Osteotomia segmentale per il recupero chirurgico-ortodontico di un dente in anchilosi : Caso clinico = Segmental osteotomy for the management of an ankylosed permanent tooth : A case report

OBJECTIVES. The aim of this case report is to describe a method to treat ankylosed teeth, as an alternative to avulsion and replantation procedures. MATERIALS AND METHODS. The case of a 13-year-old patient is presented, who was subjected to a single tooth dento- osseous osteotomy for the treatment of an ankylosed and infraoccluded maxillary right central incisor. RESULTS. Short term evaluation revealed a good soft tissue healing. After 6 months, there was no evidence of relapse in the tooth position. The post-treatment panoramic radiograph showed good bone regeneration around the segmental osteotomies. CONCLUSIONS. Single-tooth osteotomy to reposition an ankylosed tooth, in conjunction with orthodontic treatment, is a predictable and successful procedure. This technique enables the repositioning of the ankylosed tooth, while preserving the alveolar bone.