Are patients with impacted canines referred too late?

The importance of maxillary canine impaction is that it may compromise dental health , particularly because a small but significant proportion of impacted canine is associated with the resorption of the roots of neighbouring teeth. A few cases of impacted upper canines, premolar and central incisors of different ages are presented. Although the best treatment alternative for impacted teeth is extraction, the same cannot be directly applied to canines and central incsor especially. Since canines present with them a high demand on aesthetic and functional requirements. Thus, alignment of impacted canines into the arch is the best treatment approach. The purpose of this study is to evaluate the impacted maxillary canines that were surgically exposed, followed by orthodontic alignment into occlusion. DOI: http://dx.doi.org/10.3329/bjodfo.v1i1.15975 Ban J Orthod & Dentofac Orthop, October 2010; Vol-1, No.1, 24-26

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Impacted canines and resorption of permanent central incisors

Oral Surgery Oral Medicine Oral Pathology ◽

10.1016/0030-4220(78)90104-4 ◽

1978 ◽

Vol 45 (2) ◽

pp. 325

Author(s):

Donald E. Mills

Keyword(s):

Impacted Canines

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Impacted canines

Dental Abstracts ◽

10.1016/j.denabs.2017.03.055 ◽

2017 ◽

Vol 62 (5) ◽

pp. 293

Keyword(s):

Impacted Canines

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Orthodontic traction of impacted canines: Concepts and clinical application

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.24.1.074-087.bbo ◽

2019 ◽

Vol 24 (1) ◽

pp. 74-87 ◽

Cited By ~ 4

Author(s):

Ricardo Machado Cruz

Keyword(s):

Treatment Time ◽

Permanent Tooth ◽

Maxillary Expansion ◽

Management Options ◽

Deep Bite ◽

Impacted Canines ◽

Impacted Canine ◽

Prolonged Retention ◽

Division 2

ABSTRACT Orthodontic traction of impacted canines stands as a major challenge for Orthodontics. It is a relatively frequent clinical complaint which management, more often than not, requires a multidisciplinary approach. Surgical exposure of the impacted canine, and the complex orthodontic mechanics applied to align the tooth back into the arch, may frequently lead to complications involving supporting tissues, not to mention the long treatment time and high costs imposed to patients. In face of that, it is worth highlighting the relevance of early diagnosis as to intervene efficiently and as soon as possible. This paper presents a review of the main concepts involving prevalence, etiology and classification of impacted canines, and describes the different clinical management options that would help solve the problem. It illustrates the topic by presenting a treatment delivered to a 13 year 7 months old male patient, suffering from a Class II, division 2, left subdivision, malocclusion, associated to a deep bite and a prolonged retention of a primary upper canine caused by the impaction of the permanent tooth. Corrective orthodontic therapy was associated to a rapid maxillary expansion and to the use of a high pull headgear. Impacted canine was submitted to orthodontic traction and correctly positioned back into the arch. This approach proved to be efficient in meeting both functional and aesthetic goals.

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Pengambilan Gigi Kaninus dan Gigi Supernumerary yang Terpendam pada Maksila

Majalah Kedokteran Gigi Indonesia ◽

10.22146/majkedgiind.15415 ◽

2016 ◽

Vol 19 (1) ◽

pp. 167

Author(s):

Selviana Wati Fobia ◽

Bambang Dwi Rahardjo

Keyword(s):

Third Molar ◽

Dental Arch ◽

Supernumerary Tooth ◽

Impacted Tooth ◽

Impacted Canines ◽

Anterior Teeth ◽

Tooth Impaction ◽

Minor Surgery ◽

Impacted Canine ◽

A Minor

Latar belakang: suatu kasus impaksi gigi dapat menyebabkan maloklusi, dan kelainan oklusi akan semakin bertambah dengan bertambahnya usia. Impaksi gigi kaninus merupakan gigi kedua setelah gigi molar ketiga yang berfrekuensi tinggi untuk mengalami impaksi, persentasenya sekitar 12%-15% dari populasi. Gigi supernumerary adalah gigi tambahan/berlebih, sehingga jumlah gigi yang terbentuk dalam rahang lebih banyak dari jumlah normal. Terjadinya impaksi gigi kaninus dan supernumerary secara bersamaan jarang terjadi. Tujuan: Menambah wawasan du bidang bedah mulut minor, terutama dalam menangani suatu kasus impaksi gigi kaninus dan supernumerary untuk perawatan orthodonti. Kasus dan Penanganan: Dilaporkan seorang apsien, wanita, berusia 38 tahun yang baru menyadari kelainan maloklusinya dengan keluhan gigi depannya bertambah maju akibat adanya impaksi gigi kaninus dan impaksi gigi supernumerary. Pasien dikonsulkan dari Bagian Orthodonti ke Bagian Bedah Mulut untuk penanganan impaksi gigi kaninus dan supernumerary dengan kemungkinan untuk mempertahankan gigi kaninus memulai pembedahan. Dengan berbagai pertimbangan, penderita pada akhirnya menjalani operasi pengambilan gigi kaninus dan gigi supernumerary di Bagian Bedah Mulut RSGM Prof. Soedomo. Langkah-langkah diagnosis, operasi dan berbagai kemungkinan komplikasi juga turut disertakan di dalam pembahasan. Kesimpulan: Pengambilan gigi kaninus dan gigi supernumerary yang terpendam merupakan pilihan perawatan jika tidak memungkinkan untuk dilakukan exposure pada impaksi gigi kaninus pada maksila. Background: Impacted canines is the second most impacted tooth after third molar impaction, approximately 12%-15% of the population present with impacted canines. A supernumerary tooth is one that is additional to the normal series and can be found in almost any region of the dental arch. The incidence of an impacted canines as a sequent with a supernumerary tooth is very rare. Purpose: The aim of this case report is to add more information about a minor surgery due to canine and supernumerary tooth impaction for orthodontic treatment. Case and Management: We reported a case of a woman, 38 years old who have noticed a malocclution through the forwardness movement of her anterior teeth, due to the present of impacted canine and supernumerary. The patient consulted from orthodontic department to oral and maxillofacial department for further assessment, treatment and also the probability for surgical exposure of impacted canine. We have decided to do odontectomy for the impacted canine and supernumerary tooth as well at Oral and Maxillofacial department, Prof. Soedomo Hospital. The diagnosis process, exposure of impacted canine considerations are also discussed. Conclusion: the odontectomy for impacted canine and supernumerary teeth had performed as last options if there is impossible to do an exposure of an impacted canine.

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