Four impacted canines in an adult patient: A challenge in orthodontics

Tanaka, Orlando Motohiro; Avila, Ana Leticia Rocha; Pacheco, Ariel Adriano Reyes; Pithon, Matheus Melo

doi:10.4103/0970-9290.131168

Cited by 4 publications

(2 citation statements)

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“…It's crucial for patients to be aware of potential treatment failures and the likelihood of extended treatment times as part of informed consent (Becker et al, 2010). Managing impacted canines typically requires a multidisciplinary approach, demanding effective communication among clinicians and with the patient, particularly in differentiating between buccal and palatal impactions and choosing the appropriate attachment for orthodontic force application (Tanaka et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Orthodontic management of bilateral maxillary canine impaction in skeletal Class I malocclusion: A case report

Tanaka,

Gasparello,

Mota-Júnior

et al. 2024

RSD

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Introduction: Impacted maxillary canines can assume a diverse array of three-dimensional positions, contributing to the complexity of orthodontic treatment. Objective: This article aims to discuss the case of a skeletal Class I patient with a mesofacial pattern, a convex facial profile and maxillary incisor protrusion, presenting with Class I malocclusion, normal overjet, and a mild overbite, along with bilateral impaction of the permanent maxillary canines. Available treatment options included orthodontic traction of the impacted canines, extraction of the primary canines, either preserving or extracting the impacted canines, or extracting all canines and closing the posterior space. Ankylosis of the right canine was a consideration. The treatment that was implemented involved closed exposition, attachment bonding, and traction of the right canine into the occlusal line using a full fixed appliance. Results: The left canine was extracted, and the primary canine was retained as a placeholder for future prosthetic implantation after growth cessation. After 35 months, the right canine was successfully positioned in the occlusal line, maintaining the left primary canine and the original good intercuspation. Conclusion: The prosthetic rehabilitation with an implant-supported prosthesis on the left side was successful, as confirmed at the 3-year and 4-month follow-up.

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Section: Introductionmentioning

confidence: 99%

Orthodontic management of bilateral maxillary canine impaction in skeletal Class I malocclusion: A case report

Tanaka,

Gasparello,

Mota-Júnior

et al. 2024

RSD

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show abstract

“…The surgical, periodontal, and orthodontic considerations in the management of impacted canines must be clearly explained to the patient. 6…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcome of an Impacted Maxillary Canine: From Exposition to Occlusion

Taffarel

Saga

Locks

et al. 2018

The Journal of Contemporary Dental Practice

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Aim: The aim is to report a case of impacted maxillary right canine successfully positioned into the occlusion line. Background: Although the treatment of choice for an impacted canine is a combined surgical-orthodontic approach, there are differences in technique. The preorthodontic uncovering and autonomous eruption technique is a safe and predictable option for the treatment of palatally impacted maxillary canines in adolescents and adults as is the orthodontic creation of a space before minimal surgical exposure, the bonding of a small attachment (an eyelet), full-flap closure, and immediate traction. Although the mechanical management of impacted teeth is a routine task for most orthodontists, certain types of impaction can be frustrating. Case description: An 18-year-old adult patient presented for clinical examination with a mobile maxillary right deciduous canine, the absence of a maxillary right permanent canine, Angle Class I malocclusion, an overjet of 2.0 mm, an overbite of 3.0 mm, and rotated canine and left maxillary central and lateral incisors. Cephalometric measurements revealed a skeletal Class I relationship as well as upright maxillary incisors (1. NA = 18º) and mandibular incisors (1. NB = 16º, IMPA = 80º). The facial profile was concave. Clinically, a constricted maxillary arch was observed, and the patient had a nail-biting habit. Conclusion: The canine was aligned, leveled and positioned in the occlusion line. The aesthetic, functional and periodontal results remained stable in the retention phase. Clinical significance: Various treatment strategies are available to treat impacted maxillary canines. The surgical, periodontal, and orthodontic considerations in the management of impacted canines must be clearly explained to the patient.

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Attempted traction of impacted and ankylosed maxillary canines: An update

Oliveira

Pithon

2021

AJO-DO Clinical Companion

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Four impacted canines in an adult patient: A challenge in orthodontics

Cited by 4 publications

References 0 publications

Orthodontic management of bilateral maxillary canine impaction in skeletal Class I malocclusion: A case report

Orthodontic management of bilateral maxillary canine impaction in skeletal Class I malocclusion: A case report

Clinical Outcome of an Impacted Maxillary Canine: From Exposition to Occlusion

Attempted traction of impacted and ankylosed maxillary canines: An update

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