Document Detail

Six-year follow-up in skeletal Class III patient aged over 40 receiving orthognathic surgery and autotransplantation: a case report.
MedLine Citation:
PMID:  19887757     Owner:  NLM     Status:  MEDLINE    
This paper describes the post-operative course of care in a patient requiring orthognathic surgery for skeletal mandibular protrusion in whom autotransplantation of a third molar was performed. A lower third molar that had to be removed for sagittal split ramus osteotomy (SSRO) was transplanted to replace the missing right second molar during pre-surgical orthodontic treatment, contributing to post-treatment occlusal stability. A 44-year-old woman presented with mandibular protrusion. The upper left second molar was congenitally missing and the lower right second molar had been extracted. She was diagnosed as having skeletal mandibular protrusion with excess vertical growth of the mandible and anterior open bite. Correction of the skeletal problem required orthognathic surgery by SSRO and Le Fort I osteotomy without orthodontic tooth extraction. At month 5 during 18 months of pre-surgical orthodontic treatment, the lower left third molar was transplanted to the lower right second molar site. Active treatment was completed after 7 months of post-surgical orthodontic treatment. The patient wore upper and lower Begg-type removable retainers for approximately 2 years. She returned for a recall checkup at 6 years post-treatment. Although radiographic examination revealed root resorption and ankylosis of the autotransplanted tooth at 8 years after transplantation, occlusion has remained stable with no clinically significant complications. The autotransplanted tooth helped stabilize her occlusion and acted as a kind of temporary tooth prior to the final decision on treatment to be given such a dental implant.
Etsuko Motegi; Yumi Takane; Eri Tokunaga; Kenji Sueishi; Nobuo Takano; Takahiko Shibahara; Chikara Saito
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Bulletin of Tokyo Dental College     Volume:  50     ISSN:  0040-8891     ISO Abbreviation:  Bull. Tokyo Dent. Coll.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-11-05     Completed Date:  2010-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505414     Medline TA:  Bull Tokyo Dent Coll     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  141-7     Citation Subset:  D    
Department of Orthodontics, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502, Japan.
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MeSH Terms
Follow-Up Studies
Malocclusion, Angle Class III / complications,  surgery*
Mandible / surgery*
Molar, Third / transplantation*
Open Bite / complications,  therapy
Orthodontics, Corrective
Orthognathic Surgical Procedures / methods*
Osteotomy, Le Fort

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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