scholarly journals Orthodontic traction of impacted canines: Concepts and clinical application

2019 ◽  
Vol 24 (1) ◽  
pp. 74-87 ◽  
Author(s):  
Ricardo Machado Cruz

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.

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Ezgi Atik ◽  
Ilken Kocadereli

This case report presents the treatment of a 14-year-and-8-month-old boy with Class II division 2 mandibular retrusion, severe deep bite, and concave profile. The Forsus fatigue resistance device (FRD) was effective in correcting both skeletal and dental parameters. At 5-year posttreatment follow-up, the teeth were well aligned and the occlusion was stable. FRD application with appropriate treatment time can result with prominent changes in the facial profile and dentition, and the outcomes can be maintained at the long-term follow-up periods.


Author(s):  
MZ Hossain ◽  
MSA Mamun ◽  
S Haque

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


2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Sonia Khan ◽  
Raidah Al Baradie

Epileptic encephalopathies are an epileptic condition characterized by epileptiform abnormalities associated with progressive cerebral dysfunction. In the classification of the International League Against Epilepsy eight age-related epileptic encephalopathy syndromes are recognized. These syndromes include early myoclonic encephalopathy and Ohtahara syndrome in the neonatal period, West syndrome and Dravet syndrome in infancy, myoclonic status in nonprogressive encephalopathies, and Lennox-Gastaut syndrome, Landau-Kleffner syndrome, and epilepsy with continuous spike waves during slow wave sleep in childhood and adolescences. Other epileptic syndromes such as migrating partial seizures in infancy and severe epilepsy with multiple independent spike foci may be reasonably added. In this paper, we provide an overview of epileptic encephalopathies including clinical neurophysiological features, cognitive deterioration, and management options especially that these conditions are generally refractory to standard antiepileptic drugs.


2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Mahdi Khoshchehreh ◽  
Omalbanin Paknejad ◽  
Mehrdad Bakhshayesh-Karam ◽  
Marzieh Pazoki

The thorax is the rarest place among all forms of renal ectopia. We report a rare case of an unacquired thoracic kidney. Only about 200 cases of the thoracic kidney have ever been reported in medical literature worldwide. In this paper we present the rarest form of nontraumatic nonhernia associated, truly ectopic thoracic kidney. The differential diagnosis and management options and classification of this rare form of aberrant kidney are discussed.


2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Carolina Rodríguez-Manjarrés ◽  
Margarita-Rosa Padilla-Tello

This paper presents the most relevant information about the class II division 2 malocclusion (II / 2) described in the literature and different treatment options based on orthopedics. Class II malocclusion is characterized by mandibular retrognathism and / or prognathic maxillary which could affect the molar relationship and considering the dental component is subdivided into Type 1, characterized by vestibular inclination of all upper incisors and Type 2 with upper central incisors retroclined and vestibularized lateral incisors. It presents multifactorial etiology. As reported by the literature, the incidence of malocclusion Class II / 2 ranges from 3-12%. It is characterized by different vertical, transverse, facial, skeletal and dental features that differentiate it from other malocclusions, and thus make decisions on time. Therefore, early treatment of this type of malocclusion, can reduce the possibility of surgery, minimizec the severity of the alteration in stomatological system functions and improve the overall appearance of the patient. The goals of treatment are directed transversely performing maxillary expansion to allow correction in alteration of the axial inclination of the upper incisors and solve dental crowding, leading to a malocclusion class II / 1, for further mandibular advancement. Keywords: Malocclusion, Class II Division 2, mixed dentition, functional orthopedics of the jaws.


2016 ◽  
Vol 19 (1) ◽  
pp. 167
Author(s):  
Selviana Wati Fobia ◽  
Bambang Dwi Rahardjo

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. 


2020 ◽  
pp. 174239532094520
Author(s):  
José C Araújo Filho ◽  
Luana P Rocha ◽  
Frederico CB Cavalcanti ◽  
Patrícia EM Marinho

Objective To identify which functioning, personal and environmental factors are more relevant to adults in hemodialysis treatment. Materials and methods Data was collected by semi-structured interview, recorded, transcribed in full, verified and produced by Bardin Thematic content analysis. Two independent researchers identified the relevant themes and named the thematic categories found according to the coding of the International Classification of Functioning, Disability and Health (ICF). Results Six men and three women aged between 32–65 years were interviewed, with per capita family income between 1–2.9 minimum salaries and hemodialysis treatment time between 5 to 26 years. Fifty-seven ICF categories were listed: 17 Body Functions, 9 Body Structures, 21 Activities and Participation, and 10 Environmental Factors. Health, transportation and general social support services, systems and policies; doing housework; recreation and leisure; emotional functions, temperament and personality functions; energy and drive functions; sensation of pain; and structures of the cardiovascular system, lower extremity and musculoskeletal structures related to movement were the most reported aspects by the participants. Conclusion Patients’ need for physical/emotional support from their partners, friends and health professionals, including emotional and social support, with health policies, transportation and job maintenance, in order to increase their survival and quality of life.


Dental Update ◽  
2020 ◽  
Vol 47 (9) ◽  
pp. 729-738
Author(s):  
Maurice J Meade

Supernumerary teeth can develop in any location of the mandible or maxilla and may have a significant impact on the developing dentition. This paper reviews the prevalence, aetiology and classification of supernumerary teeth. It also describes their clinical characteristics and management options. A case report involving the interdisciplinary management of delayed eruption of central incisors due to the presence of a supernumerary tooth is outlined. CPD/Clinical Relevance: Timely diagnosis and appropriate management may reduce the potential problems associated with supernumerary teeth. General dental practitioners should be aware of the clinical characteristics and management options related to supernumerary teeth.


1974 ◽  
Vol 1 (3) ◽  
pp. 79-86 ◽  
Author(s):  
J. F. Gravely ◽  
D. B. Johnson

The reliability of Angle's system of classification of malocclusion has been examined. Between-examiner errors were found to be high and there were also high within-examiner error levels in categorizing Angle Class II division 2 malocclusions. It is concluded that comparisons of the distribution of malocclusions in different communities, classified according to Angle's system, should not be made unless observations are made in each community by the same examiner. The usefulness of Angle's classification to both clinician and epidemiologist is questioned.


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