When do you use Decoronation?

[12, 17] have suggested that, in early mixed dentition (7–10 years), decoronation should be performed within 2 years of the diagnosis or before the growth spurt. If ankylosis occurs during the growth spurt, which implies infraocclusion, decoronation should be carried out as soon as the problem is diagnosed.

What is dental Decoronation?

Decoronation is a surgical method for treating ankylosed incisors in children and adolescents. The crown and root filling are removed, leaving the root in situ to be resorbed and covered with a mucoperiosteal flap. Early loss of a permanent tooth leads to loss of alveolar bone, especially in buccopalatal width.

How do you treat an ankylosed tooth?

The treatment options are:

1. Extract the tooth and prepare for implant placement.
2. Subluxate the tooth and orthodontically reposition.
3. Use a segmental osteotomy to orthodontically reposition to the desired area.
4. Leave the tooth in its current position and restore the esthetics.

Is it difficult to remove an ankylosed tooth?

There is no known treatment to arrest the process. Ankylosis itself is not a reason to remove a permanent tooth, however teeth which must be removed for other reasons are made significantly more difficult to remove if they are ankylosed.

How common is tooth ankylosis?

Deciduous tooth ankylosis is estimated by 1.5-9.9% [13]. Biederman reported that the incidence of deciduous tooth ankylosis is 10 times more likely than permanent teeth ankylosis, and is twice as likely in the mandibular arch than in the maxillary arch [10].

Is tooth transplant possible?

There are rare cases where tooth transplants are the right decision. Normally, it’s done to transplant a tooth from one place in a person’s mouth to another place in the same mouth.

What is Ankylosed tooth?

A rare disorder characterized by the fusion of the tooth to the bone, preventing both eruption and orthodontic movement. Epidemiology. The prevalence is unknown. Clinical description. The periodontal ligament is obliterated by a ‘bony bridge’ and the tooth root is fused to the alveolar bone.

Do ankylosed teeth need to be removed?

History of the patient and the X-ray are also there to support the diagnosis. In treating ankylosis, it does not need to be extracted if it is a permanent tooth. There are many treatment options to choose: Orthodontic treatment to reposition for the necessary alignment of the ankylosed tooth.

What causes an ankylosed tooth?

Ankylosis occurs when a tooth fuses to the surrounding bone and slowly begins to sink or submerge into the nearby gum tissue. Normally, small fibers called the periodontal ligament hold a tooth in its socket, but with ankylosis, this connection is absent, and the tooth becomes directly attached to nearby bone.

Do Ankylosed teeth need to be removed?

What causes tooth ankylosis?