Conventional wisdom and the surgical exposure of impacted teeth

Becker, Adrian; Casap, Nardy; Chaushu, Stella

doi:10.1111/j.1601-6343.2009.01441.x

Cited by 24 publications

(7 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Impacted canines can cause root resorption in permanent incisors. This root resorption is assumed to be caused by physical contact between the incisor roots and canine crown [ 9 ]. Root resorption associated with ectopic eruption of maxillary canines occurs in 48 of patients with impacted canines aged 9 to 15 years [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Orthodontic Treatment for a Patient with Root Resorption of All Four Maxillary Incisors due to Bilaterally Impacted Canines

Yanoshita

Hirose

Onishi

et al. 2022

Case Reports in Dentistry

View full text Add to dashboard Cite

Maxillary canines require the longest period from the generation of the tooth germ to the completion of eruption, and they have more difficulties in eruption than other teeth. The incisor roots are often resorbed due to malpositioned canines. An 11-year-old girl presented with an extremely rare case of root resorption of four maxillary incisors due to bilaterally impacted maxillary canines, which were located excessively mesially. The case was managed through oral surgery and orthodontic treatment over five years. After extracting the maxillary deciduous canines, the maxillary bilateral canines were surgically exposed. The bimaxillary lateral incisors were extracted, and the canines were orthodontically tracted over 8 months. All teeth were then aligned using edgewise brackets. No further root resorption of the central incisors was observed for 5 years after canine traction. This case demonstrates the importance of early detection of abnormally positioned canines.

show abstract

Section: Introductionmentioning

confidence: 99%

Orthodontic Treatment for a Patient with Root Resorption of All Four Maxillary Incisors due to Bilaterally Impacted Canines

Yanoshita

Hirose

Onishi

et al. 2022

Case Reports in Dentistry

View full text Add to dashboard Cite

show abstract

“…Chapokas class II impacted teeth are located deeply in the center of the alveolar ridge; in this case it is necessary to prepare a full thickness mucoperiosteal flap to get access to the bone covering the crown of the impacted tooth. After bone removal, attachment and the traction force wire positioning, the flap is reflected on the crown and it is sutured [4,5,7,12,13,14,15,16,17,18]. As a rule, open approach would be the best choice when it is possible to preserve an adequate zone of keratinized gingiva around the exposed teeth; moreover sometimes it is possible to position immediately orthodontic attachment as traction force application after crown exposure.…”

Section: Introductionmentioning

confidence: 99%

Diode Laser Clinical Efficacy and Mini-Invasivity in Surgical Exposure of Impacted Teeth

Migliario

Rizzi²,

Lucchina³

et al. 2016

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

The gold standard to arrange impacted teeth in the dental arch is represented by a surgical approach followed by orthodontic traction force application. In the literature, many surgical approaches are proposed to reach such a scope. The aim of the present study is to demonstrate how laser technique could positively assist surgical approaches.Study population was composed by 16 patients undergoing orthodontic treatment of 20 impacted teeth. In 10 patients (population A) surgical exposure of the impacted teeth was performed using a 980 nm diode laser, while in the other 10 patients (population B), surgical incision was performed using a traditional lancet.Only 3 patients of the population A needed local anesthesia for surgical procedure while the remaining 7 patients reported only faint pain during surgery. Two patients referred postsurgical pain (numerical rating scale average value = 2) and needed to take analgesics. None of the patients showed other postsurgical side effects (bleeding, edema).All population B patients needed infiltrative anesthesia and referred postsurgical pain (numerical rating scale average value >4) treated with analgesics. Moreover, in such population, 4 patients referred lips edema while 4 showed bleeding and 6 needed surgical sutures of soft tissues.The lack of side effects of laser surgical approach to expose impacted teeth must persuade dental practitioners to choose such a clinical approach to closed surgical approach every time it is possible.

show abstract

“…Для функционального и эстетического восстановления зубных рядов предложены различные методики лечения [2,7,8,11].…”

unclassified

Clinical and morphological assessment of low frequency ultrasound use in delayed eruption of teeth

Gasymova

2015

Kazan Med J

View full text Add to dashboard Cite

Aim. Development of a new method stimulating eruption of impacted teeth, reducing side effects and the term of orthodontic treatment. Methods. Considering the high numbers of patients who sought medical aid with delayed eruption of teeth, rational method of low-frequency ultrasound was used for stimulating eruption of impacted teeth. The stimulation process was performed by «SIAZ-EGS Med-Stomo» device, with the oscillation frequency of 26.5 kHz, intensity of 1 W/cm, amplitude of 40-60 μm, a wavelength 0,012 m, developed in Azerbaijan. Clinical and morphological methods, including examination of gingival tissue biopsies from the area where low-frequency ultrasound was applied, were used. After clinical and radiographic examination and identifying the impacted tooth with a favorable location on dental panoramic radiography, if there was a space in the tooth row, the area of the tooth projection at the gum was directly affected by low-frequency ultrasound daily or every other day for 5-10 seconds. An average of 1-5 procedures up to the tooth eruption was performed. Results. Microscopy of epithelial cover and stroma proved the absence of inflammation, thickening of outermost layer on the gum surface. Cells of the intermediate layer revealed the intact nucleus, loosening with linear swelling and cell dissociation. Cellular and tissue changes in gingival tissue seen after the treatment with low-frequency ultrasound may indicate the boosting of the impacted teeth eruption due to the syndrome of molecular contusion, improving the microcirculation and loosening the gum tissues. Conclusion. The results of comprehensive orthodontic treatment using low-frequency ultrasound ito stimulate the eruption of impacted teeth may be recommended for practical use.

show abstract

Conventional wisdom and the surgical exposure of impacted teeth

Abstract: Radical removal of bone during the exposure of an impacted tooth is unnecessary and potentially may be harmful in terms of the periodontal prognosis of an otherwise successfully treated outcome.

Cited by 24 publications

References 21 publications

Orthodontic Treatment for a Patient with Root Resorption of All Four Maxillary Incisors due to Bilaterally Impacted Canines

Orthodontic Treatment for a Patient with Root Resorption of All Four Maxillary Incisors due to Bilaterally Impacted Canines

Diode Laser Clinical Efficacy and Mini-Invasivity in Surgical Exposure of Impacted Teeth

Clinical and morphological assessment of low frequency ultrasound use in delayed eruption of teeth

Contact Info

Product

Resources

About