Abstract
In contemporary dentistry, endosseous implants are widely used to replace missing teeth with a survival rate of 90-95%. They have been accepted in the literature as a very good alternative to conventional prosthetic restorations. With a proper diagnosis and treatment plan, osseointegrated implants can also be used as an absolute anchorage in order to obtain orthodontic tooth movement.
The aim of this case report is to present the multidisciplinary treatment of a patient whose teeth were relapsed after comprehensive orthodontic treatment and endosseous implant insertion. A 16 year –old caucasian female patient with two congenitally missing lateral incisors and retrognathic maxilla had been treated with fixed orthodontic appliances. Treatment plan consisted of space opening for lateral incisors and leveling and aligning the dental arches. Following the orthodontic therapy 2 endosseous implants were inserted and Hawley retainers were fabricated and prescribed for full time wear. During the osseointegration period of the implants patient did not use the retainers and a relapse occured as a result. After consultation with the prosthodontists dental implants were decided to be used as anchorage unit to align the relapsed teeth and detail the occlusion. Temporary crowns were fabricated over the implants and maxillary teeth were banded and bonded. After 6 months of treatment an acceptable occlusion was reestablished. The stability of the dental implants were not affected during the orthodontic force application. Full length porcelain veneer crowns were inserted at the end of orthodontic treatment.
Vertical loading of an implant produces the lowest stress to the supporting bone. When the implants are used as an anchorage unit, formation of a horizontal force vector due to rotational moments is inevitable. However, weak horizontal forces (25-50 gr.) in order to obtain tooth movement did not affect the stability of the dental implants.
Keywords
References
- 1. Kokich VG. Managing complex orthodontic problems: the use of implants for anchorage. Semin Orthod 1996;2:153-160.
- 2. Huang LH, Shotwell JL, Wang HL. Dental implants for orthodontic anchorage. Am J Orthod Dentofacial Orthop 2005;127:713-722.
- 3. Linkow LI. The endosseous blade implant and its use in orthodontics. Int J Orthod 1969;7:149-154.
- 4. Roberts WE, Smith RK, Zilberman Y, Mozsary PG, Smith RS. Osseous adaptation to continuous loading of rigid endosseous implants. Am J Orthod, 1984;86:95-111.
- 5. Angle EH. Treatment of malocclusion of the teeth, ed. t. edition, 1907, Philadelphia: SS White Dental Mfg. Co.
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- 7. Ricketts RM, Bench RW, Gugino CF, Hilgers JJ, Schulhof RJ. Bioprogressive Therapy. Book 1 Denver: Rocky Mountain Orthodontics. 1979.
- 8. Thompson WM. Occipital anchorage. Angle Orthod 1940;10:206-211.
- 9. Rossouw PE, Buschang PH. Temporary orthodontic anchorage devices for improving occlusion. Orthod Craniofac Res 2009;12:195- 205.
- 10. Keles A, Erverdi N, Sezen S. Bodily distalization of molars with absolute anchorage. Angle Orthod 2003;73:471-482.
- 11. Oncag G, Seçkin O, Dinçer B, Arikan F. Osseointegrated implants with pendulum springs for maxillary molar distalization: a cephalometric study. Am J Orthod Dentofacial Orthop 2007;131:16-26.
- 12. Giancotti A, Greco M, Docimo R, Arcuri C. Extraction treatment using a palatal implant for anchorage. Aust Orthod J 2003;19:87-90.
- 13. Odman J, Lekholm U, Jemt T, Thilander B. Osseointegrated implants as orthodontic anchorage in the treatment of partially edentulous adult patients. Eur J Orthod 1994;16:187- 201.
- 14. Schneider G, Simmons K, Nason R, Felton D. Occlusal rehabilitation using implants for orthodontic anchorage. J Prosthodont 1998;7:232-236.
- 15. Willems G, Carels CE, Naert IE, van Steenberghe D. Interdisciplinary treatment planning for orthodonticprosthetic implant anchorage in a partially edentulous patient. Clin Oral Implants Res 1999;10:331-337.
