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Pre-prosthetic minor tooth movement with elastic separating ring & provisional restoration modification: case report

Pre-prosthetic minor tooth movement with elastic separating ring & provisional restoration modification: case report

Article information

Restor Dent Endod. 2012;37(2):114-118
Publication date (electronic) : 2012 May 18
doi : https://doi.org/10.5395/rde.2012.37.2.114
Department of Conservative Dentistry, Yonsei University College of Dentistry, Seoul, Korea.
Correspondence to Chan-Young Lee, DDS, MSD, DDSc. Professor, Department of Conservative Dentistry, Yonsei University College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul, Korea 120-752. TEL, +82-2-2228-8701; FAX, +82-2-313-7575; chanyoungl@yuhs.ac
Received 2011 December 14; Revised 2012 February 16; Accepted 2012 February 17.

Abstract

Proximal caries or coronal defect in posterior teeth may result in the loss of proximal space and drifting of neighboring teeth, which makes restoration difficult. Inability to restore proper contours and to align tooth axis properly are commonly encountered problems when planning tooth restoration. Moreover, tilted teeth aggravate periodontal tissue breakdown, such as pseudo-pocket, and angular osseous defect. The purpose of this case presentation is to describe a simple technique for inducing minor tooth movement with orthodontic separating ring and provisional restoration modification. This method was used to create crown placement space on mesially tilted molar. This method is easy, simple and efficient technique which could be used in interproximal space gaining in selected situation.

Notes

No potential conflict of interest relevant to this article was reported.

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Article information Continued

Figure 1

Preoperative periapical x-ray.

Figure 2

Periapical x-ray after root canal treatment.

Figure 3

Initial crown preparation prior to tooth movement.

Figure 4

Elastic ring inserted on #36, 37 interproximal area.

Figure 5

Final crown preparation after finishing tooth movement.

Figure 6

Die adaptation of cast gold crown. Note the recovery of proper distal proximal contour.

Figure 7

Postoperative periapical x-ray.

Figure 8

Postoperative clinical photo.

Figure 9

Estimate the amount of space gaining by measuring change in MD diameter of provisional crown. MD, mesio-distal.