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Case Reports
. 2018 Jan;23(1):97-107.
doi: 10.1590/2177-6709.23.1.097-107.bbo.

Tooth transposition: a multidisciplinary approach

Mirian Aiko Nakane Matsumoto  1 , Maria Bernadete Sasso Stuani  1
Affiliations
Case Reports

Tooth transposition: a multidisciplinary approach

Mirian Aiko Nakane Matsumoto et al. Dental Press J Orthod. 2018 Jan.

Abstract
in English, Portuguese

Tooth transposition is one of the most difficult dental anomalies to treat in the dental clinic. Several factors must be taken into account with a view of making the best decision. The aim of this study was to discuss treatment modalities for tooth transposition, their advantages and disadvantages. Additionally, it aims at presenting a clinical case of transposition between canine and lateral incisor in the upper quadrant on the right side. The treatment of choice was extraction of one transposed tooth. A multidisciplinary approach involving Orthodontics, Cosmetic Dentistry, and Periodontology was necessary to allow proper esthetic and functional outcomes to be achieved.

A transposição é considerada uma das anomalias dentárias mais difíceis de se administrar clinicamente. Vários fatores devem ser considerados para que a melhor decisão seja tomada. Neste artigo, o objetivo foi discutir as modalidades de tratamento da transposição dentária, suas vantagens e desvantagens, e apresentar um caso clínico de transposição entre canino e incisivo lateral na hemiarcada superior direita. A opção terapêutica de escolha foi a extração de um dos dentes transpostos, tendo-se a necessidade de uma abordagem multidisciplinar com a participação da Ortodontia, Dentística e Periodontia, a fim de que adequados resultados estéticos e funcionais fossem alcançados.

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Figures

Figure 1
Figure 1. Initial facial and intraoral photographs.
Figure 2
Figure 2. Initial panoramic radiograph.
Figure 3
Figure 3. Initial periapical radiographs.
Figure 4
Figure 4. Initial lateral cephalogram (A) and cephalometric tracing (B).
Figure 5
Figure 5. Final facial and intraoral photographs.
Figure 6
Figure 6. Facial and intraoral photographs taken after restorative treatment.
Figure 7
Figure 7. Final panoramic radiograph.
Figure 8
Figure 8. Final lateral cephalogram (A) and cephalometric tracing (B).
Figure 9
Figure 9. Total (A) and partial (B) superimposition of initial (black) and final (red) cephalometric tracings.
See this image and copyright information in PMC

References

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