Orthotown June 2017 - 38
CASE 4
FAILURE OF ERUPTION IN A TEEN
Patient is a 15-year-old female who
presented with some unerupted upper
right premolar teeth and an occlusal
plane cant. Her mother was wary,
because she had experienced a similar
problem as an adult, with difficult and
complex treatment to address it. The
previous orthodontist had tried, to no
Fig. 22: Patient's smile
avail, the correct conservative measures
to allow natural eruption (Figs. 22-24).
Fixed orthodontics were initiated in
the three quadrants that were successfully erupting, but not in the upper right
quadrant. MOP was administered on
the mesial and distal of the unerupting
premolars at one month (Fig. 25).
Fig. 23: Pre-orthodontic panoramic film
Fig. 25: MOP at one month in braces
Fig. 27: Three months post-MOP
Two , three and four months postMOP: Some eruption was occuring
(Figs. 26-28). At four months MOP was
repeated to ensure continued eruption
with braces and elastics.
In summary, the use of MOP and
HFV in my practice has, in my opinion,
been quite valuable. n
Fig. 24: Lateral tongue thrust crib
Fig. 26: Two months post-MOP
Fig. 28: Four months post-MOP: Another MOP
References:
1. Alikhani M, Raptis M, Zoldan B, Sangsuwon C, Lee YB, Alyami B, Corpodian C, Barrera LM, Alansari S, Khoo E, Teixeira C. "Effect of micro-osteoperforations on the rate of tooth movement,"
American Journal of Orthodontics and Dentofacial Orthopedics. 2013;144(5):639-648
Disclaimer:
This article may describe uses of osteoperforation in general and/or an Excellerator series driver specifically that has not received 510(k)
clearance or premarket approval from FDA. Propel Orthodontics markets the VPro5 as a high-frequency vibration aligner seater.
This article may describe uses of high-frequency vibration technology in general, and/or the VPro5 specifically, that are outside of its labeling.
38
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