The VISTA Approach in Canine Disimpaction

Galluccio, Gabriella; Impellizzeri, Alessandra; Pietrantoni, Alessandra; Stefano, A. De; Monaca, Gerardo La; Pippi, Roberto

doi:10.3390/mps4030057

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…In order to overcome these limitations and to apply an ideal biomechanical approach, TADs (temporary anchorage devices) can be combined with aligners following a hybrid consecutive approach. Several clinical applications of TADs can be managed by palatal insertion [11], but when canines are palatally impacted, only limited places in the bone can be considered for the creation of a skeletal anchorage system. A CBCT analysis is always required for the insertion of palatal TADs, together with a 3D design of the appliance developed in the lab [12].…”

Section: Introductionmentioning

confidence: 99%

Impacted Canine Management Using Aligners Supported by Orthodontic Temporary Anchorage Devices

Greco

Machoy

2022

IJERPH

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Introduction: Temporary anchorage devices (TADs) represent an essential instrument under difficult anchorage conditions, especially when the procedure is approached with an aligner technique. The objective of this paper is to describe a possible sequence of orthodontic treatment of impacted canines with aligners supported by orthodontic mini-screws. Materials and Methods: The resolution of impacted canines requires a specific clinical sequence constituted by different steps: the space creation, the surgical exposure, and the orthodontic traction (on the horizontal, vertical, and buccal direction). Following this sequence, two different clinical scenarios can be identified following the space available and the initial malocclusion. The first scenario is constituted by recreating the space for the impacted canine along with the correction of the malocclusion by means of an aligner system and then approaching the de-impaction with TADs. The second clinical scenario is related to the canine-first approach, an immediate de-impaction stage based solely on the use of TADs and sectional wires, and then a finishing phase with aligners. Results: Both approaches to the treatment of impacted canines can be considered reliable, but of course selecting one or the other depends on the space available in the upper arch and on the initial malocclusion. Conclusions: The use of aligners in the treatment of impacted canines in combination with TADs and sectional wires represents a viable alternative option to the conventional systems for canine disinclusion. When the treatment is managed with the presented approaches, no further cooperation with the patient is required in order to support the forced eruption, and an ideal biomechanical approach can be easily applied with one or two mini-screws.

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Section: Introductionmentioning

confidence: 99%

Impacted Canine Management Using Aligners Supported by Orthodontic Temporary Anchorage Devices

Greco

Machoy

2022

IJERPH

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Manejo multidisciplinario de canino superior retenido en vestibular con técnica VISTA y alternativas ortodóncicas. Revisión exploratoria apoyada en casos

et al. 2021

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Antecedentes: Los caninos impactados en vestibular y moderada o gravemente desplazados anteriormente son un reto clínico. Las secuelas estéticas mucogingivales y la reabsorción de dientes cercanos requerirían manejos interdisciplinarios. Así, el abordaje terapéutico es más complejo y con alto costo biológico y económico. Objetivo: Realizar una revisión de alcance apoyada en dos casos clínicos con abordaje multidisciplinario, quirúrgico y ortodóncico para traccionar caninos retenidos en vestibular. Métodos: Se revisaron tres bases (PubMed, Scopus y Lilacs) y búsqueda en Google Scholar, usando combinaciones de términos MeSH y conectores booleanos. Se incluyeron estudios en humanos como descripciones de caso, series de casos y revisiones sobre la técnica de túnel con incisión vertical subperióstica (VISTA) y el manejo ortodóncico del canino retenido con o sin minitornillos. Los dos casos clínicos aquí presentados tuvieron abordajes quirúrgicos y ortodónticos para traccionar caninos retenidos vestibularmente mediante la técnica VISTA con dos anclajes ortodóncicos, minitornillos y adaptación de un botón palatino modificado con tubos dobles soldados a bandas de primeros molares superiores, además un brazo de acero soldado a la banda del diente 26 para remplazar el minitornillo. Resultados: De 45 títulos se seleccionaron cuatro artículos. La técnica VISTA para traccionar caninos retenidos vestibularmente muestra ventajas para el manejo de tejidos blandos y para la biomecánica. La presentación de estos casos ofrece dos alternativas que se adaptan a las condiciones socioeconómicas de los pacientes, ambas con resultados ortodónticos y de preservación de los tejidos periodontales óptimos durante la tracción de los caninos retenidos.

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The VISTA Approach in Canine Disimpaction

Cited by 2 publications

References 30 publications

Impacted Canine Management Using Aligners Supported by Orthodontic Temporary Anchorage Devices

Impacted Canine Management Using Aligners Supported by Orthodontic Temporary Anchorage Devices

Manejo multidisciplinario de canino superior retenido en vestibular con técnica VISTA y alternativas ortodóncicas. Revisión exploratoria apoyada en casos

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