Abstract
Variable occlusal deformities in 20 adult patients were corrected by immediate repositioning of one- and two-tooth dento-osseous segments. Complications and the technical problems in planning and design of the necessary osteotomies are discussed and illustrated by three case reports. Modifications in the design of the bony and soft tissue incisions were made to pedicle the mobilized segments to lingual or labio-buccal soft tissue. Proper flap design and surgical technique insures adequate intrapulpal and intraosseous circulation and prevents avascular necrosis, non-union, and devitalization of teeth. Clinical results substantiate the basic biologic premises formulated from previous animal investigations.
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