- 16. Uribe F, Havens B, Nanda R. Reduction of gingival display with maxillary intrusion using endosseous dental implants. J Clin Orthod 2008;42:157-163.
- 17. Liang X, Wang H, Tang S, Lu D. An experimental investigation of osseointegration and stability of implants used as orthodontic anchorage in dogs. Chin J Dent Res 1999;2:68-72.
- 18. Hoste S. Vercruyssen M, Quirynen M, Willems G. Risk factors and indications of orthodontic temporary anchorage devices: a literature review. Aust Orthod J 2008;24:140-148
Abstract
References
- 1. Kokich VG. Managing complex orthodontic problems: the use of implants for anchorage. Semin Orthod 1996;2:153-160.
- 2. Huang LH, Shotwell JL, Wang HL. Dental implants for orthodontic anchorage. Am J Orthod Dentofacial Orthop 2005;127:713-722.
- 3. Linkow LI. The endosseous blade implant and its use in orthodontics. Int J Orthod 1969;7:149-154.
- 4. Roberts WE, Smith RK, Zilberman Y, Mozsary PG, Smith RS. Osseous adaptation to continuous loading of rigid endosseous implants. Am J Orthod, 1984;86:95-111.
- 5. Angle EH. Treatment of malocclusion of the teeth, ed. t. edition, 1907, Philadelphia: SS White Dental Mfg. Co.
- 6. Chuck GC. A consideration of the second permanent molars as a source of anchorage. Angle Orthod 1937;7:15-21.
- 7. Ricketts RM, Bench RW, Gugino CF, Hilgers JJ, Schulhof RJ. Bioprogressive Therapy. Book 1 Denver: Rocky Mountain Orthodontics. 1979.
- 8. Thompson WM. Occipital anchorage. Angle Orthod 1940;10:206-211.
- 9. Rossouw PE, Buschang PH. Temporary orthodontic anchorage devices for improving occlusion. Orthod Craniofac Res 2009;12:195- 205.
- 10. Keles A, Erverdi N, Sezen S. Bodily distalization of molars with absolute anchorage. Angle Orthod 2003;73:471-482.
- 11. Oncag G, Seçkin O, Dinçer B, Arikan F. Osseointegrated implants with pendulum springs for maxillary molar distalization: a cephalometric study. Am J Orthod Dentofacial Orthop 2007;131:16-26.
- 12. Giancotti A, Greco M, Docimo R, Arcuri C. Extraction treatment using a palatal implant for anchorage. Aust Orthod J 2003;19:87-90.
- 13. Odman J, Lekholm U, Jemt T, Thilander B. Osseointegrated implants as orthodontic anchorage in the treatment of partially edentulous adult patients. Eur J Orthod 1994;16:187- 201.
- 14. Schneider G, Simmons K, Nason R, Felton D. Occlusal rehabilitation using implants for orthodontic anchorage. J Prosthodont 1998;7:232-236.
- 15. Willems G, Carels CE, Naert IE, van Steenberghe D. Interdisciplinary treatment planning for orthodonticprosthetic implant anchorage in a partially edentulous patient. Clin Oral Implants Res 1999;10:331-337.
- 16. Uribe F, Havens B, Nanda R. Reduction of gingival display with maxillary intrusion using endosseous dental implants. J Clin Orthod 2008;42:157-163.
- 17. Liang X, Wang H, Tang S, Lu D. An experimental investigation of osseointegration and stability of implants used as orthodontic anchorage in dogs. Chin J Dent Res 1999;2:68-72.
- 18. Hoste S. Vercruyssen M, Quirynen M, Willems G. Risk factors and indications of orthodontic temporary anchorage devices: a literature review. Aust Orthod J 2008;24:140-148
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | May 12, 2011 |
| Submission Date | October 15, 2010 |
| Published in Issue | Year 2011Volume: 14 Issue: 2 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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