Interdisciplinary treatment of an adult patient with old extraction sites.
This case report describes the interdisciplinary treatment of a 31-year-old female patient showing a protrusive profile, maxillary constriction, mandibular crowding, a Class III canine relationship complicated with multiple missing teeth, old atrophic extraction sites, and periodontal defects. The lower dental arch irregularity was eliminated by air-rotor stripping (ARS). The upper extraction site was opened for prosthetic rehabilitation, whereas closure of the lower extraction space was preferred. The narrow alveolar crest of the atrophic bone was augmented with the use of autogenous bone, beta-tricalcium phosphate (Cerasorb), and autogenous platelet-rich plasma. A functional and esthetic occlusion in an improved facial profile was established at the end of orthodontic treatment combined with ARS technique, surgery, and prosthodontics.
Taner
Tülin Ugur
TU
Department of Orthodontics, Hacettepe University Faculty of Dentistry, Ankara, Turkey. tulinortho@hotmail.com
Germec
Derya
D
Er
Nuray
N
Tulunoglu
Ibrahim
I
D000328:Adult; D020906:Air Abrasion, Dental; D016301:Alveolar Bone Loss / Q000150:complications / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation; D002508:Cephalometry; D003758:Dental Implantation, Endosseous; D005260:Female; D006801:Humans; D008310:Malocclusion / Q000150:complications / Q000628:therapy*; D008313:Malocclusion, Angle Class III / Q000150:complications / Q000628:therapy; D019516:Orthodontic Space Closure; D010155:Palatal Expansion Technique; D010348:Patient Care Team; D053657:Platelet-Rich Plasma; D020390:Tooth Socket / Q000473:pathology* / Q000601:surgery