Accelerated Osteogenic OrthodonticsTM for retreatment of a complex case due to previous dental extractions

Abstract

Nowadays, many of the patients who seek orthodontic treatment do so in order to have a re-treatment performed because for several reasons the previous treatment did not meet the patient’s expectations or the criteria and goals of contemporary orthodontics. A male patient, 20 years of age, attended the Orthodontics Department of the Faculty of Dentistry at UNAM with fixed appliances placed according to the patient approximately fi ve years ago. Extractions of the teeth #18, 24, 28, 38, 32, 44 had already been performed as well as excessive interproximal recontouring in the tooth #25, moderate upper incisor proclination, bilateral molar class III (left side in cross-bite) left canine class III, right canine class I, teeth #22, 23 and 25 in cross bite; tooth #46 presents a severe mesial inclination; decreased overjet and overbite; gingival recessions in teeth #14, 13, 23, 24, 33, 34 and 43; poorly adjusted restorations in teeth #16, 26, 36, 46; lack of root parallelism; root resorption of tooth #21; irregular alveolar crest in the lower anterior region; fenestrations in the upper anterior segment. It was suggested to the patient an accelerated alternative treatment, which was accepted and performed in 16 months.