| Issue |
J Dentofacial Anom Orthod
Volume 21, Number 2, Avril 2018
|
|
|---|---|---|
| Article Number | 203 | |
| Number of page(s) | 19 | |
| DOI | https://doi.org/10.1051/odfen/2018052 | |
| Published online | 01 February 2019 | |
Management of the dento-periodontomuscular imbalances in the incisor–canine mandibular region by labiomental weakening surgery and corticotomy
1
Qualified Specialist in Dento-Facial Orthopedics
2
Qualified Specialist in Oral Surgery
3
Qualified Specialist in Oral Surgery
4
Qualified Specialist in Dento-Facial Orthopedics
Address for correspondence: Jean-Gabriel Chillès – 2 rue Metz-Juteau – 90000. E-mail: Belfort jchilles@neuf.fr
Received:
23
October
2017
Accepted:
23
November
2017
Incisor and canine mandibular regions are a key mechanical vault, which strives with strong muscle and occlusal centripetal forces. In cases of dental and / or periodontal weakness and / or excessive mechanical stress, situations of imbalance can affect the stability of orthodontic treatments and periodontal durability.
This article reports two surgical techniques to prevent and treat these situations:
The labiomental weakening in growing children and adolescents;
Alveolar corticotomy with vestibular allograft bone in adults;
Both techniques allow functional management of mechanical imbalance, improvement of the periodontal biotype, and promote lower incisors’ relocation.
Key words: Lower incisor / periodontium / mentalis muscle / surgical labiomental weakening / alveolar corticotomy
© The authors
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.