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Crown augmentation using modified bilayered restoration for anchorage: a case report.

V Pai¹, M Kundabala, P Dixit

¹Department of Conservative Dentistry, M.C.O.D.S, Manipal University, Mangalore, India. paivivekananda@yahoo.co.in

Kathmandu University Medical Journal (KUMJ)

|July 8, 2008

Summary

Restorative crown augmentation of ankylosed teeth can provide effective orthodontic anchorage. This method successfully supported forced eruption of impacted canines, improving treatment outcomes.

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Area of Science:

Dentistry
Orthodontics
Restorative Dentistry

Background:

Ankylosed teeth offer potential for orthodontic anchorage but require sufficient crown height for effectiveness.
Surgical luxation or restorative crown augmentation are options for infraoccluded ankylosed teeth.
Impacted maxillary canines often necessitate robust anchorage for successful orthodontic eruption.

Observation:

A case report detailing the restorative treatment of an ankylosed, infraoccluded left maxillary first molar (26).
The tooth was restored to enhance its anchorage capabilities for orthodontic treatment.
The goal was to facilitate the forced eruption and alignment of impacted maxillary canines.

Findings:

A modified bilayered (sandwich) restoration using Glass Ionomer Cement (GIC), composite resin, and silver amalgam was applied.

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This restorative approach successfully provided adequate anchorage.

The enhanced anchorage sustained the forces required for the forced eruption of impacted canines.

Implications:

Restorative crown augmentation is a viable alternative to surgical luxation for improving anchorage with ankylosed teeth.
This technique can enhance treatment predictability for complex orthodontic cases involving impacted teeth.
Modified bilayered restorations offer a practical solution for achieving effective orthodontic anchorage in challenging clinical scenarios.