Mid-sagital mandibular distraction osteogenesis for treatment of lower arch crowding

Luiz Guilherme Martins MAIA, Luiz Gonzaga GANDINI JÚNIOR, Márcia Regina Elisa Aparecida Schiavon GANDINI, João Roberto GONÇALVES, Cristina Azevedo de OLIVEIRA

Objective: To report the treatment of a patient with severe dental crowding resulting from a maxillary mandibular atresia, treated by the osteogenic extraction of the mandible symphysis (DOSM). Results: In this case there was good dental engagement, a reduction of the dark oral aisle, a correction of the crowding, good dental arch form and good facial esthetics, in a very satisfactory period of time without causing damage to the adjacent periodontal tissues. Conclusion: Patients with atresia arches and dental crowding can be benefited by a DOSM that when well indicated, appears as a new form of treatment in cases of maximum borderline dental crowding, in which the conventional alternatives have limitations such as flattening of the facial profile, increase in the oral aisle and instability.

Keywords: Extraction. Distraction osteogenesis. Lower arch crowding.

Thursday, May 02, 2024 21:44