title: Management of ankylosed maxillary canine with single-tooth osteotomy in conjunction with orthognathic surgery.
abstract: Ankylosis of teeth is the abnormal adherence of alveolar bone to dentin or cementum. Ankylosis of a submerged maxillary canine can be challenging when striving for an optimal occlusal and esthetic treatment outcome with orthognathic surgery. If an ankylosed tooth does not respond to orthodontic forces, surgical procedures may be indicated to facilitate movement of the tooth to the correct position including a single-tooth segmental osteotomy to reposition the alveolar bone including the ankylosed tooth. The objective of this case report is to describe the treatment of a patient with an ankylosed submerged maxillary right canine, with a single-tooth osteotomy performed to reposition the tooth into its correct position concomitant with double-jaw orthognathic surgery and TMJ surgery.
authors.affiliation: Clinical Professor, Residency of Oral and Maxillofacial Surgery, Federal Bahia University, Salvador, Brazil; and Private Practice, Salvador, Brazil.
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Rodrigues
authors.affiliation: Clinical Professor, Department of Oral and Maxillofacial Surgery, Baylor College of Dentistry, Texas A&M University System Health Science Center, Baylor University Medical Center, Dallas, TX. Electronic address: lwolford@swbell.net.
authors.forename: Larry M
authors.initials: LM
authors.lastname: Wolford
authors.affiliation: Resident, Department of Oral and Maxillofacial Surgery, Federal Bahia University, Salvador, Brazil.
authors.forename: Leonardo M G
authors.initials: LM
authors.lastname: Figueiredo
authors.affiliation: Orthodontist, Private Practice, Plano, TX.
authors.forename: George Q
authors.initials: GQ
authors.lastname: Adams
mesh_terms: D000293:Adolescent; D003481:Cuspid / Q000601:surgery*; D005260:Female; D006801:Humans; D056948:Orthognathic Surgical Procedures; D010027:Osteotomy / Q000379:methods*; D011862:Radiography, Panoramic; D020254:Tooth Ankylosis / Q000601:surgery*