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Osteogenic distraction to treat solitary median maxillary central incisor syndrome: a case report
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A síndrome do incisivo central superior médio solitário (SICSMS) é uma doença de desenvolvimento rara caracterizada por um único incisivo central superior simétrico. A literatura tem relatado poucos casos com tratamento dentário abrangente. Nenhum tratamento cirúrgico foi proposto até o momento.
Relatamos o caso de uma menina de oito anos de idade inicialmente tratada com expansão rápida da maxila. Após o fracasso de duas expansões rápidas da maxila, a paciente foi tratada com sucesso com distração osteogénica aos 12 anos de idade. A distracção, associada a um tratamento ortodôntico fixo multi-brackeado, criou espaço suficiente para colocar um incisivo central protético sem extracções dentárias.
A distracção osteogénica é uma opção interessante para tratar pacientes com SICSMS.
Solitary median maxillary central incisor syndrome (SMMCI) is a rare developmental disorder characterized by a single symmetrical maxillary central incisor. The literature has reported few cases with comprehensive dental treatment. No surgical treatment has been proposed before. We report the case of an eight-year-old girl initially treated with rapid maxillary expansion. After the failure of two rapid maxillary expansions, the patient was successfully treated with osteogenic distraction at the age of 12 years old. The distraction, associated with ultibracketed fixed orthodontic treatment, created enough space to place a prosthetic central incisor without dental extractions. Osteogenic distraction is an interesting option to treat patients with SMMCI.
Solitary median maxillary central incisor syndrome (SMMCI) is a rare developmental disorder characterized by a single symmetrical maxillary central incisor. The literature has reported few cases with comprehensive dental treatment. No surgical treatment has been proposed before. We report the case of an eight-year-old girl initially treated with rapid maxillary expansion. After the failure of two rapid maxillary expansions, the patient was successfully treated with osteogenic distraction at the age of 12 years old. The distraction, associated with ultibracketed fixed orthodontic treatment, created enough space to place a prosthetic central incisor without dental extractions. Osteogenic distraction is an interesting option to treat patients with SMMCI.
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Síndrome dos incisivos centrais superiores solitários Distração osteogénica Agenesia dentária Relato de caso Solitary median maxillary central incisor syndrome Osteogenic distraction Dental agenesis Case report