Redi Gerxhani
University of Chieti, School of orthodontics, Italy
Title: Biography Dr. Redi Gerxhani has graduated at the age of 25 in 2006 at the University of Chieti, Italy. In January 2007 joined the post-graduate school of orthodontics in the same university, completed in 2009. Since 2012 he is Adjunct Professor and instructor at the post graduate school of orthodontics, University of Chieti, Italy. He is a private practitioner in several structures in Italy, owner in Orthodontic Private office in Ravenna and Pescara, Italy. He has been speaker in national and international scientific events.
Biography
Biography: Redi Gerxhani
Abstract
The prevalence of severely impacted second molars is about 2.3% it results to be one of the rarest diseases in the orthodontic field. In spite of this it can represent one of the most difficult clinical problems to solve for the orthodontist. With the widespread predictability of skeletal anchorage, procedures such as extraction and surgical repositioning of impacted second molars are gradually being replaced by orthodontic or surgical orthodontic treatments. Currently the orthodontic-surgical treatment with the aid of skeletal anchorage is the most predictable treatment choice. The use of miniscrews reduces treatment time, it is comfortable for the patient, it is easy to insert and remove and is placed directly by the orthodontist, with a light local anesthesia. We tested the corrective effectiveness of a submerged technique, which provides the extraction of the 3rd molar and the concomitant insertion of a miniscrew, an attachment on the 2nd molar and a traction gear. Our technique provides that all of the components, miniscrew, attachment, traction gear, have to be covered by soft tissues, in order to avoid periimplantitis, occlusal trauma on the miniscrew, and discomfort for the patient. The technique was tested on 9 patients. Each patient filled in and signed a questionnaire where the totality of the ones who had previously been treated with orthodontic braces, stated that the discomfort during the submerged uprighting period was absolutely irrelevant, compared with traditional orthodontics discomfort.
All treatments but one had a good outcome. Not any miniscrew failed, even in cases where the miniscrew was placed in thin layer of cortical bone with no medullar bone underneath. The risk of miniscrew failure resulted to be much lower also because there was no oral exposure of the miniscrews.
Conclusion: The technique we described resulted to be a very good compromise between the need of the clinician to apply unwieldy instruments and to minimize the risk of miniscrew failure, and the patients' need to have no discomfort. Irrelevance of discomfort was highly assessed by all patients in the questionnaire we dispensed. In addition, the increasing case series allows us to highly assert the validity and predictability of this method.