Surgical exposure, orthodontic movement, and final tooth position as factors in periodontal breakdown of treated palatally impacted canines

Kohavi, David; Becker, Adrian; Zilberman, Yerucham

doi:10.1016/0002-9416(84)90124-6

Cited by 106 publications

(44 citation statements)

References 9 publications

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“…Many authors have criticized the Open technique as they feel that periodontal health is compromised when palatal mucosa is excised. [6][7][8] This criticism appears to arise from a paper published in 1976, 9 which was an inherently weak retrospective study of 56 patients with unilateral PDCs, but was, until now the only published study to directly compare the periodontal consequences of Open versus Closed surgical exposure. The literature contains less criticism of the Closed technique in terms of periodontal impact, although some authors have still reported periodontal concerns when canines aligned with a Closed technique are compared to unoperated canines.…”

Section: Introductionmentioning

confidence: 99%

Periodontal health of palatally displaced canines treated with open or closed surgical technique: A multicenter, randomized controlled trial

Parkin

Milner

Deery

et al. 2013

American Journal of Orthodontics and Dentofacial Orthopedics

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Section: Introductionmentioning

confidence: 99%

Periodontal health of palatally displaced canines treated with open or closed surgical technique: A multicenter, randomized controlled trial

Parkin

Milner

Deery

et al. 2013

American Journal of Orthodontics and Dentofacial Orthopedics

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“…[7][8][9][10] On the other hand, surgical-orthodontic treatment may damage impacted canines, adjacent teeth, and supporting structures and eventually cause detrimental changes in the periodontal status. [11][12][13][14][15] The anatomical structure of the soft tissue that covers impacted maxillary canines and the treatment technique are considered major factors that influence posttreatment periodontal health of the canines and their adjacent teeth. 16,17 The initial vertical and horizontal position of the maxillary impacted canine may also affect posttreatment periodontal status, but data on this issue are scarce.…”

Section: Introductionmentioning

confidence: 99%

“…rection of impacted canines requires movement in all three directions-vertical, palatal, and buccal-which rarely occurs in orthodontic treatment of other types of malocclusion and may affect the final periodontal status of the impacted tooth. 12 The distance and direction of movement of palatally impacted canines during treatment is determined by the canines' initial vertical and horizontal position. The effect the initial vertical and horizontal position of an impacted canine has on the canine's periodontal status after surgery with the closed-eruption eruption technique is unknown.…”

Section: Introductionmentioning

confidence: 99%

Initial Vertical and Horizontal Position of Palatally Impacted Maxillary Canine and Effect on Periodontal Status Following Surgical-Orthodontic Treatment

Zasčiurinskienė¹,

Bjerklin²,

Smailienė

et al. 2008

The Angle Orthodontist

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Objective:To evaluate the impact of surgical-orthodontic treatment and the initial vertical and mesiodistal position of palatally impacted maxillary canines on the periodontal health of impacted canines and adjacent teeth. Materials and Methods:The study group consisted of 32 patients with unilateral palatally impacted maxillary canines. The initial position of the impacted canines was assessed on panoramic images. The treatment protocol of the impacted canines included surgical exposure with the closed-eruption technique and fixed orthodontic appliances. Results: A significant increase in pocket depth was found at the canine mesiopalatal point after surgical-orthodontic treatment. Also, a correlation was found between the initial mesiodistal and vertical position of the impacted canine and the posttreatment periodontal status of the impacted canine, the adjacent lateral incisor, and the first premolar. Conclusions: A combined surgical-orthodontic approach in the treatment of impacted maxillary canines produces clinically acceptable periodontal conditions. The average increase in pocket depth was less than 4 mm and clinically unimportant for most patients.

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“…15,16 Furthermore, the consequences of such treatment can compromise the periodontal health of the canine tooth. 17 Case reports have shown that if diagnosed early, interceptive measures may correct the eruption path of the permanent tooth and prevent impaction. 8,[18][19][20][21][22] Furthermore, Eriksson and Kurol 23 showed in a prospective trial that 78% of palatally impacted canines erupted following removal of the deciduous predecessor in uncrowded arches before the age of 11 years.…”

Section: Introductionmentioning

confidence: 99%

An audit of referral practice for patients with impacted palatal canines and the impact of referral guidelines

Hassan

Nute

2006

Br Dent J

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Objective To assess referral practice for patients presenting with impacted palatal maxillary canines, and to develop and evaluate the effectiveness of referral guidelines. Design Prospective clinical audit. Setting Southend and Basildon district general hospitals. Subjects and methods The 'gold' standard was identified as regular dental attenders with unerupted palatal canines being referred by 12 years old, with a wait of no longer than 20 weeks from referral to assessment. Data were collected and compared to the defined standard. An algorithm outlining the correct management was developed and distributed to all local dentists. The cycle was repeated for a similar time period. Results Ninety-eight per cent of patients were seen within 20 weeks during both cycles while the referrals increased from 85 to 109 patients. The percentage of patients referred by 12 years of age increased from 16.5% to 27% (p = 0.09). During the first cycle 82% of patients presented with retained deciduous maxillary canines. This was reduced to 76% during the second cycle (p = 0.29). Conclusion Referral practice was generally poor when compared to the recommended good practice. More patients were referred after distribution of the guidelines, but the percentage referred by the recommended age was not statistically significantly improved.

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Surgical exposure, orthodontic movement, and final tooth position as factors in periodontal breakdown of treated palatally impacted canines

Cited by 106 publications

References 9 publications

Periodontal health of palatally displaced canines treated with open or closed surgical technique: A multicenter, randomized controlled trial

Periodontal health of palatally displaced canines treated with open or closed surgical technique: A multicenter, randomized controlled trial

Initial Vertical and Horizontal Position of Palatally Impacted Maxillary Canine and Effect on Periodontal Status Following Surgical-Orthodontic Treatment

An audit of referral practice for patients with impacted palatal canines and the impact of referral guidelines

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