Presentation Category
Other
Introduction/Context/Diagnosis
Patient B.C. presented to the orthodontic clinic with the chief complaint, “I want to fix the gaps in between my teeth.” The patient presented with a skeletal and dental Class I pattern with moderate U/L spacing. Patient was congenitally missing U6s and U/L7s with no previously reported family history of oligodontia. Patient also had a Bolton’s Tooth size discrepancy with mandibular anterior excess and peg-shaped laterals. Since the patient has inadequate maxillary bone distal to the U6s for a future implant prosthesis, it was treatment planned to use fixed orthodontic appliances and open coiled springs to distilize U5s to allow more maxillary bone fill in the edentulous site between the U4s and U5s for a future implant prosthesis. The benefits of this would also allow the L6s to have a maxillary antagonist for good function and occlusal stability. Currently, the distilization process is complete and obtained good maxillary bone fill in the edentulous site. Towards the end of the fixed appliance therapy, the patient presented to the University of Pacific Main Clinic to restore the upper centrals and laterals to address the Bolton’s Tooth Size discrepancy. The patient is currently towards the final stage of coordinating the dental arches and making finishing improvements to alignment and occlusion. After orthodontic treatment, the patient will be prescribed U/L Hawleys with an attached pontic tooth between U4s and U5s until the patient has completed growth and will be ready for a prosthetic implant.
Location
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
Format
Presentation
Optimizing Implant Prosthesis Success in a Patient with Oligodontia: Distalization Strategies for Enhanced Bone Levels and Addressing Bolton's Tooth Size Discrepancy with Peg Lateral Buildups in Orthodontic Treatment
Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA
Patient B.C. presented to the orthodontic clinic with the chief complaint, “I want to fix the gaps in between my teeth.” The patient presented with a skeletal and dental Class I pattern with moderate U/L spacing. Patient was congenitally missing U6s and U/L7s with no previously reported family history of oligodontia. Patient also had a Bolton’s Tooth size discrepancy with mandibular anterior excess and peg-shaped laterals. Since the patient has inadequate maxillary bone distal to the U6s for a future implant prosthesis, it was treatment planned to use fixed orthodontic appliances and open coiled springs to distilize U5s to allow more maxillary bone fill in the edentulous site between the U4s and U5s for a future implant prosthesis. The benefits of this would also allow the L6s to have a maxillary antagonist for good function and occlusal stability. Currently, the distilization process is complete and obtained good maxillary bone fill in the edentulous site. Towards the end of the fixed appliance therapy, the patient presented to the University of Pacific Main Clinic to restore the upper centrals and laterals to address the Bolton’s Tooth Size discrepancy. The patient is currently towards the final stage of coordinating the dental arches and making finishing improvements to alignment and occlusion. After orthodontic treatment, the patient will be prescribed U/L Hawleys with an attached pontic tooth between U4s and U5s until the patient has completed growth and will be ready for a prosthetic implant.
Comments/Acknowledgements
Presentation Category: Residents: Orthodontics