Orthodontic treatment of a mandibular incisor fenestration resulting from a broken retainer

Orthodontic treatment of a mandibular incisor fenestration resulting from a broken retainer
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DOI:
10.1016/j.ajodo.2015.04.027
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发表时间:
2015-08-01
影响因子:
3
通讯作者:
de Lima, Eduardo Martinelli S.
de Lima, Eduardo Martinelli S.
中科院分区:
医学2区
文献类型:
--
作者:
Farret, Marcel M.;Farret, Milton M. B.;de Lima, Eduardo Martinelli S.

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This article describes the orthodontic relapse with mandibular incisor fenestration in a 36-year-old man who had undergone orthodontic treatment 21 years previously. The patient reported that his mandibular 3 3 3 bonded retainer had been partially debonded and broken 4 years earlier. The mandibular left lateral incisor remained bonded to the retainer and received the entire load of the incisors; consequently, there was extreme labial movement of the root, resulting in dental avulsion. As part of the treatment, the root was repositioned lingually using a titanium-molybdenum segmented archwire for 8 months, followed by endodontic treatment, an apicoectomy, and 4 months of alignment and leveling of both arches. The treatment outcomes were excellent, and the tooth remained stable, with good integrity of the mesial, distal, and lingual alveolar bones and periodontal ligament. The 1-year follow-up showed good stability of the results.