Surgical and orthodontic management of impacted maxillary canines pdf

An attempt to guide impacted canines into functional occlusion should be made. Proper management of these teeth requires appropriate surgical techniques to apply forces in a favourable direction and to have complete control for efficient correction, thereby avoiding damage to the adjacent teeth. Depending on the position of these impacted teeth, various surgical techniques have been employed for their exposure. His primary goal of surgical phase is to provide the means for correct position of orthodontic anchorage. Maxillary canines present a high esthetic and functional demand, hence, a precise diagnosis and treatment planning with soft tissue considerations is essential for a favorable and stable outcome. The permanent maxillary canines are only second to the third molars in order of dental impactions. This case presentation describes two different surgical approaches for two maxillary impacted canines in a 12yearold girl. Maxillary canines are the most commonly impacted teeth next to the third molars.

Orthodontic and surgical management of impacted teeth pdf. Surgical and orthodontic management of impacted maxillary canines authors. Proper knowledge of the position of canine in relation to the other anatomical structure is very important in surgical exposure and orthodontic management of impacted maxillary canine. We carried a prospective study on 17 subjects with impacted maxillary canines. Management of canine exposure requires timely orthodontic and surgical interventions. There are a number of possible sequelae to canine impactions, ranging from loss of space. He classified these factors as local hard tissue obstruction. Mathews orthodontic and surgical management of impacted teeth by vincent g. Maxillary canine impaction is nowadays a commonly seen condition which is always challenging to the orthodontist to bring the tooth to the normal position and finish the case with proper canine classi relationship. Although the mechanical management of impacted teeth is a routine task for most orthodontists, certain impactions can be frustrating, and the esthetic outcome.

Tanakac st louis, mo, jacksonville, fla, and curitiba, brazil thisclinical article reportsa technique,apicotomy, formanaging dilaceratedor ankylosed canines. Extraction of the maxillary, first premolars was planned for correction of the overjet, overbite and space management for the impacted maxillary canines. They selected only studies that pertained to the prevalence, etiology and diagnosis of impacted maxillary canines, as well as the most recent studies regarding surgical and orthodontic techniques for the proper management of impacted maxillary canines. The management of impacted mandibular canine depends on several factors that were discussed in the article. Management of the palatally ectopic maxillary canine.

Impaction of maxillary canines is a frequently encountered clinical problem in orthodontic therapy. Pdf surgical and orthodontic management of impacted. This document contains clinical guidelines for five of the dental specialties as follows. Management of the unerupted maxillary canine british. Alignment of an impacted canine requires a combined surgical. Surgical exposure of the impacted canine and orthodontic alignment is done when indicated and deemed feasible. Alignment of an impacted canine requires a combined surgical and orthodontic approach.

An overview of the incidence and sequelae, as well as the surgical, periodontal, and orthodontic considerations in the management, of impacted canines is presented. A sequential approach included a first stage of surgical exposure using apically positioned flaps and orthodontic extrusion of both impacted teeth. The treatment of choice is orthodontic surgical alignment of the imp. The clinical outcome is frequently compromised by a. The incidence of impaction ranges between 1 % and 3%. Maxillary canine impaction incidence in population is 12. Preorthodontic uncovering and autonomous eruption of. Various surgical and orthodontic techniques may be used to recover impacted maxillary canines. Surgical exposure and orthodontic alignment of impacted. Several surgical techniques have been proposed to expose the crown of impacted tooth. The position of the impacted canine dictates which method to be used for exposure 7.

Permanent anterior tooth impaction constitutes an esthetic and medical challenge. Canine impaction and its importance in orthodontics. The prevalence of impacted mandibular canines is lower than that of the maxillary canines. Maxillary transverse dimensions in patients with and without impacted canines canine eruption after orthopedic arch expansion evaluating changes in normal occlusion over a 40year period laypeoples perceptions of altered.

