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A 21 yr old male patient reported to the department.
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Whats this???
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A revised treatment plan was then drafted,
to distalize the right canine using a
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How did we work out this design?
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Presurgical Measures
Since orthodontic tooth movement was
considered impossible, a segmental
osteotomy and gradual distal movement of
the right maxillary canine was planned.
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Surgical Measures
A segmental alveolar osteotomy was
performed in the upper right maxillary
segment in close proximity to the periodontal
space on the distal of 13 and the mesial of
15 to ensure complete retraction of the
canine with no interposed bone in between.
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After completing the osteotomy the
segment was mobilized.
This operative site was then sutured.
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After surgery, the patient immediately reported
to the orthodontic department and was then
placed on a .
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Distraction Schedule
The first activation was done
3 days post surgery.
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Outcome
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Discussion
There are two alternatives to consider for distraction:
the use of horizontal elastics
the fixed screw type distractor
With the use of horizontal elastics, control of the distraction rate is
difficult.
Careful surgical procedure can avoid the complications with the adjacent
teeth.
Advantages of :
Economical.
Simple to fabricate.
The design is not bulky.
Not technique sensitive.
Good patient compliance.
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niravpatel@teethcarecentre.com
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