DOI QR코드

DOI QR Code

Protraction of mandibular molars through a severely atrophic edentulous space in a case of juvenile periodontitis

  • Wu, Jian-chao (Department of Stomatology, The Second Affiliated Hospital, School of Medicine, Zhejiang University) ;
  • Zheng, Yu-ting (Department of Stomatology, The Second Affiliated Hospital, School of Medicine, Zhejiang University) ;
  • Dai, Yi-jun (Department of Orthodontics, Affiliated Hospital of Stomatology, School of Medicine, Zhejiang University)
  • Received : 2018.12.20
  • Accepted : 2019.04.08
  • Published : 2020.03.25

Abstract

Moving the mandibular posterior teeth into a severely atrophic edentulous space is a challenge. A carefully designed force-and-moment system that results in bodily protraction of the posterior teeth with balanced bone resorption and apposition is needed in such cases. This report describes the treatment of a 19-year-old woman with missing mandibular first molars due to juvenile periodontitis. Miniscrews were used as absolute anchorage during protraction of the mandibular second and third molars. Bodily mesial movement of the mandibular second and third molars was achieved over a distance of 11 to 17 mm after 39 months of orthodontic treatment.

Keywords

References

  1. Baik UB, Chun YS, Jung MH, Sugawara J. Protraction of mandibular second and third molars into missing first molar spaces for a patient with an anterior open bite and anterior spacing. Am J Orthod Dentofacial Orthop 2012;141:783-95. https://doi.org/10.1016/j.ajodo.2010.07.031
  2. Roberts WE. Bone physiology, metabolism and biomechanics in orthodontic practice. In: Graber TM, Vanarsdall RL Jr, eds. Orthodontics: current principles and techniques. St Louis: Mosby; 1994.
  3. Baik UB, Kim MR, Yoon KH, Kook YA, Park JH. Orthodontic uprighting of a horizontally impacted third molar and protraction of mandibular second and third molars into the missing first molar space for a patient with posterior crossbites. Am J Orthod Dentofacial Orthop 2017;151:572-82. https://doi.org/10.1016/j.ajodo.2016.01.019
  4. Cacciafesta V, Melsen B. Mesial bodily movement of maxillary and mandibular molars with segmented mechanics. Clin Orthod Res 2001;4:182-8. https://doi.org/10.1034/j.1600-0544.2001.040309.x
  5. Kim SJ, Sung EH, Kim JW, Baik HS, Lee KJ. Mandibular molar protraction as an alternative treatment for edentulous spaces: focus on changes in root length and alveolar bone height. J Am Dent Assoc 2015;146:820-9. https://doi.org/10.1016/j.adaj.2015.04.025
  6. Saga AY, Maruo IT, Maruo H, Guariza Filho O, Camargo ES, Tanaka OM. Treatment of an adult with several missing teeth and atrophic old mandibular first molar extraction sites. Am J Orthod Dentofacial Orthop 2011;140:869-78. https://doi.org/10.1016/j.ajodo.2010.06.027
  7. Hom BM, Turley PK. The effects of space closure of the mandibular first molar area in adults. Am J Orthod 1984;85:457-69. https://doi.org/10.1016/0002-9416(84)90085-X
  8. Nagaraj K, Upadhyay M, Yadav S. Titanium screw anchorage for protraction of mandibular second molars into first molar extraction sites. Am J Orthod Dentofacial Orthop 2008;134:583-91. https://doi.org/10.1016/j.ajodo.2006.09.055
  9. Kim HJ, Choi YS, Jeong MJ, Kim BO, Lim SH, Kim DK, et al. Expression of UNCL during development of periodontal tissue and response of periodontal ligament fibroblasts to mechanical stress in vivo and in vitro. Cell Tissue Res 2007;327:25-31. https://doi.org/10.1007/s00441-006-0304-3
  10. Bolcato-Bellemin AL, Elkaim R, Abehsera A, Fausser JL, Haikel Y, Tenenbaum H. Expression of mRNAs encoding for alpha and beta integrin subunits, MMPs, and TIMPs in stretched human periodontal ligament and gingival fibroblasts. J Dent Res 2000;79:1712-6. https://doi.org/10.1177/00220345000790091201
  11. Basdra EK, Papavassiliou AG, Huber LA. Rab and rho GTPases are involved in specific response of periodontal ligament fibroblasts to mechanical stretching. Biochim Biophys Acta 1995;1268:209-13. https://doi.org/10.1016/0167-4889(95)00090-F
  12. Oh H, Herchold K, Hannon S, Heetland K, Ashraf G, Nguyen V, et al. Orthodontic tooth movement through the maxillary sinus in an adult with multiple missing teeth. Am J Orthod Dentofacial Orthop 2014;146:493-505. https://doi.org/10.1016/j.ajodo.2014.03.025
  13. Kessler M. Interrelationships between orthodontics and periodontics. Am J Orthod 1976;70:154-72. https://doi.org/10.1016/S0002-9416(76)90316-X
  14. Melsen B. Biological reaction of alveolar bone to orthodontic tooth movement. Angle Orthod 1999;69:151-8.
  15. Giancotti A, Greco M, Mampieri G, Arcuri C. The use of titanium miniscrews for molar protraction in extraction treatment. Prog Orthod 2004;5:236-47.
  16. Kuhlberg AJ, Burstone CJ. T-loop position and anchorage control. Am J Orthod Dentofacial Orthop 1997;112:12-8. https://doi.org/10.1016/S0889-5406(97)70268-3