Interdisciplinary treatment of ankylosed upper central incisors with an anterior vertical ridge defect: A case report

• Published in: Dental traumatology Vol. 39; no. 1; pp. 88 - 94
• Main Authors: Madureira, Davidson Frois, Valentim, Gustavo Laignier Lage, Silva, Tarcília Aparecida, Júnior, Aécio Abner Campos
• Format: Journal Article
• Language: English
• Published: Denmark Wiley Subscription Services, Inc 01-02-2023
• Subjects: Alveolar Process; Alveolar Ridge Augmentation; Ankylosis; Bone grafts; Case reports; Child; Connective tissues; decoronation; dental Implantation; Dental implants; Humans; Incisor - surgery; Incisors; Male; Mutation; Orthodontics; subepithelial connective tissue graft; Teeth; tooth ankylosis; Tooth Ankylosis - surgery; Tooth Avulsion - therapy; Tooth Crown; xenogeneic bone graft; Xenografts; xenogeneic bone graft; tooth ankylosis; dental Implantation; decoronation; subepithelial connective tissue graft
• ISSN: 1600-4469; 1600-9657
• DOI: 10.1111/edt.12791

This case report describes the successful 10‐years interdisciplinary treatment of ankylosed upper central incisors with an anterior vertical ridge defect. This treatment was challenging as ankylosis was present before the growth spurt. Orthodontic treatment in association with decoronation, a xenogeneic bone graft, an autogenous sub‐epithelial connective tissue graft, and implant placement were performed to correct the vertical ridge defect and to re‐establish appropriate function, gingival health, and aesthetics. Decoronation performed during the growth spurt was the key to avoiding alveolar ridge deformity.