Enucleation of the Incisive Canal for Implant Placement: A Comprehensive Literature Review and Case Report

Waasdorp, Jonathan

doi:10.1563/aaid-joi-d-14-00054

Cited by 6 publications

(11 citation statements)

References 15 publications

(8 reference statements)

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“…In the work performed by Wasdrop [22], the neurovascular bundle was removed and an allogeneic block graft was placed in the NPC. The block was placed vestibularly and the membrane used extended from the vestibular to the palatal regions.…”

Section: Discussionmentioning

confidence: 99%

“…To date, only a few reports addressed NCP enucleation prior to implant placement to restore lost teeth in the anterior maxilla in cases with no pre-existing NPC pathology [22,23]. Therefore, the objective of this study was to describe a surgical approach involving removal of the NPC's neurovascular bundle and block grafting prior to prosthetic restoration of central incisors, and to evaluate clinical performance, aesthetic results, and patients' sensory perception and overall treatment satisfaction.…”

Section: Of 15mentioning

confidence: 99%

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Clinical Evaluation of the Nasopalatine Canal in Implant-Prosthetic Treatment: A Pilot Study

et al. 2020

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Implant-prosthetic rehabilitation of missing teeth in the anterior maxilla is often challenging due to ongoing bone resorption and remodeling events and may require regeneration procedures involving the nasopalatine canal (NPC). We describe a surgical approach with a block graft in relation to the NPC and evaluate clinical performance, sensory perception, and aesthetic result of the implant-prosthetic treatment over a two- to nine-year (mean: 3.5 years) follow-up. Ten implants (six in the right central incisor and four in the left central incisor) were, respectively, placed in 10 consecutive patients with bone defects affecting the NPC and unfavorable widening of the incisive foramen. Treatment stages included: (1) Diagnosis: evaluation of clinical-aesthetic parameters using Cone Beam Computed Tomography; (2) Surgery: block graft placement by palatine and incisal with simultaneous guided bone regeneration, and late (6–10 months) implant placement; (3) Prosthetics: placement of a screw-retained crown (torque of 32 N/cm). At treatment initiation, all the NPCs evaluated in our study were free of pathologies. Treatment evaluation included bone crest thickness, neurosensory status, patients’ treatment perception, and pink and white aesthetic scores (PES/WES). Pre-surgery, anterior ridge thickness at the level of the incisive foramen was (mean ± SD) 3.5 ± 2 mm, 5.4 ± 1.5 mm, and 6.1 ± 1.9 mm at heights of 4, 8, and 14 mm apical to the marginal bone crest, respectively. Post-treatment values were, respectively, 10.1 ± 2.0 mm, 10.5 ± 1.0 mm, and 13.4 ± 3.0 mm. The perception of treatment with the aesthetic pink and white indices (PES/WES) was an average of 7.5 and 7 points, respectively, out of a total of 10 each index, with a recovery of 100% of the neurosensory perception of the area. We propose that bone augmentation using block and particulate graft material can compensate for anatomical variations in the NPC, optimize implant’s three-dimensional positioning and improve facial contour, providing tissue and implant stability and good aesthetic outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Of 15mentioning

confidence: 99%

Clinical Evaluation of the Nasopalatine Canal in Implant-Prosthetic Treatment: A Pilot Study

et al. 2020

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“…The main concern regarding the obturation or removal of the nasopalatine content is neurosensory disturbances. The most common of these are transient or permanent loss or increase of sensation in the palatal region from canine to canine (Waasdorp, 2016). Therefore, it is feasible that an individual with an impacted mesiodens located within the nasopalatine canal might have suffered from hyposensitivity or hypersensitivity in the anterior part of the maxilla.…”

Section: Discussionmentioning

confidence: 99%

A rare case of a supernumerary tooth (mesiodens) in an Iron Age (2470 ± 35 bp) skeleton from Koziegłowy (Poland)

Tomczyk

Szostek

Lisowska-Gaczorek

et al. 2020

Intl J of Osteoarchaeology

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Although supernumerary teeth are well documented clinically, they are uncommon in contemporary and historical populations. The most common form of supernumerary tooth is the mesiodens. Despite radiological studies of historical dental materials, cases of mesiodens are rarely found. This paper presents the first case of a mesiodens in archeological material from Poland, belonging to an adult male from Koziegłowy (Poland). The remains were dated to about 2470 ± 35 BP, one of the oldest set of remains in Europe. The presence of a mesiodens was confirmed with computed tomography. The fully impacted mesiodens is located in the alveolar bone palatally and above the central incisors. Its longitudinal axis is almost parallel to the horizontal plane. A mesiodens may be associated with certain congenital disorders. However, our case appears to be idiopathic. The mesiodens had not caused any complications involving the central or lateral incisors, such as root resorption, eruption disorders, cyst, rotation or inclination of the incisors, except for a small midline diastema. The described case contributes to our knowledge of orthodontic anomalies in historical populations.

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“…Dental implant placement in the anterior maxilla requires proper planning to ensure that the implant is placed in the correct position esthetically and functionally. [1][2][3][4][5][6][7] The anatomy in the anterior maxilla, and more specifically, the central incisor region, can present obstacles and limitations in the placement of implants in this location. 2,3,[6][7][8][9][10][11][12] These obstacles include a decrease in the quantity of alveolar bone, secondary to maxillary bone resorption, in both width and height.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7] The anatomy in the anterior maxilla, and more specifically, the central incisor region, can present obstacles and limitations in the placement of implants in this location. 2,3,[6][7][8][9][10][11][12] These obstacles include a decrease in the quantity of alveolar bone, secondary to maxillary bone resorption, in both width and height. 1,4) The anterior maxilla, may have other anatomical limiting factors, such as, an enlarged nasopalatine canal (NPC).…”

Section: Introductionmentioning

confidence: 99%

Obliteration and grafting of the nasopalatine canal for implant placement

Barber,

Beals,

Francis

et al. 2024

J Dent Implant Res

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This case report presents the use of cone beam computed tomography for treatment planning of a nasopalatine defect requiring enucleation and bone grafting to replace the left maxillary central incisor with an implant. This procedure enables the implant to be placed in a position appropriate for successful osseointegration and produces outcomes that meet the esthetic and functional requirements of the anterior maxilla.

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Enucleation of the Incisive Canal for Implant Placement: A Comprehensive Literature Review and Case Report

Cited by 6 publications

References 15 publications

Clinical Evaluation of the Nasopalatine Canal in Implant-Prosthetic Treatment: A Pilot Study

Clinical Evaluation of the Nasopalatine Canal in Implant-Prosthetic Treatment: A Pilot Study

A rare case of a supernumerary tooth (mesiodens) in an Iron Age (2470 ± 35 bp) skeleton from Koziegłowy (Poland)

Obliteration and grafting of the nasopalatine canal for implant placement

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