Combination of Surgical exposure and fixed orthodontic appliance as bilateral impacted canine correction
Dr. drg. Tita Ratya Utari, Sp.Ort
Email: tita_utari@yahoo.com
drg. Edwyn Saleh
Email: edwin@fk.umy.ac.id
Combination of Surgical Exposure and Fixed Orthodontic
Appliance as Bilateral Impacted Canine Correction
1
Tita Ratya Utari , Edwyn Saleh
1
1
Lecturer of School of Dentistry, Faculty of Medicine and Health Science Universitas Muhammadiyah Yogyakarta
Introduction
Result
Case Report
Canine has high prevalence to be
18 years old patient complaining protuded and crowding of
impacted after wisdom teeth because
upper jaw. Clinical examination revealed persistence of upper
of several reasons. However It has
deciduous canine. The permanen canine was impacted with an
major
and
unfavorable inclination that may not support spontaneous
aesthetics, so it is necessary to retain
eruption, even if decidous canine has extracted. Midline was
permanent
shifted 1,5mm to the right towards upper jaw. Molar relation
role
in
jaw
function
canine in oral cavity.
Impacted canine widely treated by
surgical
exposure
followed
Anterior
crowding
and midline shifting was
corrected in two years
completed
with
full
eruption of permanen
canine.
right and left were class I. Overjet and overbite were nomal.
with
orthodontic retraction.
Aim
To explain management of bilateral
impacted permanent canine related to
deciduous persistence.
Figure 3. Post–treatment
Figure 1. Pre–treatment
Discussion
Case Management
Orthodontic treatment was done by fixed appliance with
Straight Wire system slot 0.22.
Leveling and aligning using Niti wire 0.14 followed by NiTi
0.18.
Crowding has been corrected after 7 months and serve
available space for canine eruption.
Open flap was achieved by full thickness triangular flap
If it’s possible, extraction of the ca-
to expose the canine continue with braces installation.
nines should be avoided because maxil-
Canine was retracted to reached complete eruption that
lary permanent canines are important for
has done in three months.
an attractive smile and also essential for
Upper jaw protrution was corrected by extracting four
a functional occlusion (Vaida et al, 2014;
first premolar and anterior tooth retraction.
Aksu et al, 2006). Untreated impacted canines may cause arch length discrepancies, loss of vitality of adjacent teeth, follicular cysts, canine ankylosis, infections,
and pain (Paduano, 2014). In this case
surgical exposure of the canine with open
flap by full thickness triangular flap and
followed by orthodontic treatment to bring
the tooth into the line of occlusion is the
most appropriate approach
Figure 2. Surgery Treatment
Conclusion
References
Bilateral impacted permanent
canine
can
be
treated
by
surgical
exposure
and
orthodontic
management
that
result an optimum function and
aesthetics.
1.Vaida L, Todor B, Corega C, Baciut M, Baciut G. A Rare case of Canine Anomaly – a possible Algorithm for Treating it. Rom J
Morphol Embryol 2014, 55(3 Suppl):1197–1202
2.Aksu M, Taner T. The Treatment of a Palatally Impacted Maxillary Canine by Tunnel Traction Method. Olgu Raporu (Case Report).2006;30;2:48-58
3.Paduano S, Cioffi I, Iodice G, d’Anto V, Riccitiello F, Pellegrino G, Valletta R. Correction of Multiple Canine Impactions by Mixed
Straightwire and Cantilever Mechanics: A Case Report. Hindawi Publishing Corp. Case Reports in Dentistry. 2014:1-9
Email: tita_utari@yahoo.com
drg. Edwyn Saleh
Email: edwin@fk.umy.ac.id
Combination of Surgical Exposure and Fixed Orthodontic
Appliance as Bilateral Impacted Canine Correction
1
Tita Ratya Utari , Edwyn Saleh
1
1
Lecturer of School of Dentistry, Faculty of Medicine and Health Science Universitas Muhammadiyah Yogyakarta
Introduction
Result
Case Report
Canine has high prevalence to be
18 years old patient complaining protuded and crowding of
impacted after wisdom teeth because
upper jaw. Clinical examination revealed persistence of upper
of several reasons. However It has
deciduous canine. The permanen canine was impacted with an
major
and
unfavorable inclination that may not support spontaneous
aesthetics, so it is necessary to retain
eruption, even if decidous canine has extracted. Midline was
permanent
shifted 1,5mm to the right towards upper jaw. Molar relation
role
in
jaw
function
canine in oral cavity.
Impacted canine widely treated by
surgical
exposure
followed
Anterior
crowding
and midline shifting was
corrected in two years
completed
with
full
eruption of permanen
canine.
right and left were class I. Overjet and overbite were nomal.
with
orthodontic retraction.
Aim
To explain management of bilateral
impacted permanent canine related to
deciduous persistence.
Figure 3. Post–treatment
Figure 1. Pre–treatment
Discussion
Case Management
Orthodontic treatment was done by fixed appliance with
Straight Wire system slot 0.22.
Leveling and aligning using Niti wire 0.14 followed by NiTi
0.18.
Crowding has been corrected after 7 months and serve
available space for canine eruption.
Open flap was achieved by full thickness triangular flap
If it’s possible, extraction of the ca-
to expose the canine continue with braces installation.
nines should be avoided because maxil-
Canine was retracted to reached complete eruption that
lary permanent canines are important for
has done in three months.
an attractive smile and also essential for
Upper jaw protrution was corrected by extracting four
a functional occlusion (Vaida et al, 2014;
first premolar and anterior tooth retraction.
Aksu et al, 2006). Untreated impacted canines may cause arch length discrepancies, loss of vitality of adjacent teeth, follicular cysts, canine ankylosis, infections,
and pain (Paduano, 2014). In this case
surgical exposure of the canine with open
flap by full thickness triangular flap and
followed by orthodontic treatment to bring
the tooth into the line of occlusion is the
most appropriate approach
Figure 2. Surgery Treatment
Conclusion
References
Bilateral impacted permanent
canine
can
be
treated
by
surgical
exposure
and
orthodontic
management
that
result an optimum function and
aesthetics.
1.Vaida L, Todor B, Corega C, Baciut M, Baciut G. A Rare case of Canine Anomaly – a possible Algorithm for Treating it. Rom J
Morphol Embryol 2014, 55(3 Suppl):1197–1202
2.Aksu M, Taner T. The Treatment of a Palatally Impacted Maxillary Canine by Tunnel Traction Method. Olgu Raporu (Case Report).2006;30;2:48-58
3.Paduano S, Cioffi I, Iodice G, d’Anto V, Riccitiello F, Pellegrino G, Valletta R. Correction of Multiple Canine Impactions by Mixed
Straightwire and Cantilever Mechanics: A Case Report. Hindawi Publishing Corp. Case Reports in Dentistry. 2014:1-9