Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Surgical and Orthodontic Management of Impacted Maxillary Canines Surgical and Orthodontic Management of Impacted Maxillary Canines

Author(s):

Vincent G. Kokich, Sr., DDS, MSD

Date Added:

9/1/2004


Summary:

Although the mechanical management of impacted teeth is a routine task for most orthodontists, certain impactions can be frustrating, and the esthetic outcome can be unpredictable if the surgeon uncovers the impacted tooth improperly. When referring a patient to have an impacted toothuncovered,theorthodontist might assume incorrectly that the surgeon knows which surgical procedure to use. However, if not instructed properly, the surgeon could select an inappropriate technique, leaving the orthodontist with the difficult if not sometimes lengthy and challenging task of erupting the impacted tooth into the dental arch. On the other hand, if the correct uncovering technique is chosen, the eruption process can be simplified, resulting in a predictably stable and esthetic result. This is especially true for impacted maxillary canines. After the third molars, the maxillary canines are the most commonly impacted permanent teeth.1 About one third of impacted maxillary canines are positioned labially or within the alveolus, and two thirds are located palatally. In most situations, the appropriate timing and surgical procedure for uncovering an impacted canine are determined by specific criteria. This article will review the surgical and orthodontic management of impacted maxillary canines.

Related Articles
A Technique for Surgical Mandibular Exostosis Removal

A Technique for Surgical Mandibular Exostosis Removal
Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually an issue with patients. However, when removable prosthetics must sit either adjacent to or over these areas, pressure, food abrasion, ulceration, or limited tongue space can occur. This article describes a surgical technique for exdsion of exostosis through the presentation of a case. An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. The…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD;Gregori M. Kutzman, DDS
View Article>>
Suturing Principles - Material Selection

Suturing Principles - Material Selection
The primary objective of dental suturing is to position and secure surgical flaps to promote optimal healing The evolution of su turing materials has enabled decreased potential of postoperative infection and increased successful closure with minimal difficulty. Accurate flap opposition contributes to patient comfort and hemostas is, reduces the wound to be repaired, and prevents unnecessary bone destruction.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study

The Socket-Shield Technique: First Histological, Clinical, and Volumetrical Observations after Separation of the Buccal Tooth Segment – A Pilot Study
The “socket-shield technique” has shown its potential in preserving buccal tissues. However, front teeth often have to be extracted due to vertical fractures in buccolingual direction. It has not yet been investigated if the socket-shield technique can only be used with intact roots or also works with a modified shield design referring to vertical fracture lines. The aim of this study was to assess histologically, clinically, and volumetrically the effect of separating the remaining buccal root segment in two pieces before immediate implant placement.

Author(s): Markus B. Hürzeler, DMD, PhD;Daniel Bäumer, DDS; Otto Zuhr, DDS; Stephan Rebele, DDS; David Schneider, DDS, PhD; Peter Schupbach, PhD
View Article>>
Related Videos
Smile Design 3D vs. 2D: The Evolution of Precision in Esthetic Digital Dentistry Premium Member Content

Smile Design 3D vs. 2D: The Evolution of Precision in Esthetic Digital Dentistry
In the digital dentistry era, trials never stop to achieve a full digital workflow to fabricate aesthetic restorations based on predictable and accurate facial guided smile design methods but the existing techniques present limitations in the process of transferring the design from 2D to 3D as they are mainly based on 2D Photography and 2D to 3D superimposition and transfers. In this presentation a review of the available techniques and technologies is presented as well as a novel technique that has been used to design a 3D smile frame using 3D face scans, 3D intra oral optical scans, CBCT and multiple software to overcome the limitations of already available 2D smile design systems offering predictable, more accurate and easier to use workflows for success in analysis, planning, design and execution in everyday clinical practice.

Presented By:: Rami Gamil, BDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Implant Removal Made Easy - When Peri-implantitis Treament is Not Possible Premium Member Content

Implant Removal Made Easy - When Peri-implantitis Treament is Not Possible
In this video and surgical presentation, Dr. Eduardo Anitua demonstrates a step-by-step safe, efficient and predictable surgical/mechanical technique for the removal of implants that are severely compromised by peri-implantitis. In addition, Dr. Anitua will discuss how to manage the regeneration of the site following implant removal through the therapeutic utilization of plasma rich in growth factors, i.e. Endoret.

Presented By:: Eduardo Anitua, MD, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Ankylos: The Esthetic & Functional Advantage Pt 1 Premium Member Content

Ankylos: The Esthetic & Functional Advantage Pt 1
The elegant simplicity of Syncone abutments in overdentures.

Presented By:: David DiGiallorenzo, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Mastering Surgical Principles: Key to Constant Success Premium Member Content

Mastering Surgical Principles: Key to Constant Success
Clinical success depends on material and technique selection, but no material or technique will succeed if surgical principles are not respected. Attention to detail is imperative and mastering surgical principles is key to constant success. This course aims to review principles of flap design and elevation, as well as degranulation, debridement, suturing and wound stabilization of the most commonly performed periodontal, implant and advanced bone grafting procedures. Pharmacologic protocols and anesthesia will also be discussed.

Presented By:: Rodrigo Neiva, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics Premium Member Content

Is There One or More Reasons to Optimize the PRF & PRP Protocols? Future Trends in Dentistry, Orthopedics and Facial Aesthetics
The “Advanced” PRF (A-PRF) and “Injectable” PRF (I-PRF) protocols were designed with this new concept. Indications are numerous in all medical fields where we need regeneration: bone, cartilage, skin etc... However, the use of growth factors is not a guarantee of long term stability, as they are active only at the beginning of the process. Numerous rules of tissue engineering have to be applied to maintain the regenerated bone through an adequate blood supply: this lecture is an enlightenment on the biological and mechanical conditions for long term stability of the bone: “grafted bone” or “bone around implants”.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Controlled Ridge Splitting (CRS) Premium Member Content

Controlled Ridge Splitting (CRS)
To demonstrate a new technique of controlled ridge splitting (CRS) in severely atrophied maxillary cases as an alternative to autogenous block graft. Twenty cases were completed using a controlled ridge splitting (CRS) technique with a total of 65 implants were placed in severely atrophied Maxillae and followed after the implants were loaded. Results: The CRS technique was used in very complex cases, where the alternative method will be autogenous block graft. A total of 65 tapered implants were placed. The implants diameter ranged between 3.25-5mm with a length ranged between 10-13mm. The implants were restored and were followed for 1-3 years. All implants achieved osseointegration and continue to have successful prostheses. Conclusion: The CRS is a predictable treatment option and could be a good alternative to autogenous block grafts is severely atrophic maxillae.

Presented By:: Suheil M. Boutros, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free





Contact Us | Privacy Policy | Terms of Use
©2017

Preferred Language: English Flag
Contact Us · Login · Register