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Interdisciplinary treatment of a nonsyndromic oligodontia patient with implant-anchored orthodontics.
[oligodontia]
We
successfully
treated
a
nonsyndromic
oligodontia
patient
with
implant-anchored
orthodontics
and
prosthetic
restorations
.
A
woman
,
age
18
years
11
months
,
had
a
straight
profile
and
a
skeletal
Class
I
jaw-base
relationship
but
had
spaced
arches
because
of
7
congenitally
missing
teeth
.
After
leveling
and
alignment
of
the
dentition
,
a
titanium
miniscrew
was
temporarily
placed
at
the
distal
alveolus
of
the
mandibular
right
first
premolar
,
and
the
posterior
teeth
were
mesialized
to
reduce
the
restorative
spaces
.
After
determination
of
the
incisor
positions
,
3
dental
implants
were
respectively
inserted
at
the
sites
of
the
maxillary
canines
and
the
mandibular
left
lateral
incisor
with
guided
bone
regeneration
procedures
.
Then
,
screw-retained
temporary
prostheses
were
delivered
after
subepithelial
connective
tissue
grafting
and
used
for
molar
mesialization
as
absolute
anchorage
.
After
36
months
of
active
orthodontic
treatment
,
an
acceptable
occlusion
was
achieved
,
both
functionally
and
esthetically
,
with
the
3
dental
implants
.
The
maxillary
and
mandibular
molars
were
mesialized
,
but
the
changes
of
incisor
position
were
minimal
.
As
a
result
,
a
proper
facial
profile
was
maintained
,
and
an
attractive
smile
was
achieved
.
The
resultant
occlusion
was
stable
throughout
a
3
-
year
retention
period
.
In
conclusion
,
interdisciplinary
treatment
combined
with
orthodontics
,
implant
surgery
,
and
prosthodontics
was
useful
for
a
nonsyndromic
oligodontia
patient
.
Especially
,
the
new
strategy-implant-anchored
orthodontics-can
facilitate
the
treatment
more
simply
with
greater
predictability
.
Diseases
Validation
Diseases presenting
"active orthodontic treatment"
symptom
oligodontia
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