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Asymmetric extractions in a patient with a hopeless maxillary central incisor, followed by treatment with mini-implant anchorage.

Abstract Premolar extraction is 1 option for treatment of patients with malocclusion and severe crowding or protrusion. When the patient has missing or hopeless teeth other than premolars, it is possible to consider removal of those teeth to use the space to decrease crowding. A 15-year-old girl sought treatment for severe crowding. She had already lost her maxillary right first premolar as a result of caries 1 year previously and had a hopeless maxillary right central incisor. Her mandibular left first molar still caused discomfort even after endodontic treatment. Extractions of the maxillary right central incisor and mandibular right first premolar and left first molar were chosen to resolve the occlusion problems. Orthodontic mini-implants were placed to translocate the maxillary left central incisor across the midpalatal suture to use the space in the maxillary right quadrant to relieve the crowding. Although a different extraction option was used in each quadrant, the final occlusion was acceptable. After debonding, porcelain crowns were placed on the anterior teeth to improve esthetics. The treatment result remained stable after 2 years of retention.
PMID
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Authors

Mayor MeshTerms

Orthodontic Anchorage Procedures

Serial Extraction

Keywords
Journal Title american journal of orthodontics and dentofacial orthopedics : official publication of the american association of orthodontists, its constituent societies, and the american board of orthodontics
Publication Year Start




PMID- 29706220
OWN - NLM
STAT- MEDLINE
DCOM- 20180510
LR  - 20180510
IS  - 1097-6752 (Electronic)
IS  - 0889-5406 (Linking)
VI  - 153
IP  - 5
DP  - 2018 May
TI  - Asymmetric extractions in a patient with a hopeless maxillary central incisor,
      followed by treatment with mini-implant anchorage.
PG  - 716-729
LID - S0889-5406(18)30131-8 [pii]
LID - 10.1016/j.ajodo.2016.12.033 [doi]
AB  - Premolar extraction is 1 option for treatment of patients with malocclusion and
      severe crowding or protrusion. When the patient has missing or hopeless teeth
      other than premolars, it is possible to consider removal of those teeth to use
      the space to decrease crowding. A 15-year-old girl sought treatment for severe
      crowding. She had already lost her maxillary right first premolar as a result of 
      caries 1 year previously and had a hopeless maxillary right central incisor. Her 
      mandibular left first molar still caused discomfort even after endodontic
      treatment. Extractions of the maxillary right central incisor and mandibular
      right first premolar and left first molar were chosen to resolve the occlusion
      problems. Orthodontic mini-implants were placed to translocate the maxillary left
      central incisor across the midpalatal suture to use the space in the maxillary
      right quadrant to relieve the crowding. Although a different extraction option
      was used in each quadrant, the final occlusion was acceptable. After debonding,
      porcelain crowns were placed on the anterior teeth to improve esthetics. The
      treatment result remained stable after 2 years of retention.
CI  - Copyright (c) 2018 American Association of Orthodontists. Published by Elsevier
      Inc. All rights reserved.
FAU - Jung, Min-Ho
AU  - Jung MH
AD  - Department of Orthodontics, Dental Research Institute and School of Dentistry,
      Seoul National University, Seoul, Korea; private practice, Seoul, Korea.
      Electronic address: [email protected]
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Am J Orthod Dentofacial Orthop
JT  - American journal of orthodontics and dentofacial orthopedics : official
      publication of the American Association of Orthodontists, its constituent
      societies, and the American Board of Orthodontics
JID - 8610224
RN  - 0 (Dental Implants)
SB  - D
SB  - IM
MH  - Adolescent
MH  - Dental Implants
MH  - Female
MH  - Humans
MH  - Incisor/*surgery
MH  - Malocclusion/*surgery
MH  - Maxilla
MH  - *Orthodontic Anchorage Procedures
MH  - *Serial Extraction/methods
EDAT- 2018/05/01 06:00
MHDA- 2018/05/11 06:00
CRDT- 2018/05/01 06:00
PHST- 2016/08/01 00:00 [received]
PHST- 2016/12/01 00:00 [revised]
PHST- 2016/12/01 00:00 [accepted]
PHST- 2018/05/01 06:00 [entrez]
PHST- 2018/05/01 06:00 [pubmed]
PHST- 2018/05/11 06:00 [medline]
AID - S0889-5406(18)30131-8 [pii]
AID - 10.1016/j.ajodo.2016.12.033 [doi]
PST - ppublish
SO  - Am J Orthod Dentofacial Orthop. 2018 May;153(5):716-729. doi:
      10.1016/j.ajodo.2016.12.033.