
doi: 10.2319/080708-413.1
pmid: 19537874
Abstract Background: Socket sclerosis is a rare reaction to tooth extraction resulting in high-density bone in the center of the alveolar process, where, under normal circumstances, cancellous bone is to be expected. Materials and Methods: In an adult orthodontic patient, routine extractions of the mandibular first permanent bicuspids were performed, resulting in socket sclerosis and unsuccessful orthodontic space closure. Orthodontic mini-implants were inserted to augment anchorage and aid in space closure. Results: In the presence of socket sclerosis, conventional orthodontic mechanics failed to close the extraction spaces. However, with absolute anchorage in place, space closure occurred at a nearly normal rate. After treatment, no signs of socket sclerosis were discernible on the periapical radiographs. Conclusion: Socket sclerosis can be an obstacle for orthodontic space closure if traditional mechanics are employed. However, mini-implant–reinforced anchorage can lead to successful space closure, resulting in complete resolution of the sclerotic sites.
Adult, Dental Implants, Miniaturization, Mandible, Orthodontic Space Closure, Tooth Extraction, Orthodontic Anchorage Procedures, Humans, Bicuspid, Female, Tooth Socket, Osteosclerosis
Adult, Dental Implants, Miniaturization, Mandible, Orthodontic Space Closure, Tooth Extraction, Orthodontic Anchorage Procedures, Humans, Bicuspid, Female, Tooth Socket, Osteosclerosis
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