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Uncovering and Autonomous Eruption of Palatally Impacted Canines—A Case Report

The impaction of permanent maxillary canine is a common clinical occurrence, and it is observed in 2% of patients who require orthodontic treatment. This case report describes a new orthodontic-surgical approach through the use of CO(2) laser, for the exposure of the palatally impacted canines. A 13...

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Autores principales: Impellizzeri, Alessandra, Horodynski, Martina, Serritella, Emanuela, Palaia, Gaspare, De Stefano, Adriana, Polimeni, Antonella, Galluccio, Gabriella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8229895/
https://www.ncbi.nlm.nih.gov/pubmed/34207531
http://dx.doi.org/10.3390/dj9060066
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author Impellizzeri, Alessandra
Horodynski, Martina
Serritella, Emanuela
Palaia, Gaspare
De Stefano, Adriana
Polimeni, Antonella
Galluccio, Gabriella
author_facet Impellizzeri, Alessandra
Horodynski, Martina
Serritella, Emanuela
Palaia, Gaspare
De Stefano, Adriana
Polimeni, Antonella
Galluccio, Gabriella
author_sort Impellizzeri, Alessandra
collection PubMed
description The impaction of permanent maxillary canine is a common clinical occurrence, and it is observed in 2% of patients who require orthodontic treatment. This case report describes a new orthodontic-surgical approach through the use of CO(2) laser, for the exposure of the palatally impacted canines. A 13-year-old female referred to our observation to make an orthodontic examination because of the maxillary primary canines’ persistence in upper arch. Orthopanoramic X-ray showed impaction of both permanent maxillary canines. The family history revealed that the patient’s mother had the same orthodontic problem. Cone Beam Computer Tomography (CBCT) was requested to plan the surgical-orthodontic treatment. Surgical exposure of the impacted canines was performed using a CO(2) laser and subsequent periodontal pack application. No orthodontic devices were applied for impacted teeth traction on dental arch. Canines’ movement was monitored at 1, 8 and 16 weeks post-surgery with photo and intraoral scanner CS3500 (CS3500(®), Carestream Health, Atlanta, GA, USA). When canine crowns were completely erupted on palatal side, the alignment in the arch with indirect bonding technique was performed. Complete disimpaction of canine crowns was obtained in only four months. As reported in the literature, this case confirms that impacted canines’ exposure to CO(2) laser has advantages if compared with traditional surgery: no bleeding during and after the procedure, decontaminant effect on the surgical area, no suture, and a fast spontaneous eruption. Conclusions: The pre-orthodontic uncovering and autonomous eruption of palatally impacted maxillary canines provides simplified, predictable, and more aesthetic outcomes. Furthermore, a significant positive factor is that there is no need to carry out the orthodontic traction of the impacted element, undoubtedly better compliance by the patient during the next alignment phase with the fix orthodontic appliance.
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spelling pubmed-82298952021-06-26 Uncovering and Autonomous Eruption of Palatally Impacted Canines—A Case Report Impellizzeri, Alessandra Horodynski, Martina Serritella, Emanuela Palaia, Gaspare De Stefano, Adriana Polimeni, Antonella Galluccio, Gabriella Dent J (Basel) Case Report The impaction of permanent maxillary canine is a common clinical occurrence, and it is observed in 2% of patients who require orthodontic treatment. This case report describes a new orthodontic-surgical approach through the use of CO(2) laser, for the exposure of the palatally impacted canines. A 13-year-old female referred to our observation to make an orthodontic examination because of the maxillary primary canines’ persistence in upper arch. Orthopanoramic X-ray showed impaction of both permanent maxillary canines. The family history revealed that the patient’s mother had the same orthodontic problem. Cone Beam Computer Tomography (CBCT) was requested to plan the surgical-orthodontic treatment. Surgical exposure of the impacted canines was performed using a CO(2) laser and subsequent periodontal pack application. No orthodontic devices were applied for impacted teeth traction on dental arch. Canines’ movement was monitored at 1, 8 and 16 weeks post-surgery with photo and intraoral scanner CS3500 (CS3500(®), Carestream Health, Atlanta, GA, USA). When canine crowns were completely erupted on palatal side, the alignment in the arch with indirect bonding technique was performed. Complete disimpaction of canine crowns was obtained in only four months. As reported in the literature, this case confirms that impacted canines’ exposure to CO(2) laser has advantages if compared with traditional surgery: no bleeding during and after the procedure, decontaminant effect on the surgical area, no suture, and a fast spontaneous eruption. Conclusions: The pre-orthodontic uncovering and autonomous eruption of palatally impacted maxillary canines provides simplified, predictable, and more aesthetic outcomes. Furthermore, a significant positive factor is that there is no need to carry out the orthodontic traction of the impacted element, undoubtedly better compliance by the patient during the next alignment phase with the fix orthodontic appliance. MDPI 2021-06-09 /pmc/articles/PMC8229895/ /pubmed/34207531 http://dx.doi.org/10.3390/dj9060066 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Impellizzeri, Alessandra
Horodynski, Martina
Serritella, Emanuela
Palaia, Gaspare
De Stefano, Adriana
Polimeni, Antonella
Galluccio, Gabriella
Uncovering and Autonomous Eruption of Palatally Impacted Canines—A Case Report
title Uncovering and Autonomous Eruption of Palatally Impacted Canines—A Case Report
title_full Uncovering and Autonomous Eruption of Palatally Impacted Canines—A Case Report
title_fullStr Uncovering and Autonomous Eruption of Palatally Impacted Canines—A Case Report
title_full_unstemmed Uncovering and Autonomous Eruption of Palatally Impacted Canines—A Case Report
title_short Uncovering and Autonomous Eruption of Palatally Impacted Canines—A Case Report
title_sort uncovering and autonomous eruption of palatally impacted canines—a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8229895/
https://www.ncbi.nlm.nih.gov/pubmed/34207531
http://dx.doi.org/10.3390/dj9060066
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