Treatment of an "ankylosed" upper central incisor in the mixed dentition.

Abstract

A ten-year-old boy presented with an unerupted upper right central incisor (UR1). An OPG radiograph showed a supernumerary tooth lying over its crown, preventing its eruption. Standard orthodontic treatment involving removal of the supernumerary tooth, attaching a gold chain to the UR1 and treatment with fixed orthodontic appliances failed to bring the tooth down, until it was found that tough fibrous gingival tissue entwined in the gold chain had "ankylosed" the tooth. Once this tissue had been removed and the wound packed open, the tooth was brought down successfully into occlusion.

• Authors: R Cerny
• Journal: Australian orthodontic journal (Aust Orthod J) Vol. 16 Issue 2 Pg. 104-7 (Jul 2000) ISSN: 0587-3908 [Print] Australia
• PMID: 11201962 (Publication Type: Case Reports, Journal Article)

Topics

• Ankylosis (surgery, therapy)
• Child
• Dentition, Mixed
• Fibrosis
• Gingiva (pathology)
• Gingivectomy
• Humans
• Incisor (pathology, surgery)
• Male
• Maxilla
• Orthodontic Appliances
• Radiography, Panoramic
• Surgical Flaps
• Tooth Diseases (surgery, therapy)
• Tooth Movement Techniques (instrumentation)
• Tooth, Supernumerary (diagnostic imaging, surgery)
• Tooth, Unerupted (surgery, therapy)