Orthodontic Treatment with Open Surgical Exposure and Bone-Anchored Pendulum for a Patient with Palatally Impacted Canine

2021 ◽  
Vol 11 (1) ◽  
pp. 35-45
Author(s):  
Jae-Hwa An ◽  
Sung-Hun Kim ◽  
Yong-Il Kim ◽  
Seong-Sik Kim ◽  
Soo-Byung Park ◽  
...  
2013 ◽  
Vol 17 (4) ◽  
pp. 376-380
Author(s):  
Ervina Sofyanti

Comprehensive orthodontic treatment among adult patients that required multidisciplinary approaches has been increased since a lot of them could not avail themselves with any treatment decades ago. Treatment of impacted canine in adult orthodontic patient needs to be integrated into the overall orthodontic treatment scheme. The following case report described an orthodontic treatment of 33-year-old woman with convex profile, palatally impacted of left maxillary canines and single dental crossbite. Dental midline shift associated with narrow arch form of upper arch and asymmetric tooth amount. Management of this case was started by extraction of first upper premolars in the opposite site from impacted maxillary in order to overcome dental discrepancy problem. Surgical exposure allowed the potency natural eruption of the impacted tooth. After 24-months of treatment, the impacted maxillary canines took place as integral elements in dentition and Class I Canine relationship was achieved. The success of this comprehensive orthodontic treatment also considered biomechanical and periodontal condition during treatment based on proper evaluation and good prognostic of the impacted tooth position. Providing adequate space and surgical exposure during levelling aligning phase followed by orthodontic traction and gingivectomy, were the multidisciplinary approaches of this following case. In conclusion, biomechanical orthodontic treatment related to periodontal condition must be considered in comprehensive orthodontic treatment of adult patient.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Marialuce Spallarossa ◽  
Carola Canevello ◽  
Francesca Silvestrini Biavati ◽  
Nicola Laffi

Introduction. “Dens invaginatus” is a dental anomaly which originates from the invagination of the ameloblastic epithelium into the lingual surface of the dental crown during the odontogenesis. It can cause early pulpal necrosis, abscesses, retention or dislocation of contiguous elements, cysts, and internal resorptions. It normally affects the upper lateral incisors. In the following study the authors will discuss the etiology, the physiopathology, and the surgical-orthodontic management of a rare case of impacted canine associated with dens invaginatus and follicular cyst, with the aim of highlighting the importance of taking any therapeutic decision based on the data available in the literature.Case Report. The present study describes a combined surgical-orthodontic treatment of an impacted canine associated with a lateral incisor (2.2) suffering from type III dens invaginatus with radicular cyst, in a 15-year-old patient.Discussion. When treating a dens invaginatus there are different therapeutic solutions: they depend on the gravity of the anomaly and on the association with the retention of a permanent tooth. The aesthetic and functional restoration becomes extremely important when performing a surgical-orthodontic repositioning.


2013 ◽  
Vol 59 (4) ◽  
pp. 191-193 ◽  
Author(s):  
Coșarcă Adina-Simona ◽  
Păcurar Mariana ◽  
Nagy-Bota Monica-Cristina ◽  
Ormenișan Alina

Abstract Aim: The aim of this study was to perform a clinical and statistical research on permanent impacted canine patients among those with dental impaction referred to and treated at the Oral and Maxillo-Facial Surgery Clinic of Tîrgu Mureș, over a four years period (2009-2012). Materials and methods: The study included 858 patients having dental impaction, and upon clinical records, different parameters, like frequency, gender, age, quadrant involvement, patient residence, associated complications, referring specialist and type of treatment, related to canine impaction, were assessed. Results: The study revealed: about 10% frequency of canine impaction among dental impactions; more frequent in women, in the first quadrant (tooth 13); most cases diagnosed between the age of 10-19 years; patients under 20 were referred by an orthodontist, those over 20 by a dentist; surgical exposure was more often performed than odontectomy. Conclusions: Canine impaction is the second-most frequent dental impaction in dental arch after third molars; it occurs especially in women. Due to its important role, canine recovery within dental arch is a goal to be achieved, whenever possible. Therefore, diagnose and treatment of canine impaction requires an interdisciplinary approach (surgical and orthodontic)


2017 ◽  
Vol 17 (07) ◽  
pp. 1740029
Author(s):  
BIN WU ◽  
YUNYUN ZHU ◽  
RUXIN LU ◽  
BIN YAN ◽  
YIPENG FU ◽  
...  

