Exposure of unerupted palatal canines: A survey of current practice in the United Kingdom, and experience of a gingival-sparing procedure

Spencer, Helen; Ramsey, R.; Ponduri, Sirisha; Brennan, Peter

doi:10.1016/j.bjoms.2009.08.032

Cited by 13 publications

(23 citation statements)

References 6 publications

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“…However another retrospective audit of patients treated over 3 years (2005-8) using a gingival-sparing open technique and dressed with Coe-pak™ found that only 9 teeth out of a sample of 247 teeth (3.5%) required a second surgical procedure. 15 Other studies have reported very low rate bond failure rates with the Closed technique. [16][17][18] In our trial, the fact that only one of the chains debonded post-surgery suggests that bonding intra-operatively, by experienced oral surgeons, was uncomplicated and an adequate bond strength was consistently achieved.…”

Section: Discussionmentioning

confidence: 96%

No Difference in Surgical Outcomes Between Open and Closed Exposure of Palatally Displaced Maxillary Canines

Parkin

Deery

Smith

et al. 2012

Journal of Oral and Maxillofacial Surgery

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No difference in surgical outcomes between Open and Closed exposure of palatally displaced maxillary cuspids Abstract Purpose: To investigate differences in the surgical outcomes between Open and Closed exposure for palatally displaced maxillary cuspids (PDC).Methods: A multicenter, RCT involving two parallel groups. The settings were one dental teaching hospital in, and two hospital units near Sheffield, UK. Participants were aged <20 years with a unilateral PDC, who provided informed consent. They were randomly allocated to either receive the Open (O) or the Closed (C) surgical procedure. The outcomes were time spent in the operating room and 10-day post-operative patient questionnaire. Statistical differences between the two techniques were tested using independent t tests for continuous variables and chi-squared tests for frequencies.Results: The final study sample was composed of 71 participants (64% females). There were no differences in the gender ratios (O: F=27, M=13; C: F=25, M=16) or mean ages of the two groups (O: 14.3 yrs SD 1.3; C: 14.1 yrs SD 1.6) at the start. The mean operating times for the Open and Closed techniques were 34.3 mins (SD 11.2) and 34.3 mins (SD 11.9) respectively (p=.986). There were no statistically significant differences between the two treatment groups for any of the patientassessed outcomes (p>.05).Conclusions: There were no differences in the surgical outcomes investigated in this study between Open and Closed exposure for PDC.

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Section: Discussionmentioning

confidence: 96%

No Difference in Surgical Outcomes Between Open and Closed Exposure of Palatally Displaced Maxillary Canines

Parkin

Deery

Smith

et al. 2012

Journal of Oral and Maxillofacial Surgery

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“…Aunque se han propuesto diferentes causas que pueden ser locales, generales o genéticas. Las causas generales abarcan enfermedades sistémicas como cuadros febriles, irradiación (1,8), síndrome de Gardner, disostosis cleidocraneal (10,11,19) o deficiencias endocrinas (2,20). Entre las causas locales están las discrepancias óseo-dentarias, pérdida temprana o retención prolongada del canino temporal, anquilosis, quistes o formaciones neoplásicas, dientes supernumerarios, dilaceraciones de la raíz, cierre prematuro del ápice, iatrogenia, trauma, etc.…”

Section: Etiologíaunclassified

“…Entre las causas locales están las discrepancias óseo-dentarias, pérdida temprana o retención prolongada del canino temporal, anquilosis, quistes o formaciones neoplásicas, dientes supernumerarios, dilaceraciones de la raíz, cierre prematuro del ápice, iatrogenia, trauma, etc. (2,6,12,19,20). Dentro de estas causas locales, en el caso de los caninos incluidos maxilares desplazados hacia palatino encontramos la teoría de la orientación que sugiere que el canino erupciona gracias a la guía que le proporciona el incisivo lateral, si éste está ausente o malformado el canino no erupciona correctamente (1,6,7,21).…”

Section: Etiologíaunclassified

“…Dada la importancia del canino, su no tratamiento podría comportar un compromiso estético, fonético y masticatorio (19). Otras complicaciones de no tratar los caninos incluidos pueden resultar en el desplazamiento o pérdida de vitalidad de los incisivos, acortamiento del arco dental, formación de quistes foliculares, anquilosis del canino, infecciones y dolores recurrentes, reabsorción interna, reabsorción externa del diente adyacente o combinaciones de todos estos factores (6,7,13).…”

Section: Complicacionesunclassified

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Caninos incluidos, tratamiento odontológico: Revisión de la literatura

Egido-Moreno¹,

Matas²,

Escalona

et al. 2013

Av Odontoestomatol

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El objetivo de este trabajo es realizar una revisión bibliográfica de los últimos 5 años (2006-2011), sobre la situación actual de los caninos incluidos y su tratamiento. Se ha analizado la incidencia, etiología, diagnóstico y factores pronósticos de su alineamiento, así como las terapéuticas de los mismos. Su manejo es de especial importancia, ya que estos dientes tienen un papel fundamental en la apariencia facial, estética dental, desarrollo del arco dental y la oclusión funcional. Se deben diagnosticar mediante una evaluación clínica y radiológica minuciosa además de un examen radiográfico; determinando las posibles complicaciones asociadas y las opciones de tratamiento individualizándolas en cada caso. Se han planteado diferentes formas de manejarlos que van desde los controles periódicos, la prevención de la inclusión con el tratamiento interceptivo, el tratamiento ortodóncico-quirúrgico o la extracción. Antes de iniciar cualquier procedimiento debemos valorar las características individuales de cada paciente, así como la situación y la inclinación del diente para lograr nuestro objetivo.

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“…However, if the exposure is insufficient, the mucosa may heal over the canine crown such that by the time the patient returns to the orthodontist, there is no sign of the unerupted canine in the mouth. In the UK there is a roughly even split between open and closed exposures 24 . There are advantages and disadvantages of both techniques as discussed by Mathews and Kokich 23 and by Becker and Chaushu 25 and these are summarised in Table 1 As a result, the same author conducted a trial comparing open and closed exposure and reported that there were no differences in surgical outcome, operating time or patient related outcome measures (PROMs) 27 between the two techniques.…”

Section: Open Vs Closed Exposurementioning

confidence: 99%