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A Modified Hyrax Assembly for Intrusion of a Traumatically Extruded Incisor: An Innovative Technique
Pinaki Roy1, Poonam Sharma2, Harpreet Singh2
1Orthodontics and Dentofacial Orthopedics, Burdwan Dental College and Hospital, Bardhaman, IND.
Cureus
|January 5, 2024
Summary
This case report presents a novel orthodontic technique for correcting extruded teeth and expanding the palate simultaneously. The innovative method reduces treatment time and complexity for patients with traumatic dental injuries.
Area of Science:
- Orthodontics and Dental Traumatology
- Maxillofacial Surgery
Background:
- Traumatic extrusive luxation of anterior teeth often presents with occlusal interferences.
- Transverse maxillary deficiency requires expansion, often necessitating complex treatment protocols.
Observation:
- A modified bonded Hyrax expander was utilized to achieve transverse maxillary expansion.
- A molar tube integrated into the expander facilitated intrusion of the extruded incisor.
Findings:
- Concomitant extrusion intrusion and maxillary expansion were successfully achieved in a single phase.
- The technique simplified treatment by reducing the need for comprehensive fixed orthodontic appliances.
- Treatment duration and complexity were significantly decreased.
Implications:
- This innovative approach offers a streamlined solution for managing combined dental trauma and maxillary hypoplasia.
- The modified appliance enhances patient compliance and psychological well-being.
- This versatile technique can address multiple orthodontic issues, including crowding, spacing, and proclination.
