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11/76. Treatment and long-term follow-up of a patient with hereditary gingival fibromatosis: a case report.

    This report addresses the complex nature of oral diagnosis, treatment and long-term case management in the hereditary form of recurrent gingival fibromatosis. case management is discussed in relation to a 13-year-old girl who presented with recurrent, progressive gingival enlargement requiring consecutive periodontal and orthodontic treatment. The initial course of treatment included 4-quadrant gingivectomy with reverse bevel incisions, followed by orthodontics. Microscopic examination of the gingivectomy specimens supported the clinical diagnosis. Three years later, recurrence of the condition was observed in all quadrants. To facilitate orthodontic tooth movement and to achieve optimal esthetics, another full-mouth gingivectomy was performed. There was no recurrence of the condition a year later. It is recommended that patients with this condition be monitored closely after gingivectomy, so that the treatment requirements of localized areas can be addressed as needed.
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ranking = 1
keywords = tooth
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12/76. Maxillary canine displacement; further twists in the tale.

    This report describes two cases seen over a 5-year period, each with a labially impacted maxillary canine found in close proximity to the adjacent first permanent premolar, which had a deviated palatal root. The issue as to whether the premolar root deviation either produced the canine impaction or vice versa is discussed, both with reference to the processes considered to be involved in normal tooth eruption, and to three previously published similar cases.
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ranking = 1.0255047569255
keywords = tooth, eruption
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13/76. Problems associated with restoration of dentitions after orthodontic treatment using anterior tooth space.

    Three case reports are presented to illustrate some problems associated with restoration of dentitions following orthodontic treatment using anterior tooth space. These include the projecting premaxilla, conversion of lateral incisors to resemble central incisors and excess residual space.
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ranking = 5
keywords = tooth
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14/76. Tooth agenesis: a report of missing molars in two generations.

    A recent review has suggested that tooth agenesis is becoming more evident in society, though it is not known whether this observation is related to better detection methods and patient awareness or whether there is a real trend towards an increase in prevalence. In this paper we report developmental absence of permanent molars in two generations, and discuss the possible clinical implications of this pattern of tooth agenesis.
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ranking = 2
keywords = tooth
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15/76. Early and unusual incisor resorption due to impacted maxillary canines.

    A very early and severe case of maxillary incisor resorption caused by impacted canines is reported. An estimated 50,000 cases of ectopic eruption and impaction of maxillary canines occur each year in the united states. Although incisor resorption due to ectopically positioned permanent maxillary canines can be swift, silent, and devastating, an effective protocol has been developed for early detection and management of this condition. palpation and, if indicated, radiographic evaluation are combined with primary canine removal in selected cases. These strategies--particularly when used early--can prevent the vast majority of palatally impacted maxillary canines and the potentially devastating resorption of adjacent incisors.
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ranking = 0.025504756925493
keywords = eruption
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16/76. Nonextraction treatment of a Class II malocclusion and impacted maxillary central incisor.

    The multidisciplinary treatment of a patient with a Class II malocclusion and an impacted maxillary central incisor is presented. Nonextraction correction of the distoclusion was achieved through mandibular growth and protraction of the mandibular first molars. Closed-eruption surgical exposure of the incisor, combined with soft-tissue revision posteruption, resulted in significantly improved facial esthetics.
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ranking = 0.051009513850986
keywords = eruption
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17/76. Interdisciplinary treatment including forced extrusion and reintrusion of a traumatized mandibular incisor for a patient with Class II Division 1 skeletal open bite.

    A woman with Class II Division 1 long-face syndrome characteristics had a history of facial trauma, dentoalveolar fracture of her mandibular anterior teeth, and temporomandibular joint pain. The pretreatment apical radiograph showed a large area of external root resorption of the mesial surface of the mandibular left central incisor. To arrest the external root resorption, the mandibular left central incisor was extruded. During extrusion, sequential apical radiographs were taken. As the tooth moved away from the site of osteoclastic activity, resorption ceased, and repair took place on the root surface. At this time, the mandibular left central incisor was intruded, the mesial defect self-repaired, the tooth remained vital, and the periodontial ligament was intact. The biologic bases for this cessation of resorption and the repair of the tooth's surface are presented.
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ranking = 3
keywords = tooth
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18/76. Management of congenitally missing second premolars with orthodontics and single-tooth implants.

    This article describes the treatment of an adolescent girl who was congenitally missing all 4 second premolars and had a retained mandibular second primary molar. Various treatment alternatives are discussed, and the final treatment plan of space opening for 3 implants and space closure of the maxillary left second premolar site is presented.
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ranking = 4
keywords = tooth
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19/76. Nonsurgical correction of skeletal deep overbite and class II division 2 malocclusion in an adult patient.

    Treatment modalities for Class II Division 2 malocclusion include growth modification, dental compensation, and surgical-orthodontic therapy; which treatment is chosen depends on the patient's age and growth potential. Deep overbite can be corrected by intrusion of anterior teeth, extrusion of posterior teeth, or a combination of both. Treatment considerations include the patient's facial profile, skeletal pattern, growth potential, and severity of dental malocclusion. Here, we present the nonsurgical orthodontic treatment of an adult patient with deep overbite and underlying skeletal Class II discrepancy. He had a hypodivergent facial pattern, Class II Division 2 malocclusion, and traumatic deep overbite due to supereruption of the mandibular anterior teeth. He refused orthognathic surgery but would accept orthodontic treatment alone, with the understanding that the treatment results could be compromised. We corrected the deep overbite by proclining the mandibular incisors; this helped to level the exaggerated curve of Spee. The posttreatment occlusion was significantly improved, both functionally and esthetically, with stable interincisal contacts. However, the improvement in occlusion and esthetics was achieved at the expense of reduced periodontal support for the mandibular anterior teeth.
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ranking = 0.025504756925493
keywords = eruption
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20/76. Nonextraction treatment with microscrew implants.

    The maxillary and mandibular posterior teeth were retracted with microscrew implants (1.2 mm in diameter and six to 10 mm long) that were placed into the alveolar bone and used as anchorage. The retraction proceeded without adverse reciprocal effects on the reactive part of the conventional mechanics, such as premolar extrusion and flaring of the incisors. The anterior crowding was resolved without any deleterious effect on the facial profile. En masse movement of the posterior teeth and the whole dentition after anterior tooth alignment can reducethe treatment period and maximize the efficiency of the treatment. The microscrew implants were maintained firmly throughout the treatment and were able to provide an anchorage for retraction of whole dentitions. The efficacy and potency of the microscrew implants aid mechanics in the nonextraction treatment of both labial and lingual treatments.
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ranking = 1
keywords = tooth
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