Unilateral impaction is five times more common than bilateral cases and the left side is slightly more affected than the. However, when the horizontally inclined impacted canines are positioned higher up in the maxillary arch, a closed flap technique is recommended followed by immediate orthodontic traction. Literature supports closed and open surgical exposure techniques to expose impacted canines 6. Impaction of maxillary and mandibular canines is a frequently encountered clinical problem, the treatment of which usually requires an interdisciplinary approach. The frequency of maxillary canine impaction is significantly higher than of mandibular canines. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Request the article directly from the author on researchgate. Combined orthodonticsurgical approach in the treatment of. Surgical and orthodontic management of impacted maxillary canines article in american journal of orthodontics and dentofacial orthopedics 1263. Dentigerous cysts are common odontogenic cysts associated with unerupted teeth. An 18yearold japanese woman visited our hospital with a chief complaint of gingival swelling in her anterior. Localization of impacted canines a comparative study of. Mathew orthodontic and surgical management of impacted teeth pdf impacted teeth are commonly encountered in dental practice, yet currently there is not a comprehensive book detailing the surgical treatments and orthodontic therapy to erupt or manage these teeth. Written by arguably the best orthodontist in the world and his periodontist colleague of almost 40 years, this text covers the various types of impactions an orthodontist and surgeon will encounter, including maxillary central incisors, maxillary canines both labially and palatally impacted, mandibular canines, premolars, and mandibular molars.

Case report surgical and orthodontic management of a. Alternative methods of repositioning impacted maxillary. Treatment interceptive treatment by extraction of the primary canine 25 2. Often the surgeon will perform an incorrect uncovering technique, the orthodontic mechanics to erupt the tooth could be inappropriate, and as a result the periodontal and esthetic outcome could be disastrous. Conclusion various surgical and orthodontics techniques may be used to recover impacted maxillary canines. Clinical management of bilateral impacted maxillary canines. Pdf surgical and orthodontic management of impacted maxillary. Presented at the american association of orthodontistsamerican association of oral and maxillofacial surgeons symposium, february 68, 2004.

Orthodontic and surgical management of impacted teeth. Pdf when an impacted permanent maxillary canine has been diagnosed, the general. Surgical management of maxillary dilacerated or ankylosed canines eustaquio a. When surgical exposure and early traction are planned, maxillary brackets are placed, and the teeth are aligned. Case report on orthodontic treatment of a unique case of. These include the age of the patient and the position of the tooth. The proper management of these teeth, however, requires that the appropriate surgical technique be used and that the clinician be able to apply measured forces in a favorable direction. Our aim was to evaluate the location of impacted canines and their proximity to the lateral and central incisor to assess the prognosis of the impacted canine and compare the reliability of 2d versus 3d imaging solutions. Surgical management of impacted canines michigan periodontics.

Surgical and orthodontic management of impacted maxillary. Maxillary canines are one of the most common teeth that are impacted among patients seeking orthodontic treatment. Surgical considerations and management of bilateral. Mathews impacted teeth are a commonplace encounter in dental practice, yet currently there is not a comprehensive book detailing the surgical treatments and. Multidisciplinary approach for treatment of a dentigerous. Often the surgeon will perform an incorrect uncovering technique, the orthodontic. Management of impacted all canines with surgical exposure. The duration of orthodontic traction of maxillary impacted canines was the longest. Becker and chaushu 1 stated that while genetics could be attributed as a cause of impacted canines, the path of eruption of the canine is strongly influenced by environmental factors. Orthodontic and surgical management of impacted teeth by vincent g. The permanent canines are the foundation of an esthetic smile and functional occlusion.

When a preventive approach fails, treatment involves surgical exposure of the impacted tooth, followed by orthodontic traction to guide and align it into the dental arch. Some of the most common complications associated with these procedures are gingival overgrowth at the surgical site and high infection rate. Management of the palatally ectopic maxillary canine 2 1. Clinical management of the impacted maxillary canines. The effect of surgical interventions to assist orthodontic movement of impacted maxillary canines the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The effect of surgical interventions to assist orthodontic. Although the mechanical management of impacted teeth is a routine task for most orthodontists, certain impactions can be frustrating, and the esthetic outcome can be unpredictable if the surgeon uncovers the impacted tooth improperly. We describe a previously unreported case of a multidisciplinary approach using surgical, orthodontic, and implant treatment to establish the occlusion for a patient with a maxillary dentigerous cyst. This is a case of 12 year old female patient with maxillary bilateral canine impaction, the right maxillary canine was impacted palatally and the left canine buccally respectively, being treated by surgical exposure and fixed orthodontic therapy. Orthodontic and surgical management of impacted teeth pdf author. Management of the palatally ectopic maxillary canine new version 2010 above management of unerupted maxillary incisors new version 2010 above paediatric dentistry. Surgical and orthodontic management of impacted maxillary canines. Preorthodontic uncovering of palatal impacted canines.