Abstract
If dental ankylosis occurs in maxillary incisors of a growing child, the ankylosed tooth can not move vertically with the subsequent disturbance in vertical growth of the alveolar process. Because ankylosed tooth does not respond orthodontic force, extraction was recommended in the past. But the loss of tooth and accompaning alveolar bone loss incur compromised esthetic situation. And it is very hard to replace by prosthetics. So intentional surgical luxation and orthodontic movement was attempted, but usually this approach is followed by recurrence of the ankylosis. Nowadays the unitooth subapical osteotomy and rapid movement of block bone was reported. Two cases we presented, one is treated by intentional luxation and the other is by unitooth subapical osteotomy following application of light continuous force soon.
유착된 치아는 교정력으로 이동되지 않으므로 대부분 발치를 하였지만 어린나이에 치아를 발거하면 치아의 결손과 이에 수반되는 치조골의 소실 때문에 심미적으로 매우 불량해진다. 저자들은 임상적, 방사선 소견으로 유착된 것이 확인된 상악 중절치와 측절치를 각각 의도적인 탈구와 단일치아 골절단술을 시행한 후 약하고 지속적인 힘을 가하여 비교적 양호한 결과를 얻어 이에 대해 보고하고자 한다.
