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http://dx.doi.org/10.14368/jdras.2020.36.4.272

Temporary replacement of congenital missing incisors on mandible using temporary anchorage devices in growing patient: 2-year follow-up  

Choi, Youn-kyung (Dental Clinic Center, Pusan National University Hospital)
Kwon, Eun-Young (Dental Clinic Center, Pusan National University Hospital)
Jung, Kyung-Hwa (Dental Clinic Center, Pusan National University Hospital)
Choi, Na-Rae (Dental Clinic Center, Pusan National University Hospital)
Park, Soo-Byung (Department of Orthodontics, School of Dentistry, Pusan National University)
Kim, Seong-sik (Department of Orthodontics, School of Dentistry, Pusan National University)
Kim, Yong-il (Department of Orthodontics, School of Dentistry, Pusan National University)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.36, no.4, 2020 , pp. 272-281 More about this Journal
Abstract
Agenesis of permanent tooth in adolescent patients can be treated either by orthodontic treatment for space closure or by maintaining the space until implant restoration can be carried out in adult. However, gradual atrophy of alveolar bone width makes it difficult to restore the prosthesis in the future or may cause unaesthetic results. Therefore, maintaining of not only the missing space but also the alveolar bone width should be considered. This case is a treatment whereby a temporary replacement of missing 2 mandibular incisors in adolescent patient was carried out using 2 temporary anchorage devices (TADs). Two TADs were placed horizontally 2 - 3 mm below the top of alveolar ridge, and fixed with artificial teeth by stainless steel wires extended. During the 2 year follow-up, neither gingival inflammation nor loss of the TADs have occurred. In the radiographic evaluation, the growth of the adjacent alveolar bone was not inhibited, and the width of the alveolar bone was maintained.
Keywords
alveolar bone loss; tooth agenesis; dental implants; temporary restoration; adolescent;
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