A 15-year follow up of an orthodontic treatment including a lower incisor extraction and keeping the maxillary canine-premolar transposition

Soonshin Hwang, Insil Kim, Woowon Jang, Yoon Jeong Choi, Chooryung Judi Chung, Kyungho Kim

Research output: Contribution to journalArticle

Abstract

Lower incisor extraction is an effective option for treating lower anterior crowding in patients with a good facial profile, Class I molar occlusion, and narrow upper incisors. This report describes the successful treatment of an adolescent patient with lower anterior crowding and a transposed maxillary canine and premolar treated by extracting a lower incisor and keeping the transposed positions of the teeth. With the use of retainers, treatment results were stable up to the 2-year postretention visit. However, upon a 15-year postretention appointment, the fixed retainer had been removed and the removable retainer was no longer in use, which resulted in relapse of lower anterior alignment. Moreover, the transposed canine had extruded during this period, causing occlusal interference and gingival recession, as well as loss of tooth vitality, which indicates the importance of maintaining orthodontic retainers for long-term stable occlusion.

Original languageEnglish
Pages (from-to)812-826
Number of pages15
JournalThe Angle orthodontist
Volume89
Issue number5
DOIs
Publication statusPublished - 2019 Sep 1

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Bicuspid
Incisor
Orthodontics
Canidae
Orthodontic Retainers
Gingival Recession
Tooth Loss
Appointments and Schedules
Tooth
Therapeutics
Recurrence

All Science Journal Classification (ASJC) codes

  • Orthodontics

Cite this

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abstract = "Lower incisor extraction is an effective option for treating lower anterior crowding in patients with a good facial profile, Class I molar occlusion, and narrow upper incisors. This report describes the successful treatment of an adolescent patient with lower anterior crowding and a transposed maxillary canine and premolar treated by extracting a lower incisor and keeping the transposed positions of the teeth. With the use of retainers, treatment results were stable up to the 2-year postretention visit. However, upon a 15-year postretention appointment, the fixed retainer had been removed and the removable retainer was no longer in use, which resulted in relapse of lower anterior alignment. Moreover, the transposed canine had extruded during this period, causing occlusal interference and gingival recession, as well as loss of tooth vitality, which indicates the importance of maintaining orthodontic retainers for long-term stable occlusion.",
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A 15-year follow up of an orthodontic treatment including a lower incisor extraction and keeping the maxillary canine-premolar transposition. / Hwang, Soonshin; Kim, Insil; Jang, Woowon; Choi, Yoon Jeong; Chung, Chooryung Judi; Kim, Kyungho.

In: The Angle orthodontist, Vol. 89, No. 5, 01.09.2019, p. 812-826.

Research output: Contribution to journalArticle

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