Abstract
Maxillary canines are one of the most common teeth that are impacted among patients seeking orthodontic treatment. Depending on the position of these impacted teeth, various surgical techniques have been employed for their exposure. His primary goal of surgical phase is to provide the means for correct position of orthodontic anchorage. Additionally, the technique used must ensure favorable tissue anatomy that will permit long-term maintenance of periodontal health. In the present case, a labially impacted maxillary left canine was surgically exposed using an apically positioned flap. Orthodontic extrusion was carried out further.
Highlights
The orthodontic treatment of impacted maxillary canine remains a challenge to today's clinicians
An apically positioned flap would transform into the attached gingiva on complete eruption of the canine, an closed eruption was planned and an informed consent was obtained from the patient
A longitudinal study by Pini Prato et al conducted over 7 years, showed that all the three techniques employed by them appeared to be effective in saving the keratinized tissue for the permanent tooth
Summary
The orthodontic treatment of impacted maxillary canine remains a challenge to today's clinicians. The treatment of this clinical entity usually involves surgical exposure of the impacted tooth, followed by orthodontic traction to guide and align it into the dental arch. Treatment options for impactions include early diagnosis and interceptive treatment to orthodontic management either by non-extraction or extraction modalities, either by surgical exposure alone or by surgical exposure and attachment with chain -Titanium Button with chain by Watted, Dentaurum, Ispringen/Germany- (Fig. 4a, b) for orthodontic extrusion, forced eruption using micro-implants, surgical removal and autotransplantation.[1, 2, 5]. A labially impacted maxillary left canine was surgically exposed using a closed eruption technique.
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