Conservative orthodontic treatment for severe pathologic migration following total glossectomy: A case report

Hai Van Giap, Ji Yoon Jeon, Kee Deog Kim, Kee Joon Lee

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)298-307
Number of pages10
JournalKorean Journal of Orthodontics
Issue number4
Publication statusPublished - 2022 Jul

Bibliographical note

Publisher Copyright:
© 2022 The Korean Association of Orthodontists.

All Science Journal Classification (ASJC) codes

  • Orthodontics


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