Treatment for an Tooth Ankylosis Patient with Corticotomy-Facilitated Orthodontics and Titanium Miniscrew – A Case Report

Authors

Po-Yu Yang, Department of Orthodontic, Chung-Shan Medical University Hospital, Tai-Chung, Taiwan; Department of Dentistry, College of Oral Medicine of Chung Shan Medical UniversityFollow
Tzu-Hsin Lee, Department of Orthodontic, Chung-Shan Medical University Hospital, Tai-Chung, Taiwan; Department of Dentistry, College of Oral Medicine of Chung Shan Medical University

Abstract

This case report is a 31-year-old man with Angle’s class I malocclusion (ANB: 1;wits: -3mm ) , upper and lower anterior crowding, missing lower right second premolar, and ankylosis of lower right first molar (beneath occlusal plane 7 mm). Orthodontic treatment consisted of extraction of #15 (upper right second premolar), and two buccal tipping maxillary third molars ( #18 & #28). A modified corticotomy was performed by the oral surgeon for the ankylosed molar (#46), and a miniscrew was inserted in the upper right first molar #16 region as anchorage. Via this way, we did upright the ankylosis molar and gradually bring it to the occlusal plane after 5 months. This case report demonstrates that corticotomy-facilitated orthodontic treatment with temporary anchorage device is a practical approach to treat ankylosis. Meanwhile, it could shorten the orthodontic treatment duration, and achieve a satisfactory realistic occlusion.

Recommended Citation

Yang, Po-Yu and Lee, Tzu-Hsin (2012) "Treatment for an Tooth Ankylosis Patient with Corticotomy-Facilitated Orthodontics and Titanium Miniscrew – A Case Report," Taiwanese Journal of Orthodontics: Vol. 24: Iss. 4, Article 5.
https://doi.org/10.30036/TJO.201212.0005
Available at: https://www.tjo.org.tw/tjo/vol24/iss4/5

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