Canine transmigration accompanying mandibular retrognathism secondary to osteitis

Abstract

Transmigration is a tooth pathology in which the migrating tooth bud passes the median plane. Methods: This study is a presentation of the diagnostic and therapeutic outcomes in the cases of 4 stomach teeth transmigrations diagnosed in 3 patients with mandibular retrognathia which was a complication after osteitis in the postnatal period and infancy. Results: Extending imaging diagnostics to include CT, most preferably CBCT, makes it possible to precisely evaluate a transmigrated canine’s position and to plan a course of treatment. Conclusions: Planning of the treatment of teeth in transmigration in patients with temporomandibular ankylosis should be done by a team consisting of an orthodontist and a surgeon.

Transmigrated mandibular canines: clinical considerations and orthodontic biomechanics for the approach of orthodontic traction. A scoping review

“…Apart from case reports and cohort studies, no other design was found during the search. After the exclusion criteria had been met, 12 full-text articles (Cavuoti et al, 2016;Jaisinghani et al, 2019;Koszowski et al, 2015;Northway, 2019;Peerlings, 2010;Plaza, 2016;Shukla et al, 2019;Sinko et al, 2016;Üçüncü et al, 2011;Vaida et al, 2014;Vera-Guerra et al, 2019;Wertz, 1994) remained to be retrieved and examined for further evaluation. The characteristics of the included studies are summarized in Figure 1, and the key findings about the orthodontic biomechanics and clinical considerations were collected and are summarized in Tables 3 and 4.…”

“…The resources found for diagnosis and etiology were clinical examination and additional images, such as panoramic cephalometric radiographs (Cavuoti et al, 2016;Jaisinghani et al, 2019;Northway, 2019;Peerlings, 2010;Shukla et al, 2019;Üçüncü et al, 2011;Vera-Guerra et al, 2019;Wertz, 1994) and computed tomography (CT) images (Koszowski et al, 2015; Legend: CR: case report; yo: years old; y: years; m: month; PC: permanent lower canine tooth; DC: deciduous lower canine tooth; A/N; alignment and leveling; ML: metallic ligature; GL: gold ligature; TAD's: temporary anchorage devices. Source: Authors.…”

“…Orthodontic biomechanics (Tables 3 and 4) Different forms of interventions and procedures related to the management of TMC traction protocols were reported in the selected papers (Cavuoti et al, 2016;Jaisinghani et al, 2019;Koszowski et al, 2015;Northway, 2019;Peerlings, 2010;Plaza, 2016;Shukla et al, 2019;Sinko et al, 2016;Üçüncü et al, 2011;Vaida et al, 2014;Vera-Guerra et al, Research, Society and Development, v. 10, n. 3, e21210313376, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i3.13376 1994). In addition, these protocols described tractions (Cavuoti et al, 2016;Jaisinghani et al, 2019;Koszowski et al, 2015;Northway, 2019;Peerlings, 2010;Plaza, 2016;Sinko et al, 2016;Üçüncü et al, 2011;Vaida et al, 2014;Vera-Guerra et al, 2019;Wertz, 1994), by means of orthodontic forces, some requiring surgical intervention and, when the TMC was already erupted, no surgical approach was applied other than orthodontics ( Shukla et al, 2019).…”

“…Whether or not surgical approaches were needed to access the TMC, they were performed under general (Peerlings, 2010) or local anesthesia (Cavuoti et al, 2016;Plaza, 2016;Sinko et al, 2016;Üçüncü et al, 2011). The surgical access to the TMC was obtained with: (a) dental exposure, accessory bonding, and flap closure (Cavuoti et al, 2016;Jaisinghani, et al, 2019;Koszowski et al, 2015;Northway, 2019;Peerlings, 2010;Plaza, 2016;Sinko et al, 2016;Vaida et al, 2014;Vera-Guerra et al, 2019;Wertz, 1994); (b) the open technique (Üçüncü et al, 2011); (c) with cauterization and subsequent traction from the open field (Jaisinghani, et al, 2019). When applied, surgical synthesis was performed in a single plane and with silk thread (Peerlings, 2010).…”

Extra-buccal surgical access for canine removal included in mandibular symphysis: case report

“…Treatment options for transmigrated lower canines include autogenous transplantation, orthodontic traction, and radiographic observation [3,7,10,[24][25]. Impacted teeth can cause external radicular scarring and may damage adjacent teeth; thus, radiographic monitoring is indicated [26].…”