Gestion chirurgico-orthodontique de la rétention dentaire

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

“…Moreover, such condition affects more frequently the maxillary arch, with maxillary canines representing the most affected teeth after the third molars [1,2,3]. The lack of permanent teeth eruption, especially in the frontal part of the dental arch, triggers both aesthetic and functional outcomes, finally resulting in the need of their re-arrangement in the dental arch by combined orthodontic and surgical approaches [4,5]. A careful study of the impacted teeth clinical localization must always be carried out before the surgical treatment [4].…”

“…The lack of permanent teeth eruption, especially in the frontal part of the dental arch, triggers both aesthetic and functional outcomes, finally resulting in the need of their re-arrangement in the dental arch by combined orthodontic and surgical approaches [4,5]. A careful study of the impacted teeth clinical localization must always be carried out before the surgical treatment [4]. Optical inspection and physical palpation could be useful to obtain information about impacted tooth position but are insufficient to identify the better treatment [ 2,6,7].…”

“…To date oral radiography with Clark method has been replaced by computerized tomography, representing a more accurate analytical approach [1,6,8,9,10,11]. When impacted teeth are diagnosed, the first clinical intervention is represented by the orthodontic creation of a physical area for the tooth re-arrangement [4,5,7]; the second is the surgical exposure of the impacted tooth and finally traction force must be applied orthodontically [4,12]. When the impacted tooth is correctly re-arranged in the dental arch it could be necessary a further treatment to assure the conservation of the obtained results [4,7].…”

“…When impacted teeth are diagnosed, the first clinical intervention is represented by the orthodontic creation of a physical area for the tooth re-arrangement [4,5,7]; the second is the surgical exposure of the impacted tooth and finally traction force must be applied orthodontically [4,12]. When the impacted tooth is correctly re-arranged in the dental arch it could be necessary a further treatment to assure the conservation of the obtained results [4,7]. Impacted tooth alignment in the dental arch needs a physical eruption space and its creation must be carried out before surgical intervention, as such orthodontic approach can induce by itself the spontaneous impacted tooth eruption.…”

“…Impacted tooth alignment in the dental arch needs a physical eruption space and its creation must be carried out before surgical intervention, as such orthodontic approach can induce by itself the spontaneous impacted tooth eruption. On the other hand, the lack of an adequate physical eruption space, nullify any re-arrangement attempt [4,7]. Impacted tooth position plays a pivotal role in defining the surgical approach to that clinical problem [4,12,13,14].…”