14 March 2022

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Segmental osteotomy for the management of an ankylosed permanent tooth. A case report

Authors: E.M. Bazzinia, A. Rossib, L. Boschiana, F. Tomatisa, V. Capilupib, E. Ciapponia, G. Garattini

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The aim of this case re- port is to describe a method to treat an- kylosed teeth, as an alternative to avul- sion and replantation procedures.

MATERIALS AND METHODS.
The case of a 13-year-old patient is presented, who was subjected to a single tooth den- to-osseous osteotomy for the treatment of an ankylosed and infraoccluded max- illary right central incisor.

RESULTS
Short term evaluation re- vealed a good soft tissue healing. After 6 months, there was no evidence of relapse in the tooth position.
The post-treatment panoramic radio- graph showed good bone regeneration around the segmental osteotomies.

CONCLUSIONS
Single-tooth osteotomy to reposition an ankylosed tooth, in con- junction with orthodontic treatment, is a predictable and successful procedure. This technique enables the repositioning of the ankylosed tooth, while preserving the alveolar bone.