Conservative orthodontic treatment for severe pathologic migration following total glossectomy: A case report
Giap Hai-Van, 전지윤, 김기덕, 이기준,
소속 상세정보
( Giap Hai-Van ) - Yonsei University College of Dentistry Department of Orthodontics
전지윤 ( Jeon Ji-Yoon ) - Yonsei University College of Dentistry Department of Orthodontics
김기덕 ( Kim Kee-Deog ) - Yonsei University College of Dentistry Department of Advanced General Dentistry
이기준 ( Lee Kee-Joon ) - Yonsei University College of Dentistry Department of Orthodontics
Abstract
Glossectomy combined with radiotherapy causes different levels of tongue function disorders and leads to severe malocclusion, with poor periodontal status in cancer survivors. Although affected patients require regular access to orthodontic care, special considerations are crucial for treatment planning. This case report describes the satisfactory orthodontic management for the correction of severe dental crowding in a 43-year-old female 6 years after treatment for tongue cancer with total glossectomy combined with radiotherapy, to envision the possibility of orthodontic care for oral cancer survivors. Extraction was performed to correct dental crowding and establish proper occlusion following alignment, after considering the possibility of osteoradionecrosis. Orthodontic mini-implants were used to provide skeletal anchorage required for closure of the extraction space and intrusion of the anterior teeth. The dental crowding was corrected, and Class I occlusal relationship was established after 36 months of treatment. The treatment outcome was sustained after 15 months of retention, and long-term follow-up was recommended.
키워드
Tongue squamous cell carcinoma; Total glossectomy; Intrusion; Orthodontic mini-implant
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