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
Chu's Aesthetic Guages: Crown Lengthening

Chu's Aesthetic Guages: Crown Lengthening
The Crown Lengthening Gauge has the Biologic Periogauge (BLPG) tip on one end and the Papilla tip on the opposite end. The BLPG tip is used to achieve the propermid-facial clinical crown and biologic crown (osseous crest to incisal edge position) length during surgical crown lengthening procedures. The Papilla tip follows the use of the BLPG tip to establish the correct aesthetic position of the interdental papilla fromthe incisal edge before the flap is closed and sutured.

Author(s): Stephen J. Chu, DMD, MSD, CDT
View Article>>
Elements and Utilization of Suturing Needles

Elements and Utilization of Suturing Needles
The primary components of every suturing needle include the attachment end, body, and point. Traditional complications caused by threading have been eliminated by the advent of needles that are permanently attached to the suturing material. The suturing procedure is further simplified by the attached and press-fitted end of the needle (swaged) that enables the clinician to draw it through the tissue with less trauma.

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report

Mucosal Coronally Positioned Flap for the Management of Excessive Gingival Display in the Presence of Hypermobility of the Upper Lip and Vertical Maxillary Excess: A Case Report
Excessive gingival display is a frequent finding that can occur because of various intraoral or extraoral etiologies. This report describes the use of a mucosal coronally positioned flap for the management of a gummy smile associated with vertical maxillary excess and hypermobility of the upper lip. For patients desiring a less invasive alternative to orthognathic surgery, the mucosal coronally positioned flap is a viable alternative. We demonstrate short-term successful use of this technique for the management of excessive gingival display in the presence of slight vertical maxillary excess and hypermobility of the upper lip. Long-term follow-up studies are needed to determine stability of the results.

Author(s): Monish Bhola, DDS, MSD;Nomahn Humayun; Shilpa Kolhatkar; Jason Souiyas
View Article>>
Related Videos
The Holy Grail of True Regeneration - Fibronectin Premium Member Content

The Holy Grail of True Regeneration - Fibronectin
Periodontal Diseases have been associated with an increase in bacterial plaque and calculus. Recent evidence, however, suggests bacteria (biofilm) is a trigger, but the host inflammatory response is responsible for osseous structural loss.

Presented By:: John Chrispens, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
The CO2 Laser and it's Application in Modern Clinical Oral Surgery Premium Member Content

The CO2 Laser and it's Application in Modern Clinical Oral Surgery
Co2 Laser is a simple and versatile tool which can replace the knife for majority of minor oral surgical procedures which can be done on the chair side under local anaesthesia. The advantage of Co2 laser is a fact that it creates a bloodless, painless and heals with minimal scarring. Most common applications which include frenctomies, exposure of impacted teeth, pre-orthodontic exposure of canines, Excision of small fibromas, papillomas, warts and mucoceoles. Small hemangiomas and lymphangiomas can also be excised with minimal blood loss. This presentation gives the viewer an overview of the co2 laser and its application in various clinical scenarios. The safety aspect of using laser for the patient, operator and dental surgery assistants is also demonstrated.

Presented By:: Girish Rao, MDS, FDSRCS
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
The Holy Grail of True Regeneration - Fibronectin Premium Member Content

The Holy Grail of True Regeneration - Fibronectin
This webinar will involve a histologic study review about the key role of fibronectin, "Nature's Nectar" & why it is the Holy Grail of true regeneration. Come follow a real Professor's histologic journey in search of the Raiders of the Lost Attachment and how to get it back.

Presented By:: John Chrispens, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Diagnosing & Treatment Planning Gingival Esthetics Premium Member Content

Diagnosing & Treatment Planning Gingival Esthetics
This program will look in depth at the concept of excessive gingival display and diagnosing the potential causes from vertical maxillary excess to altered passive eruption and super eruption following tooth wear.

Presented By:: Lee Ann Brady, DMD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Bone Augmentation and Implant Planning in a 3-D CBCT World Premium Member Content

Bone Augmentation and Implant Planning in a 3-D CBCT World
Don’t sit on the sidelines! Incorporate CBCT technology into your practice today for improved implant treatment planning, perio defect diagnostics, identification of perio-endo involvement, bone grafting evaluation, surgical guide fabrication and implant outcomes assessment. This presentation will highlight cases where CBCT unparalleled views positively affected diagnosis, treatment plans, outcomes and case acceptance.

Presented By:: Bradley S. McAllister, DDS, PhD
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
©2014

Preferred Language: English Flag
Contact Us · Login · Register