Volume 24, Issue 102, March - April, 2020

Management of an Ankylosed Central Incisor with Single-Tooth Dento-osseous Osteotomy: A Case Report

Mohammad Moslem Imani¹, Mohsen Safaei², Farzad Rezaei³, Havash Gharati⁴, Fatemeh Azizi^1♦

¹Department of Orthodontics, Faculty of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
²Oral and Dental Sciences Research Laboratory, School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
³Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran
⁴Department of Periodontology, Faculty of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran

^♦Corresponding author
Department of Orthodontics, Faculty of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran. Email: 3889azizi3889@gmail.com

ABSTRACT

Ankylosis is defined as pathological fusion of root cementum or dentin to the surrounding alveolar bone. Dental trauma is the main etiology of ankylosis. The ankylosed teeth do not erupt during facial vertical growth and often remain submerged. Herein, we present management of an ankylosed maxillary central incisor. The tooth did not respond to orthodontic mechanics alone. We performed single-tooth dento-osseous osteotomy to allow inferior movement of the tooth. In conclusion, distraction osteogenesis of the alveolar bone can be performed in conjunction with orthodontic treatment to correct both the bony and gingival margins.

Keywords: Ankylosis; Osteotomy; Distraction osteogenesis

Medical Science, 2020, 24(102), 968-975

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