title: Orthodontic movement of a maxillary incisor through the midpalatal suture: a case report.
abstract: Orthodontic space closure is a treatment alternative when a maxillary central incisor is missing. The objective of this report was to present an unusual treatment in which a right maxillary central incisor was moved through the midpalatal suture to replace the absent contralateral tooth. The biologic aspects and clinical appearance of the recontoured lateral and central incisors were analyzed. The position of the examined teeth and the appearance of the surrounding soft tissues were satisfactory; however, the upper midline frenulum deviated to the left. The incisor was successfully moved with no obvious detrimental effects as observed on the final radiographs. In the radiographic and tomographic examinations, the midline suture seemed to have followed the tooth movement. The patient expressed satisfaction with the results. It was concluded that orthodontic movement of the central incisor to replace a missing contralateral tooth is a valid treatment option, and the achievement of an esthetic result requires an interdisciplinary approach, including restorative dentistry and periodontics.
authors: Department of Orthodontics, Bauru Dental School and Hospital of Rehabilitation of Craniofacial Anomalies, University of São Paulo, São Paulo, Brazil. dgarib@uol.com.br
authors: Daniela Gamba
authors: DG
authors: Garib
authors: Guilherme
authors: G
authors: Janson
authors: Patrícia Bittencourt Dutra
authors: PB
authors: dos Santos
authors: Taiana
authors: T
authors: de Oliveira Baldo
authors: Gabriela Ulian
authors: GU
authors: de Oliveira
authors: Sérgio Kiyoshi
authors: SK
authors: Ishikiriama
mesh_terms: D054893:Cone-Beam Computed Tomography; D003393:Cranial Sutures / Q000000981:diagnostic imaging / Q000473:pathology*; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000293:injuries / Q000473:pathology*; D008312:Malocclusion, Angle Class II / Q000628:therapy; D008437:Maxilla / Q000473:pathology*; D019516:Orthodontic Space Closure / Q000295:instrumentation / Q000379:methods*; D010159:Palate / Q000000981:diagnostic imaging / Q000473:pathology*; D010347:Patient Care Planning; D017060:Patient Satisfaction; D016388:Tooth Loss / Q000628:therapy; D016896:Treatment Outcome; D055815:Young Adult