2014 Compendium of continuing educ…

Periodontal status following treatment of impacted maxillary canines by closed eruption technique: an overview and case report.

Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) Vol. 35 (3) : e12-7 • Mar 2014

Delayed tooth eruption is a common problem in many orthodontic patients. This delay may lead to other problems, such as injury to the adjacent tooth, non-vitalization, mucogingival and esthetic problems, etc. Multidisciplinary management is essential when the canines of orthodontic patients have failed to erupt on time. This involves combined surgical and orthodontic intervention. This overview and case report presents special considerations required in treating such cases. METHODS: A combined surgical and orthodontic treatment approach is essential in dealing with such cases. The type of surgery depends on correct localization of the canine along with evaluation of certain criteria to determine the correct method for uncovering the tooth. RESULTS: Success of the treatment in such cases should be defined as long-term desirable esthetics and sound periodontal condition. Thorough treatment planning based on specific criteria would ensure this. CONCLUSION: A multidisciplinary approach, atraumatic surgery, and judicious use of orthodontic forces can ensure an excellent result in form, function, and esthetics in cases with delayed canine eruption.

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