DOI QR코드

DOI QR Code

Posterior maxillary segmental osteotomy for management of insufficient intermaxillary vertical space and intermolar width discrepancy: a case report

  • Baeg, SeungWoo (Department of Oral and Maxillofacial Surgery, Institute of Oral Health Science, Ajou University School of Medicine) ;
  • On, SungWoon (Department of Oral and Maxillofacial Surgery, Institute of Oral Health Science, Ajou University School of Medicine) ;
  • Lee, JeongKeun (Department of Oral and Maxillofacial Surgery, Institute of Oral Health Science, Ajou University School of Medicine) ;
  • Song, SeungIl (Department of Oral and Maxillofacial Surgery, Institute of Oral Health Science, Ajou University School of Medicine)
  • Received : 2016.04.14
  • Accepted : 2016.06.27
  • Published : 2016.12.31

Abstract

Backgrounds: Insufficient intermaxillary space is caused by non-restoration following tooth extraction in the past, and this involves eruption of the opposing teeth and changes of the arch structure. Such cases are difficult just by a simple prosthetic approach, and diversified treatment plans should be established. Among these, posterior maxillary segmental osteotomy (PMSO) is an efficient treatment option than extraction of opposing teeth as it surgically repositions multiple erupted teeth and alveolar bone. PMSO can preserve the natural teeth; therefore, it is being regarded as a treatment method which can improve insufficient intermaxillary space significantly. Case presentation: In this case report, the first patient received PMSO in order to place an implant in the mandibular edentulous space after decreased vertical dimension is restored, and the second patient received PMSO along with orthodontic treatment to obtain the intermaxillary space and balance the interarch molar width. Conclusion: PMSO is the treatment of choice when occlusion is compromised in the presence of decreased vertical dimension or arch length discrepancy.

Keywords

References

  1. Ataoglu H, Kucukkolbasi H, Ataoglu T (2002) Posterior segmental osteotomy of maxillary edentulous ridge: an alternative to vertical reduction. Int J Oral Maxillofac Surg 31(5):558-559. doi:10.1054/ijom.2002.0288
  2. Joshi U, Patil S K Siddiqua A, Thakur N (2010). Posterior maxillary segmental osteotomy for management of supraerupted teeth. Int J Dent Clin 2(3):64-67 https://doi.org/10.4103/2231-0754.95257
  3. Akkas I, Toptas O, Akpinar YZ, Ozan F (2015) Segmental alveolar osteotomy by palatal approach to correct excessive angulated dental implants in anterior and posterior maxilla. J Clin Diagn Res 9(4):ZD03-05. doi:10.7860/JCDR/2015/11832.5778
  4. Hibi H, Ueda M (1997) Occlusal restoration with surgical interventionsosteotomy, implant surgery, and tooth transplantation: a clinical report. J Prosthet Dent 78(3):236-240 https://doi.org/10.1016/S0022-3913(97)70019-2
  5. Papaspyridakos P, Ostuni A, Han C, Lal K (2013) Posterior maxillary segmental osteotomy for the implant reconstruction of a vertically deficient ridge: a 3-year clinical report. J Prosthet Dent 110(2):69-75. doi:10.1016/S0022-3913(13)00137-6
  6. Myung Rae K, Jai Woo S (1981) A case of posterior maxillary segmental osteotomy. J Korean Assoc Oral Maxillofac Surg 7(1):107-112
  7. Yang SI, Kim JY, Kim CS (1994) A case report of surgical correction of unilateral posterior maxillary dentoalveolar hyperplasia by one-step posterior maxillary segmental osteotomy. J Korean Assoc Oral Maxillofac Surg 20(1):67-73
  8. J K (1960) Nove metody chirurgickcho leceni ostevreneho skusu. Cslka Stomat 60:387
  9. Kufner J (1960) Nove metody chirurgickeho leceni otevreneho skusu. Cs Stomatol 60:387-392
  10. Al-Zubair NM (2014) Orthodontic intrusion: a contemporary review. J Orthop Res 2(3):118
  11. Topkara A, Karaman AI, Kau CH (2012) Apical root resorption caused by orthodontic forces: a brief review and a long-term observation. Eur J Dent 6(4):445-453
  12. Yao CCJ, Lee JJ, Chen HY, Chang ZCJ, Chang HF, Chen YJ (2005) Maxillary molar intrusion with fixed appliances and mini-implant anchorage studied in three dimensions. Angle Orthod 75(5):754-760
  13. Meningaud JP, Pitak-Arnnop P, Corcos L, Bertrand JC (2006) Posterior maxillary segmental osteotomy for mandibular implants placement: case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102(5):e1-3. doi:10.1016/j.tripleo.2006.03.013
  14. Hokett SD, Hoen MM (1998) Inflammatory cervical root resorption following segmental orthognathic surgery. A case report. J Periodontol 69(2):219-226. doi:10.1902/jop.1998.69.2.219
  15. Lownie JF, Cleaton-Jones PE, Coleman H, Forbes M (1999) Long-term histologic changes in the dental pulp after posterior segmental osteotomies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87(3):299-304 https://doi.org/10.1016/S1079-2104(99)70212-X
  16. Lownie JF, Cleaton-Jones PE, Fatti LP, Lownie MA, Forbes M, Bird M (1998) Vascularity of the dental pulp after segmental osteotomy in the chacma baboon (Papio ursinus). Br J Oral Maxillofac Surg 36(4):285-289 https://doi.org/10.1016/S0266-4356(98)90712-4
  17. Ueki K, Marukawa K, Shimada M, Alam S, Nakagawa K, Yamamoto E (2006) The prevention of periodontal bone loss at the osteotomy site after anterior segmental and dento-osseous osteotomy. J Oral Maxillofac Surg 64(10):1526-1531. doi:10.1016/j.joms.2005.10.036

Cited by

  1. Unconventional implant strategy for patients with a limited interocclusal space in the posterior region: a case report vol.19, pp.1, 2019, https://doi.org/10.1186/s12903-019-0907-1
  2. Clinical and Radiographical Measurements of Supraeruption and Occlusal Interferences in Unopposed Posterior Teeth vol.22, pp.7, 2016, https://doi.org/10.5005/jp-journals-10024-3143