所报告的脱位手术允许使用颊舌垂直截骨术和水平截骨术，通过骨块运动保持牙龈组织就位来纠正牙齿位置。事实证明，所使用的声波锯是手动或旋转工具、振荡锯或压电装置的有价值的替代品，因为它的手术方法更快、更容易。
Dental ankylosis often presents a significant vertical alveolar defect that is an esthetic problem for prosthetic rehabilitation. Moreover, surgical-orthodontic treatment by corticotomies and distraction devices provides special attention to avoid the loss of blood supply to the segment; furthermore, gingival recessions may appear because the gingival tissues cannot proliferate as fast as the immediate repositioning of the tooth.This case report presents a surgical technique for buccal, palatal, and vertical movements, and examines the effects of a tooth/arch-borne tooth distractor appliance, for the alignment of anky-losed teeth.The slow movements of tooth and bone block and fine cut simplifies orthodontic treatment in patients and makes it possible to achieve complex movements in a relatively short period. The reported dislocation procedure allows a use of buccal-lingual vertical osteotomy with horizontal osteotomy to correct tooth positions via bony block movement maintaining gingival tissues in position. The used sonic saw have proven to be a valuable alternative to manual or rotating tools, oscillating saws, or piezoelectric units because it is faster and easier for surgical approach.