Tooth Ankylosis And its Orthodontic Implication
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 2
Abstract
Tooth ankylosis is the union of the tooth root to the alveolar bone, with local elimination of the periodontal ligament. The etiologies of dental ankylosis include trauma, genetic factors, local metabolic anomalies, deficiency of alveolar bone growth, and abnormal pressure of the soft tissues. An ankylosed tooth can lead to serious clinical problems such as vertical alveolar bone loss, midline deviation, tipping of adjacent teeth, impaction of the ankylosed tooth, and supraeruption of the opposing tooth. The diagnosis of ankylosis can be made by both clinical and radiologic evaluations. Clinically, typical metallic sounds upon percussion, lack of tooth mobility, and dental infraocclusion with a higher gingival margin may be observed. Ankylosis should be visible as an interruption of the periodontal membrane space on a radiograph. However, the most important evidence of an ankylosed tooth is the inability of movement during orthodontic force applications. Tooth ankylosis is one of the various problems in dentistry and requires special treatment approaches for satisfactory results. In the orthodontic treatment of an ankylosed tooth, different treatment modalities have been put into practice including both orthodontic and orthodontic-surgical approaches.
Authors and Affiliations
Moataz Alruwaithi, Ahmad Jumah, Sultana Alsadoon, Zeina Berri, Miral Alsaif
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