Abstract
ABSTRACTSurgical derotation is a method of placing a rotated tooth in normal alignment in a dental arch; surgically, immediately and permanently. It is a potentially convenient and cost-effective treatment modality as compared to conventional orthodontic procedure for rotated maxillary incisor with open apex. Here is a presentation of a severely rotated maxillary left permanent central incisor in a nine and half years old girl, with a radiographic evidence of immature root apex which was surgically derotated, orthodontically retroclined and intruded to its normal position. Postsurgical clinical and radiographic evaluation was done for a period of one and half years to confirm the vitality and continued physiological root formation of the affected tooth.How to cite this article: Dutta B, Krishnapriya V, Sriram CH, Reddy MKR. Surgical Derotation Technique: A Novel Approach in the Management of Rotated Immature Permanent Incisor. Int J Clin Pediatr Dent 2015;8(3):220-223.
Highlights
Methods suggested to alleviate the occurrence of rotational relapse include—over correction of rotated tooth, long-term retention with bonded retainers and circumferential supracrestal fiberotomy.[3,4]
Teeth can be derotated and aligned immediately, following a minor surgical procedure. This is known as surgical derotation technique, where a tooth is luxated using forceps by giving rotational movements and derotated to its desired position, in order to achieve immediate improvement in facial esthetics with no chances of relapse
A nine and a half years old girl reported to the department of pedodontic and preventive dentistry (Kalinga institute of dental sciences, Bhubaneswar, India), with the chief complaint of unesthetic look of her face while smiling, due to improperly erupted upper front tooth
Summary
Correction of rotated incisor by orthodontic maneuver is still the most accepted technique followed today.[1,2] Relapse, subsequent to orthodontic derotation has been well documented.[3,4] Methods suggested to alleviate the occurrence of rotational relapse include—over correction of rotated tooth, long-term retention with bonded retainers and circumferential supracrestal fiberotomy.[3,4] as per the clinical reports, none of these techniques are completely successful in preventing rotational relapse.[5,6,7] In cases where teeth are severely rotated, a complex derotation mechanics as well as high level of patient compliance is required.[8,9] In addition to these, the major concerns for both patients and dentists are the duration of treatment for orthodontic derotation and postponement of the procedure till complete eruption of adjacent permanent teeth, so that teeth can be bonded and aligned. Teeth can be derotated and aligned immediately, following a minor surgical procedure This is known as surgical derotation technique, where a tooth is luxated using forceps by giving rotational movements and derotated to its desired position, in order to achieve immediate improvement in facial esthetics with no chances of relapse. A nine and a half years old girl reported to the department of pedodontic and preventive dentistry (Kalinga institute of dental sciences, Bhubaneswar, India), with the chief complaint of unesthetic look of her face while smiling, due to improperly erupted upper front tooth.
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