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Orthodontic Microimplants Assisted Intrusion of Supra-erupted Maxillary Molar Enabling Osseointegrated Implant Supported Mandibular Prosthesis: Case Reports

  • Clinical Report
  • Published:
The Journal of Indian Prosthodontic Society

Abstract

Loss of mandibular molars, when not replaced in time, are usually associated with overeruption of maxillary molars. To provide prosthetic replacement for missing lower posteriors, over erupted maxillary teeth have been intruded in past with great difficulty in adults with conventional orthodontics, along with associated problems of root resorption. Currently orthodontic microimplants provide stable intraoral anchorage, allow predictable maxillary molar intrusion enabling reestablishment of functional posterior occlusion with mandibular implant supported prosthesis, thereby reducing need for prosthetic crown reduction in maxillary arch. The added advantage of microimplant is it enables use of sectional appliance in area of concern instead of full arch bracketed appliance which an adult may not accept. The case reports demonstrates, overerupted maxillary molars were intruded using orthodontic microimplants to enable prosthetic rehabilitation of mandibular dentition by osseointegrated implant supported prosthesis. The second case report also demonstrates use of CBCT scan in planning and execution.

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Notes

  1. Microimplants from Denticon, Dental Instrument Co, (DENTICON), 260/15, Sane Guruji Marg, Opp Kasturba, Hospital, Mumbai, India, Mumbai, Maharastra, India 400011.

  2. 4.2 × 11.5 tapered self thread implants from Hi-tec Implants, Main Office P.O. Box 2022, Herzlia, Israel, E-mail: sales@hitec-implants.com, www.hitec-implants.com.

  3. 4.2 × 10 mm Toureg implant from Adin, http://www.adin-implants.com.

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Authors and Affiliations

  1. Department of Orthodontics, Manav Rachna Dental College, Faridabad, Haryana, India

    Deepak Rai

  2. Department of Prosthodontics, Faculty of Dentistry, Jamia Milia Islamia, New Delhi, 110025, India

    Saranjeet Singh Bhasin

  3. Dr Raidental Care and Orthodontic Centre, Noida, India

    Sheetal Rai

  4. G-163 Sector 41, Noida, India

    Deepak Rai

Authors
  1. Deepak Rai
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  2. Saranjeet Singh Bhasin
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  3. Sheetal Rai
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Correspondence to Deepak Rai.

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Rai, D., Bhasin, S.S. & Rai, S. Orthodontic Microimplants Assisted Intrusion of Supra-erupted Maxillary Molar Enabling Osseointegrated Implant Supported Mandibular Prosthesis: Case Reports. J Indian Prosthodont Soc 14 (Suppl 1), 238–242 (2014). https://doi.org/10.1007/s13191-013-0306-2

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  • DOI: https://doi.org/10.1007/s13191-013-0306-2

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