Orthodontic Traction of Impacted Canine Using Cantilever

Nakandakari, Cláudia; Gonçalves, João Roberto; Cassano, Daniel Serra; Raveli, Taísa Boamorte; Bianchi, Jonas; Raveli, Dirceu Barnabé

doi:10.1155/2016/4386464

Cited by 16 publications

(25 citation statements)

References 9 publications

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“…[ 15 ] Therefore, the function has been recognized, besides position and esthetic tooth in the oral cavity, and the integrity of the periodontium and surrounding structures was maintained. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 4 ] Then, 0.017 × 0.025 inch stainless steel arch wire was inserted as stiff and base arch wire to consolidate dentition. [ 11 ] The same Ni–Ti open coil was maintained to keep proper space.…”

Section: Methodsmentioning

confidence: 99%

“…After a week, orthodontic traction was initiated with a 0.014 inch Ni–Ti wire as elastic overlay [ Figure 4 ], The overlay was activated to verticalize and expose the tooth crown in the oral cavity, extrusive force vector passes from buccal of center of resistance due to bonding the bracket in the buccal surface of the tooth, so clock-wise rotation of tooth had been predicted and the lingualization movement accrued. [ 11 ]…”

Section: Methodsmentioning

confidence: 99%

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Chair time saving method for treatment of an impacted maxillary central incisor with 15-month follow-up

Noorollahian

Shirban

2018

Dent Res J

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Maxillary permanent incisors have a major role in facial esthetics. Impaction of them has great adverse effect on smile and causes serious concerns in patient and parents. Physical barriers (e.g., overretained primary teeth, supernumerary teeth, and pathologic lesions), space problems, developmental abnormalities, altered eruption sequence, trauma, palatal clefts, and genetics can act as etiologic factors. Currently, the conventional technique to treatment of impacted teeth consists of a combined orthodontic and surgical approach, to guide the impacted teeth in a constant position and surrounded by normal hard and soft tissues. Treatment is challenging because of some limitations such as patient's age, cooperation, anchorage, and mechanotherapy possibilities. Hence, sophisticated treatment planning is crucial. A 9-year-old girl with horizontally impacted maxillary left central incisor treated with surgical exposure and closed orthodontic forced eruption with 2 × 4 partial setup fixed appliances. Force was applied with 0.014 inch nickel–titanium wire as elastic overlay and handmade ligated bracket. To save chair time in each appointment, the overlay was activated by twisting of ligature wire extensions around it. After 16-month treatment, impacted incisor emerged in oral cavity, with accepted alignment and inclination. Handmade ligated bracket with ligature wire extensions is useful for the treatment of impacted teeth. Due to easy activation of overlay in this method, chair time become short in each appointment.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Chair time saving method for treatment of an impacted maxillary central incisor with 15-month follow-up

Noorollahian

Shirban

2018

Dent Res J

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“…Orthodontic movement of the impacted canine after surgical exposure is the most common treatment approach [ 8 ], and different surgical-orthodontic techniques have been described in the literature [ 6 , 9 – 12 ]. Spencer [ 11 ] used canine uprighting hooks embedded to the progressive bionator appliance and applied traction and uprighting forces with elastics in order to erupt a horizontally impacted lower canine.…”

Section: Discussionmentioning

confidence: 99%

Orthodontic Intervention to Impacted and Transposed Lower Canines

Kılıç

Oktay

2017

Case Reports in Dentistry

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Impacted and transposed teeth cause serious difficulties in tooth eruption and movement as well as esthetic and functional outcomes. Proper treatment planning including good biomechanical control is essential in order to avoid side effects during traction and aligning of the impacted and/or transposed teeth. The purpose of the present study was to present a successfully treated female patient having transposed and impacted lower canines by means of a modified lingual arch and fixed orthodontic appliance. A female patient aged 13 years and 9 months presented to the orthodontic department with a chief compliant of bilateral spacing and missing teeth in mandibular dentition. After leveling and creating sufficient space in the mandibular arch for the canines, a modified lingual arch was cemented to the mandibular first molars. The lingual arch had two hooks extending to the distobuccal areas of the canine spaces. Elastic chains were applied between the hooks on the lingual arch and the ligatures tied to the attachments on the canine crowns. The light forces generated by elastic materials caused impacted canines to erupt and tend towards their own spaces in the dental arch. As a result, impacted and transposed lower canines were properly positioned in their spaces, and the treatment results were stable during the retention period.

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“…64 Additional traction technique accompanied by a surgical exposure uses cantilever on the segmented arch technique. 65 Segmented arch technique consists in the dental arch segmentation for the consolidation of teeth in active units and a passive unit (anchor), designed by Charles Burstone in 1962. This technique can be applied to the cantilever, which is a device used for dental traction, being made from titanium and molybdenum alloy wire.…”

Section: Mechanical Traction Of the Surgically Uncovered Impacted Teethmentioning

confidence: 99%

Different Management Approaches in Impacted Maxillary Canines: An Overview on Current Trends and Literature

Izadikhah¹,

Cao²,

Zhao³

et al. 2020

The Journal of Contemporary Dental Practice

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Aim: This study aimed to overview and collect the current trends and techniques in managing maxillary impacted canines by retrieving recent literature, in a chronological manner from the prevention to the very late stages of treatment in adults. Background: We performed a review on the recent literature regarding the current trends on the management of impacted canines. We have researched various types of available articles such as clinical trials and case presentations, meta-and systematic analyses, and literature reviews focusing on clinical management of impacted canines and their outcome evaluations. We adhered to those articles published within the last decade with a focus on treatment planning for impacted and displaced canines. Review results: Depending on the diagnosis and its timing of it, a maxillary impacted canine can be managed by either prevention or interception, surgical opening followed by autonomous eruption or orthodontically traction, autotransplantation, and at last by removal and space closure. These techniques are elaborated one by one according to the age and severity of the diagnosis. Conclusion: Impaction of the canines is a manageable abnormality which is highly dependent on the timing and localization of the displaced tooth. Early detection will give the upper hand to orthodontists to engage by either prevention through extraction of deciduous canines or intercepting via assistant devices to create more space. According to the clinical situation, open or closed surgical uncovering might be required to bond an attachment. However, generally, those techniques did not show any significant clinical distinction in the outcome assessments. Clinical significance: These approaches are highly technique sensitive and require collaborations with other specialties. Proper diagnosis and prognosis assessment are necessary before making any decision to bring an impacted canine in alignment.

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Orthodontic Traction of Impacted Canine Using Cantilever

Cited by 16 publications

References 9 publications

Chair time saving method for treatment of an impacted maxillary central incisor with 15-month follow-up

Chair time saving method for treatment of an impacted maxillary central incisor with 15-month follow-up

Orthodontic Intervention to Impacted and Transposed Lower Canines

Different Management Approaches in Impacted Maxillary Canines: An Overview on Current Trends and Literature

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