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Fırat University Medical Journal of Health Sciences
2023, Cilt 37, Sayı 3, Sayfa(lar) 265-268
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Repositioning of an Ankylosed Maxillary Central Incisor Using the Distraction Osteogenesis Method and a Custom-Made Device: A Case Report
Serkan DÜNDAR1, Recai TEMİZKAN2, Alihan BOZOĞLAN1, Erdem HATUNOĞLU3, Cansu Büşra UZUN4, Nurullah SÖKMEN5
1Firat University, Dentistry Faculty, Department of Periodontology, Elazig, TURKIYE
2Private Practice Physician, Orthodontics, Elazig, TURKIYE
3Private Practice Physician, Orthodontics, Kahramanmaras, TURKIYE
4T.R. Ministry of Health, Atasehir Oral and Dental Health Hospital, Periodontology Istanbul, TURKIYE
5T.R. Ministry of Health, Alanya Oral and Dental Health Center, Periodontology, Antalya, TURKIYE
Keywords: Alveolar distraction osteogenesis, dentoosseos distraction osteogenesis, osteogenic distraction, ankylosis, ankylosed tooth

Tooth ankylosis can lead to chewing function abnormality and a bad bite, resulting in an esthetically unappealing smile line. The dentoalveolar distraction osteogenesis method is a good option for the treatment of an ankylosed tooth, as it facilitates both hard and soft formation and repositioning of the tooth. Successful repositioning of an ankylosed tooth improves both function and esthetics. In this clinical case report, we describe the treatment of an ankylosed maxillary central incisor in a 21-year-old female using a simple tooth-derived intraoral distractor. An expansion screw and stainless-steel wire were used in the construction of the distractor. This intraoral apparatus provided ease of movement of the dentoalveolar segment after the osteotomy. After repositioning the central incisor by distraction osteogenesis procedure improvement of chewing function and smile esthetics achieved. The dentoalveolar distraction osteogenesis method using a tooth-borne distraction device can yield good results in patients with tooth ankylosis.

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