Abstract

Associate Clinical Professor of Dentistry, Columbia University School of Dental and Oral Surgery, New York. Address correspondence and reprint requests to Dr. Geiger: 30 East 40th Street, New York, NY 10016. tissues, with little or no bony covering. However, when the impacted tooth is deep within the bone, these conventional methods create problems during tooth movement. After exposure of a high palatal canine, the surgeon may re-adapt the palatal mucosa and bring the ligature through the tissue, or an effort may be made to keep a window open with a surgical pack. In the latter case, the packing may have inadequate retention and frequently fails to keep the mucosa from covering the opening, especially if tooth movement is not very rapid. Regardless of the procedure followed, the lateral and downward ortho0278-2391187 $0.00 + .25 dontic forces that are exerted on a wire or chain

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