DOI:

10.37988/1811-153X_2024_2_166

Clinical case: delete cannot be saved. Where to put the comma?

Authors

  • N.S. Karpova 1, orthodontist
    ORCID: 0009-0007-3715-9284
  • E.M. Razmakhnina 2, PhD in Medical Sciences, associate professor of the Pediatric dentistry Department
    ORCID: 0000-0002-6263-0169
  • 1 Dental clinic Astra-2, 190103, St. Petersburg, Russia
  • 2 Kemerovo State Medical University, 650056, Kemerovo, Russia

Abstract

This case study presents a clinical case of bone resorption of the alveolar outgrowth in the area of the upper incisors resulting from periodontal overload during orthodontic treatment. It also describes the opinions of different specialists on the solution of the problem, with the main opinion being the removal of three permanent upper incisors in a 9-year-old patient. We deemed this solution to be overly radical and opted instead to not only save the permanent incisors, but also to create conditions conducive to the restoration of the alveolar outgrowth. The sequence of manipulations is described, the dynamics at each stage of treatment are elucidated, and the changes in bone structures are illustrated.

Key words:

pediatric orthodontics, complications in orthodontic treatment, bone resorption, opportunities for bone regeneration in children

For Citation

[1]
Karpova N.S., Razmakhnina E.M. Clinical case: delete cannot be saved. Where to put the comma?. Clinical Dentistry (Russia).  2024; 27 (2): 166—171. DOI: 10.37988/1811-153X_2024_2_166

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Received

November 12, 2023

Accepted

March 11, 2024

Published on

June 28, 2024