The VISTA Approach in Canine Disimpaction
Canine disimpaction is always a challenging orthodontic treatment overall, even when the impacted permanent canine is in a high position, especially when in tight relation with the upper incisors’ roots. Conventional treatment methods are usually not capable of performing the correct force direction...
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MDPI AG
2021-08-01
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| Series: | Methods and Protocols |
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| Online Access: | https://www.mdpi.com/2409-9279/4/3/57 |
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| author | Gabriella Galluccio Alessandra Impellizzeri Alessandra Pietrantoni Adriana De Stefano Gerardo La Monaca Roberto Pippi |
| author_facet | Gabriella Galluccio Alessandra Impellizzeri Alessandra Pietrantoni Adriana De Stefano Gerardo La Monaca Roberto Pippi |
| author_sort | Gabriella Galluccio |
| collection | DOAJ |
| description | Canine disimpaction is always a challenging orthodontic treatment overall, even when the impacted permanent canine is in a high position, especially when in tight relation with the upper incisors’ roots. Conventional treatment methods are usually not capable of performing the correct force direction, consisting of the contemporary movement in the distal and vestibular directions of the canine crown, often provoking, as side effects, the presence of decubitus on the mucous of the lips and cheeks or a poor final appearance of the periodontal support of the disimpacted canine. Among the different approaches, the vertical incision subperiosteal tunnel access (VISTA) technique shows good performance with regard to the direction of the forces and the canine’s periodontal conditions when erupted; it is usually realized through an elastic chain connected to a temporary anchorage device (TAD) in the posterior area. In this paper, a different protocol for the VISTA method is also presented, to be resorted to in cases of difficult miniscrew positioning due to the anatomic conditions or stage of dentitions. The new protocol also considers the use of nickel–titanium coil springs in order to avoid the need of frequent reactivation of the device and consequent patient discomfort, highlighting its advantages and indications with respect to the traditional approach. |
| first_indexed | 2024-03-10T07:23:13Z |
| format | Article |
| id | doaj.art-6cc4759e010d421bb1d2f36e8ae6310d |
| institution | Directory Open Access Journal |
| issn | 2409-9279 |
| language | English |
| last_indexed | 2024-03-10T07:23:13Z |
| publishDate | 2021-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Methods and Protocols |
| spelling | doaj.art-6cc4759e010d421bb1d2f36e8ae6310d2023-11-22T14:27:45ZengMDPI AGMethods and Protocols2409-92792021-08-01435710.3390/mps4030057The VISTA Approach in Canine DisimpactionGabriella Galluccio0Alessandra Impellizzeri1Alessandra Pietrantoni2Adriana De Stefano3Gerardo La Monaca4Roberto Pippi5Department of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00161 Rome, ItalyCanine disimpaction is always a challenging orthodontic treatment overall, even when the impacted permanent canine is in a high position, especially when in tight relation with the upper incisors’ roots. Conventional treatment methods are usually not capable of performing the correct force direction, consisting of the contemporary movement in the distal and vestibular directions of the canine crown, often provoking, as side effects, the presence of decubitus on the mucous of the lips and cheeks or a poor final appearance of the periodontal support of the disimpacted canine. Among the different approaches, the vertical incision subperiosteal tunnel access (VISTA) technique shows good performance with regard to the direction of the forces and the canine’s periodontal conditions when erupted; it is usually realized through an elastic chain connected to a temporary anchorage device (TAD) in the posterior area. In this paper, a different protocol for the VISTA method is also presented, to be resorted to in cases of difficult miniscrew positioning due to the anatomic conditions or stage of dentitions. The new protocol also considers the use of nickel–titanium coil springs in order to avoid the need of frequent reactivation of the device and consequent patient discomfort, highlighting its advantages and indications with respect to the traditional approach.https://www.mdpi.com/2409-9279/4/3/57impacted canineminiscrewVISTA techniqueortho-surgical approachorthodontics |
| spellingShingle | Gabriella Galluccio Alessandra Impellizzeri Alessandra Pietrantoni Adriana De Stefano Gerardo La Monaca Roberto Pippi The VISTA Approach in Canine Disimpaction Methods and Protocols impacted canine miniscrew VISTA technique ortho-surgical approach orthodontics |
| title | The VISTA Approach in Canine Disimpaction |
| title_full | The VISTA Approach in Canine Disimpaction |
| title_fullStr | The VISTA Approach in Canine Disimpaction |
| title_full_unstemmed | The VISTA Approach in Canine Disimpaction |
| title_short | The VISTA Approach in Canine Disimpaction |
| title_sort | vista approach in canine disimpaction |
| topic | impacted canine miniscrew VISTA technique ortho-surgical approach orthodontics |
| url | https://www.mdpi.com/2409-9279/4/3/57 |
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