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CASE REPORT
Year : 2018  |  Volume : 9  |  Issue : 3  |  Page : 118-122

New bone formation in a cystic alveolar bone defect assisted with orthodontic tooth movement


1 Department of Orthodontics, AL-Hussein Hospital, Jordanian Ministry of Health, Jordan
2 Department of Oral and Maxillofacial Surgery, AL-Hussein Hospital, Jordanian Ministry of Health, Jordan

Correspondence Address:
Rana N Hammodi
Department of Dentistry, Al-Hussein Hospital, Salt
Jordan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijor.ijor_4_18

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The objective of this case report is to demonstrate the role of orthodontics in rehabilitation of alveolar bone defects. A 9-year-old female patient presented with an unerupted maxillary left central and lateral incisors. The central incisor was severely dilacerated with a 1.5 cm x 2.0 cm cystic lesion causing displacement and failure of eruption of the adjacent lateral incisor. Surgical enucleation of the central incisor and the cystic lesion was done, and the bone defect was filled with synthetic bone paste and was covered with a resorbable membrane. Orthodontic closed reduction of the displaced lateral incisor was attempted. The involved lateral incisor actively erupted at the site of the missing central incisor by orthodontic traction, and de novo bone formation was noticed radiographically in the bone defect. Clinically, bucco-palatal alveolar bone thickness was maintained sufficiently. Alveolar bone defects can be adequately restored with new bone formation by means of active orthodontic tooth movement through a bone defect filled with synthetic bone.


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