What is Ankylosed tooth & Cause?
The pathological union of a tooth's cementum and alveolar bone is known as tooth ankylosis. It is a rare occurrence in the infant tooth's deciduous dentition, and it occurs much less frequently in permanent teeth. Normally, small fibers called the periodontal ligament hold a tooth in its socket, but with ankylosis, this connection is absent, and the tooth becomes directly attached to nearby bone. When a tooth fuses to the surrounding bone and starts to progressively sink or submerge into the adjacent gum tissue, this condition is known as ankylosis.
Symptoms.
decreased tooth count
abnormal tooth enamel
curving of the fifth digit
enlarged lower jaw
abnormal dentition
Treatment.
There are four types of treatment available for Ankylosed teeth.
Extract the tooth and prepare for implant placement
If the tooth is extracted, the person will require hard tissue augmentation, delay receiving an implant until the individual is 17 years old, and require a temporary tooth replacement solution during this time.
Subluxate the tooth and orthodontically reposition
Depending on how much of the tooth is ankylosed, subluxing the tooth and orthodontically moving it into the appropriate position will have limited success. On teeth with merely partial or spot ankylosis, this approach often works better.
Use a segmental osteotomy to orthodontically reposition to the desired area
Depending on the surgical technique, using a segmental osteotomy to reposition the desired tooth can be effective, but it could be very difficult if necrosis of the segment develops.
Leave the tooth in its current position and restore the esthetics
Replacement resorption is happening gradually (so it could possibly be maintained for another 5-10 years)
The patient is 15 and towards the conclusion of her growth phase, thus the ankylosis-related deformity shouldn't significantly worsen.
The patient's low smile makes the gingival margin discrepancy difficult to observe.
Sources
Informative!