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A Novel Approach to extrude Subgingivally Fractured Tooth using Customized Removable Appliance

机译:使用定制的可移动器械挤出牙龈下方骨折的新方法

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摘要

Traumatic dental injuries (TDIs) are common in growing children. Among all the dental injuries, complicated crown root fractures (Andreasen Class VI) of maxillary permanent anterior teeth are relatively widespread. Such fractured teeth are often considered as hopeless and are extracted. However, if the tooth is to be retained, various treatment strategies have been proposed. The aim of the present case report is to suggest a new technique to treat a complicated crown root fracture. The management of this case included endodontic procedure and orthodontic extrusion to move the fracture line above the supragingival level. A customized removable Hawley’s appliance with a modified single cantilever spring was fabricated and an anchoring Begg bracket was bonded on the residual crown of the tooth. This method is useful in the mixed dentition when there is insufficient anchorage of adjacent teeth because of preshedding mobility and trauma.>How to cite this article: Mohammad Z, Penmetcha S, Bagalkotkar A, Namineni S. A Novel Approach to extrude Subgingivally Fractured Tooth using Customized Removable Appliance. Int J Clin Pediatr Dent 2018;11(1):53-57.
机译:创伤性牙齿损伤(TDI)在成年儿童中很常见。在所有牙齿损伤中,上颌恒前牙的复杂冠根骨折(Andreasen Class VI)相对较普遍。此类骨折的牙齿通常被认为是绝望的,被拔出。然而,如果要保留牙齿,已经提出了各种治疗策略。本病例报告的目的是提出一种治疗复杂冠根骨折的新技术。该病例的治疗包括牙髓手术和正畸挤压以将骨折线移至龈上水平以上。制造了一种定制的可移动式Hawley矫正器,该矫正器带有一个改良的单悬臂弹簧,并且在牙齿的残留冠上固定了一个锚定的Begg托架。当由于假牙的活动性和创伤而导致相邻牙齿的锚固不足时,该方法可用于混合牙列。>如何引用本文:Mohammad Z,Penmetcha S,Bagalkotkar A,NamineniS。使用定制的可移动设备挤压牙龈下方骨折的方法。 Int J临床儿科牙医2018; 11(1):53-57。

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