Nakamura Yoshiki, Ogino Tomoko Kuroiwa, Hirashita Ayao
Lecturer, Department of Orthodontics, School of Dental Medicine, Tsurumi University, Yokohama, Japan.
Am J Orthod Dentofacial Orthop. 2008 Sep;134(3):447-55. doi: 10.1016/j.ajodo.2006.10.028.
We present the orthodontic treatment of a patient with occlusal dysfunction after plastic surgery for multiple maxillofacial bone fractures caused by a traffic accident. The patient had mandibular deviation to the right because of inappropriate repositioning and fixation of the fractured bone and complete avulsion of both mandibular central incisors. The bilateral mandibular incisors, canines, and premolars were also suspected of partial avulsion or alveolar bone fracture. Several tests, including percussion and dental computed tomography, were performed on these teeth to rule out ankylosis and confirm tooth movement. Camouflage orthodontic treatment was carried out with expansion of the maxillary arch, alignment of both arches, and space closure between the mandibular lateral incisors to improve the occlusion. Good occlusion and interdigitation were obtained. Orthodontic treatment is useful for the rehabilitation of occlusal dysfunction caused by multiple maxillofacial bone fractures.
