ABSTRACT
RESUMEN: La situación de gran competitividad profesional que estamos experimentando actualmente exige la necesidad de una demanda formativa cada vez mayor, que deriva en la "superespecialización" de los odontólogos/ estomatólogos. Por ello, la asociación entre diversos "especialistas" cada vez es más común con el fin de proporcionar al paciente un tratamiento global y de calidad dirigido a satisfacer sus necesidades asistenciales. El objetivo del presente artículo es presentar el tratamiento multidisciplinar, de un paciente con una transposición del canino definitivo con el incisivo lateral derecho temporal, y su rehabilitación con un implante osteointegrado.
ABSTRACT: Dentistry nowadays is a very competitive field; that is why the amount of professionals that look for an academic training on specific topics is increasing. The importance of permanent communication with other professionals during the planning stage is the key for a successful treatment. The objective of this clinical case is to present a multidisciplinary work, focused on dental rehabilitation of a patient with an agenesis of the permanent right incisor in the maxillary bone and its treatment.
Subject(s)
Humans , Female , Adult , Tooth Eruption, Ectopic/therapy , Dental Implants , Cuspid , Platelet-Rich Fibrin , Incisor/abnormalities , Patient Care Team , Tooth Eruption, Ectopic/rehabilitation , Bone Regeneration , Osseointegration , Anodontia/rehabilitation , Anodontia/therapyABSTRACT
RESUMEN La transposición dentaria se define como una ectopia del germen dentario, es común encontrarla en caninos superiores, pero cuando esta entidad se combina con una transposición se convierte en un dilema para el ortodoncista. Su etiología es multifactorial y no está bien aclarada, es conocido que se produce en el momento de la formación embrionaria por un intercambio en la posición del germen dentario, y con frecuencia, se considera ligado a factores genéticos. Se relaciona con trauma en el área afectada y con interferencias mecánicas. Se presentó un paciente de 14 años de edad, sexo masculino, que solicitó tratamiento por tener los dientes "botados" y un diente "fuera de lugar". Al examen clínico se observó transposición de 23 con 2:4. Se colocó aparatología fija con técnicas de cementado directo y bandas en los primeros molares permanentes superiores, se determinó mesializar el 23 y dejar libre 24, para evitar daño radicular. Una vez colocado 23 en su posición, 24 fue distalado y alineado al arco; para esto se utilizó arcos térmicos de nitinol preformados y secciones con elastómeros. Se logró neutroclusión de molares y caninos sin perjudicar los tejidos de soporte (AU).
ABSTRACT Tooth transposition is defined as an ectopia of the tooth germ, commonly found in upper canines, but when this entity is combined with a transposition, it becomes a dilemma for the orthodontists. Its etiology is multi-factorial and unknown. It takes place at the moment of the embryonic formation due to an interchange in the position of a tooth germ, and it is frequently considered linked to genetic factors. It is related to trauma in the affected area and with mechanic interferences. We present the case of a male patient, aged 14 years, who asked treatment for having buckteeth and a tooth ¨out of place¨. At the clinical examination it was observed the transposition of the 23 with 24. A fixed brace was put with direct cement techniques and bands in the first permanent upper molars. The orthodontist decided to mesialize 23 and let 24 free, to avoid root damage. Once 23 was in its position, 24 was distalized and aligned to the arch using pre-formed thermic nitinol arches and sections with elastomers. The molars and canines neutral occlusion was achieved without damaging the support tissues (AU).
Subject(s)
Humans , Male , Adolescent , Orthodontics, Corrective , Tooth Eruption, Ectopic/etiology , Orthodontic Appliances, Fixed , Tooth Eruption, Ectopic/congenital , Tooth Eruption, Ectopic/therapy , Tooth Eruption, Ectopic/epidemiologyABSTRACT
ABSTRACT Tooth transposition is one of the most difficult dental anomalies to treat in the dental clinic. Several factors must be taken into account with a view of making the best decision. The aim of this study was to discuss treatment modalities for tooth transposition, their advantages and disadvantages. Additionally, it aims at presenting a clinical case of transposition between canine and lateral incisor in the upper quadrant on the right side. The treatment of choice was extraction of one transposed tooth. A multidisciplinary approach involving Orthodontics, Cosmetic Dentistry, and Periodontology was necessary to allow proper esthetic and functional outcomes to be achieved.
RESUMO A transposição é considerada uma das anomalias dentárias mais difíceis de se administrar clinicamente. Vários fatores devem ser considerados para que a melhor decisão seja tomada. Neste artigo, o objetivo foi discutir as modalidades de tratamento da transposição dentária, suas vantagens e desvantagens, e apresentar um caso clínico de transposição entre canino e incisivo lateral na hemiarcada superior direita. A opção terapêutica de escolha foi a extração de um dos dentes transpostos, tendo-se a necessidade de uma abordagem multidisciplinar com a participação da Ortodontia, Dentística e Periodontia, a fim de que adequados resultados estéticos e funcionais fossem alcançados.
Subject(s)
Humans , Female , Adolescent , Orthodontics, Corrective , Tooth Eruption, Ectopic/therapy , Patient Care Planning , Tooth Eruption, Ectopic/diagnostic imaging , Radiography, PanoramicABSTRACT
Tooth transposition is a rare developmental anomalyaffecting less than 1% of the population. Thepermanent maxillary canine and 1st premolar are themost commonly affected teeth. Bilateral maxillarycanine-1st premolar transpositions are extremely rarewith only a handful of cases being reported in theliterature. We report one such case of bilateralmaxillary canine-1st premolar transposition in a 28year old Malaysian female which was associated withother dental anomalies.