Socket sclerosis--an obstacle for orthodontic space closure?
BACKGROUND
Socket sclerosis is a rare reaction to tooth extraction resulting in high-density bone in the center of the alveolar process, where, under normal circumstances, cancellous bone is to be expected.


METHODS
In an adult orthodontic patient, routine extractions of the mandibular first permanent bicuspids were performed, resulting in socket sclerosis and unsuccessful orthodontic space closure. Orthodontic mini-implants were inserted to augment anchorage and aid in space closure.


RESULTS
In the presence of socket sclerosis, conventional orthodontic mechanics failed to close the extraction spaces. However, with absolute anchorage in place, space closure occurred at a nearly normal rate. After treatment, no signs of socket sclerosis were discernible on the periapical radiographs.


CONCLUSIONS
Socket sclerosis can be an obstacle for orthodontic space closure if traditional mechanics are employed. However, mini-implant-reinforced anchorage can lead to successful space closure, resulting in complete resolution of the sclerotic sites.
Baumgaertel
Sebastian
S
Department of Orthodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio. sxb155@case.edu
D000328:Adult; D001641:Bicuspid / Q000601:surgery; D015921:Dental Implants; D005260:Female; D006801:Humans; D008334:Mandible; D008904:Miniaturization; D052280:Orthodontic Anchorage Procedures / Q000295:instrumentation*; D019516:Orthodontic Space Closure / Q000295:instrumentation*; D010026:Osteosclerosis / Q000209:etiology* / Q000473:pathology; D014081:Tooth Extraction / Q000009:adverse effects*; D020390:Tooth Socket / Q000473:pathology*
D015921:Dental Implants