This study selected the maxillary labial impacted canine as the research object to build the model of periodontal ligament (PDL) and simulate the process of orthodontic treatment. This paper obtained stress–strain curve by calculating and analyzing the data of nanoindentation experiments. The parameters were identified through curve fittings by ABAQUS. The fitting results show that the third-order Ogden model is in good agreement with the experimental data which demonstrate that the third-order Ogden model is able to reflect the material properties of the PDL. In this paper, orthodontic process of the maxillary labial impacted canine was simulated. The results show that inside and outside surfaces of PDL all have stress variation, the stress on the root apex and dental cervix of PDL is relatively large, the maximum appears at dental cervix and the minimum appears close to tooth impedance center.


Author(s):  
Md Sayeedul Islam ◽  
Md Zakir Hossain

Maxillary central incisor impactions occur infrequently.Their origins include various local causes, such as odontoma, supernumerary teeth, and space loss. Supernumerary and ectopically impacted teeth are asymptomatic and found during routine clinical or radiological examinations. The surgical exposure and orthodontic traction of impacted right central incisor after removal of odontomas is presented in this report. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.31-37


2012 ◽  
Vol 3 (4) ◽  
pp. 210-217 ◽  
Author(s):  
Esma J Doğramacı ◽  
Farhad B Naini

Management of impacted maxillary canines forms a sizeable proportion of orthodontic treatment provided in dental school and district general hospital settings. Patients presenting with impacted canines fall into the highest category on the Index of Orthodontic Treatment Need (IOTN). Patients who agree to have surgical exposure and subsequent orthodontic alignment of an impacted canine are committing themselves to a course of treatment that could take up to three years, towards the end of which the patient's enthusiasm may be waning. Prevention, or at least early interception of the impacted canine, could save a protracted course of treatment and avert not only the surgical morbidity associated with exposure of the impacted tooth but also the general risks associated with orthodontic treatment.


2009 ◽  
Vol 79 (3) ◽  
pp. 442-446 ◽  
Author(s):  
Padhraig S. Fleming ◽  
Paul Scott ◽  
Negan Heidari ◽  
Andrew T. DiBiase

Abstract Objective: To investigate the influence of radiographic position of palatally impacted canines on the length of treatment for orthodontic alignment. Materials and Methods: Treatment records of 45 consecutive successfully treated patients (36 unilateral, 9 bilateral) with ectopic palatal canines treated with surgical exposure and orthodontic traction were analyzed. The sample was based on orthodontic referrals over a 3-year period in Kent and Canterbury Hospital, UK. The duration of treatment was related to radiographic parameters including the height of the impacted canine, angulation of the long axis to the upper midline, mesiodistal position of the canine tip relative to the midline and adjacent incisors, and the anteroposterior position of the canine root apex. Results: Using multiple stepwise regression analysis, the horizontal position of the canine crown relative to adjacent teeth and maxillary dental midline showed a statistically significant correlation with the duration of treatment (P =.042), explaining 7.7% of the overall variance. However, treatment duration was found to be independent of the initial canine angulation (P = .915), vertical height (P =.065), and position of the canine apex (P = .937). Conclusions: Accurate prediction of treatment duration for orthodontic alignment of palatally impacted maxillary canines is difficult. However, the mesiodistal position of the canine may be a useful predictor of treatment duration. (Angle Orthod. 2009:79;442–446.)


2016 ◽  
Vol 6 ◽  
pp. 306-311
Author(s):  
Juan Carlos Pérez Varela ◽  
Beatriz Iglesias Sánchez

Introduction Class III malocclusions are considered one of the most difficult problems to treat. For us, the complexity of these cases is the esthetics of the face and smile because the treatment of these malocclusions without surgery produces a more retrusive face. Diagnosis and Etiology We present a case of an adult male patient with skeletal Class III malocclusion with several crowding and impacted canines, who was treated with extractions of the upper canines and lower premolars. Conclusions The result is acceptable in terms of occlusion function, esthetic of the smile, and facial esthetics.


2013 ◽  
Vol 4 (3) ◽  
pp. 371 ◽  
Author(s):  
Radha Katiyar ◽  
Pradeep Tandon ◽  
GyanP Singh ◽  
Akhil Agrawal ◽  
TP Chaturvedi

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