RESUMEN
OBJECTIVE: We aimed to investigate the prevalence, distribution, angular position, and depth of third molar impaction in a Turkish orthodontic patient population. MATERIALS AND METHODS: We retrospectively reviewed the panoramic radiographs, intraoral photographs, and dental casts of 207 patients (62 men and 145 women; age 20-39 years) who had undergone orthodontic treatment at a university department of orthodontics for impacted third molars (ITMs). A comprehensive chart review of all subjects was conducted. Patient and treatment-related data were recorded in a digital database for comparative analysis. RESULTS: The prevalence of ITMs was 54.1%, and no statistically significant gender differences were evident (61.3% in men and 51.0% in women; P = 0.23). The frequency of maxillary ITMs was 49.3% (148 of 300 teeth) while that of mandibular ITMs was 50.7% (152 of 300 teeth). The most frequently observed angulations of impaction were mesioangular for the mandible (65.1%), and distoangular for the maxilla (64.2%). Of all the ITMs analysed, 61% were partially buried in bone and 39% were completely buried. CONCLUSIONS: Third molar impaction was evident in 54.1% of a group of Turkish orthodontic patients aged 20-39 years, and there was no statistically significant gender bias. Mesioangular and distoangular inclinations were the most common in the mandible and the maxilla, respectively.
RESUMEN
External apical root resorption (ARR) is a common iatrogenic consequence of orthodontic treatment. One of the aims of this article is to present a brief overview of the literature, including; diagnosis and etiology, with emphasis on orthodontic forces to facilitate an understand of the prevention or management of ARR in orthodontic patients. We also present a long-term follow-up observation of severe ARR, including the last obtained cone beam computed tomography (CBCT) records, to demonstrate the effect of orthodontic forces on ARR.
RESUMEN
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. For favorable results, gingival margin esthetics must be considered as much as leveling the ankylosed tooth in the arch. Distraction osteogenesis accompanied by orthodontic mechanics is a sensible way of achieving this goal. However, devices used in the distraction protocol are high in price and bulky in shape, causing functional and esthetic problems for the patient. This report describes treatment of an infrapositioned ankylosed incisor with continuous distraction forces produced by conventional orthodontic mechanics. In conclusion, the ankylosed tooth was leveled in the upper arch successfully with a harmonic gingival margin.