Management of impacted all canines with surgical exposure and alignment by orthodontic treatment

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

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

Clinical Journal of Korean Association of Orthodontists ◽

10.33777/cjkao.2021.11.1.35 ◽

2021 ◽

Vol 11 (1) ◽

pp. 35-45

Author(s):

Jae-Hwa An ◽

Sung-Hun Kim ◽

Yong-Il Kim ◽

Seong-Sik Kim ◽

Soo-Byung Park ◽

...

Keyword(s):

Orthodontic Treatment ◽

Surgical Exposure ◽

Impacted Canine

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COMPREHENSIVE ORTHODONTIC TREATMENT OF PALATALLY IMPACTED MAXILLARY CANINES

Dentika Dental Journal ◽

10.32734/dentika.v17i4.1791 ◽

2013 ◽

Vol 17 (4) ◽

pp. 376-380

Author(s):

Ervina Sofyanti

Keyword(s):

Case Report ◽

Orthodontic Treatment ◽

Patient Needs ◽

Midline Shift ◽

Impacted Tooth ◽

Arch Form ◽

Tooth Position ◽

Periodontal Condition ◽

Surgical Exposure ◽

Impacted Canine

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.

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Impacted maxillary central incisor: Surgical exposure and orthodontic treatment

American Journal of Orthodontics and Dentofacial Orthopedics ◽

10.1016/j.ajodo.2009.11.018 ◽

2011 ◽

Vol 140 (2) ◽

pp. 256-265 ◽

Cited By ~ 22

Author(s):

Teresa Pinho ◽

Manuel Neves ◽

Célia Alves

Keyword(s):

Orthodontic Treatment ◽

Central Incisor ◽

Maxillary Central Incisor ◽

Surgical Exposure

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Surgical Exposure of Impacted Upper Incisor and its Proper Alignment in the Dental Arch

Bangladesh Journal of Dental Research & Education ◽

10.3329/bjdre.v2i2.16249 ◽

2013 ◽

Vol 2 (2) ◽

pp. 69-70

Author(s):

Rashed Md Golam Rabbani ◽

Arup Kumar Saha ◽

R Palash Biswas ◽

Most. Shahana Afroge Khan ◽

Kamrun Nahar Chowdhury Fanse ◽

...

Keyword(s):

Case Report ◽

Orthodontic Treatment ◽

Clinical Case ◽

Dental Arch ◽

Central Incisor ◽

Dental Research ◽

Surgical Exposure ◽

First Choice

Surgical exposure of impacted upper incisor is very complex, so fixed orthodontic treatment rehabilitation is the first choice of the treatment for the correction of malocclusion. A clinical case report a 10-year old boy with a unerupted malposed upper left central incisor, which was treated by sequential surgical exposure and fixed orthodontic treatment. The tooth was aligned in the dental arch with accepted aesthetic and functional satisfaction of the patient.DOI: http://doi.dx.org/10.3329/bjdre.v2i2.16249 Bangladesh Journal of Dental Research & Education Vol.2(2) 2012: 69-70

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Current ideas on the management of palatally displaced canines

Faculty Dental Journal ◽

10.1308/204268510x12888692969905 ◽

2011 ◽

Vol 2 (1) ◽

pp. 24-29

Author(s):

Nicola Parkin ◽

Philip Benson

Keyword(s):

General Anaesthesia ◽

Orthodontic Treatment ◽

Bony Defect ◽

Common Occurrence ◽

Surgical Exposure

An adolescent presenting with a palatally displaced canine (PDC) is a fairly common occurrence. The condition is expensive to treat as it involves surgical exposure (usually under general anaesthesia) followed by lengthy fixed orthodontic treatment at an average of two to three years. In the majority of cases alignment is successful. However if orthodontic alignment is unsuccessful and the tooth has to be surgically removed this can leave a large bony defect, which will be difficult to restore with a bridge or implant (see Figure 1). This article aims to give an overview of current principles and problems in the management of PDC.

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Dental follicles promote soft tissue management in surgical exposure of labially impacted maxillary canine

BMC Oral Health ◽

10.1186/s12903-021-01922-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Li-Ru Hu ◽

Wen-Ting Qi ◽

Chong-Yun Bao ◽

Jian Pan ◽

Xian Liu

Keyword(s):

Soft Tissue ◽

Orthodontic Treatment ◽

Root Resorption ◽

Statistical Significance ◽

Control Group ◽

Soft Tissue Management ◽

Clinical Trial Registry ◽

Maxillary Canine ◽

Surgical Exposure ◽

Experimental Group

Abstract Background The present study aimed to report a technically improved operation on the surgical exposure of labially impacted maxillary canine, elaborating the management of soft tissue to achieve better aesthetic results, and post-treatment periodontal health. Methods Patients sought orthodontic treatment with unilateral labially impacted maxillary canines were selected in this study. The impacted teeth were assigned to the experimental group and contralateral unimpacted canines were assigned to the control group. The impacted canines were surgically exposed with dissected dental follicle (DF) stitching to muscle and mucosa surrounding the crowns. The gingival index (GI), probing depth (PD), the width of the keratinized gingiva (WKG), gingival scars (GS), bone loss (BL), and apical root resorption (ARR) were recorded after the removal of the fixed appliance. A two-sample t-test was used for independent samples for parametric variables. Results A total of 24 patients with unilateral maxillary canine impaction were successfully treated. The outcomes of GI, WKG, GS, BL, and ARR did not indicate statistical significance between the experimental group and the control group. Conclusions The preservation of DF promotes soft tissue management in combined surgical and orthodontic treatment of labially impacted maxillary canine to achieve better periodontal status. Trial Registration Chinese Clinical Trial Registry ChiCTR2000029091, 2020-01-12.

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