The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Alveolar ridge expansion-assisted orthodontic space closure in the mandibular posterior region

  • Ozer, Mete (Department of Orthodontics, Faculty of Dentistry, Ondokuz Mayis University) ;
  • Akdeniz, Berat Serdar (Department of Orthodontics, Faculty of Dentistry, Ondokuz Mayis University) ;
  • Sumer, Mahmut (Department of Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayis University)
  • Received : 2013.03.22
  • Accepted : 2013.07.02
  • Published : 2013.12.25
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Abstract

Orthodontic closure of old, edentulous spaces in the mandibular posterior region is a major challenge. In this report, we describe a method of orthodontic closure of edentulous spaces in the mandibular posterior region accelerated by piezoelectric decortication and alveolar ridge expansion. Combined piezosurgical and orthodontic treatments were used to close 14- and 15-mm-wide spaces in the mandibular left and right posterior areas, respectively, of a female patient, aged 18 years and 9 months, diagnosed with skeletal Class III malocclusion, hypodontia, and polydiastemas. After the piezoelectric decortication, segmental and full-arch mechanics were applied in the orthodontic phase. Despite some extent of root resorption and anchorage loss, the edentulous spaces were closed, and adequate function and esthetics were regained without further restorative treatment. Alveolar ridge expansion-assisted orthodontic space closure seems to be an effective and relatively less-invasive treatment alternative for edentulous spaces in the mandibular posterior region.

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