Conservative Treatment of Bilateral Impacted Mandibular Canines Traction
The objectives of the treatment of impacted canines differ according to the characteristics of dental malocclusion. Traction of the tooth is a conservative and viable alternative, which allows for maintaining stability and occlusal function. The following case report describes the treatment of an 11...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Hindawi Limited
2023-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2023/6943221 |
| _version_ | 1797749281171439616 |
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| author | Gustavo Armando Ruíz-Mora Luis Ernesto Arriola-Guillén Aron Aliaga-Del Castillo Yalil Augusto Rodríguez-Cárdenas Vinicius Dutra Mabel Mejía-Milian |
| author_facet | Gustavo Armando Ruíz-Mora Luis Ernesto Arriola-Guillén Aron Aliaga-Del Castillo Yalil Augusto Rodríguez-Cárdenas Vinicius Dutra Mabel Mejía-Milian |
| author_sort | Gustavo Armando Ruíz-Mora |
| collection | DOAJ |
| description | The objectives of the treatment of impacted canines differ according to the characteristics of dental malocclusion. Traction of the tooth is a conservative and viable alternative, which allows for maintaining stability and occlusal function. The following case report describes the treatment of an 11.6-year-old female patient, who presented bilateral impaction of mandibular canines in contact with the midline, mixed dentition in the inter-transitional period, class I angle malocclusion, with light crowding teeth. The treatment comprised three phases. The first phase, verticalization of the mandibular canines in mixed dentition, was performed to pull the impacted bilateral mandibular canines towards the dental arch to achieve their verticalization, maintaining the molar relationship, and the position of the upper and lower incisors. In the second phase, osteogenic rest was planned to relieve post-traction stress while awaiting the replacement of the mixed dentition. Finally, the third phase in permanent dentition was to align and level canines within the arch after extraction of the deciduous canines. For the viability of the permanent mandibular canines in the dental arch, orthosurgical traction was implemented, with a traction system with closed nickel–titanium coil springs with a transitory rigid dental-mucous-supported anchorage device, which allowed control and protection of the adjacent teeth and movements with helical forces of a controlled three-dimensional range. The results of the treatment were adequate, achieving consolidated molar and canine relationships, overjet, overbite, and optimal facial balance. |
| first_indexed | 2024-03-12T16:17:00Z |
| format | Article |
| id | doaj.art-f4556852821d4e13ac016b3ee359be33 |
| institution | Directory Open Access Journal |
| issn | 2090-6455 |
| language | English |
| last_indexed | 2024-03-12T16:17:00Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj.art-f4556852821d4e13ac016b3ee359be332023-08-09T00:00:00ZengHindawi LimitedCase Reports in Dentistry2090-64552023-01-01202310.1155/2023/6943221Conservative Treatment of Bilateral Impacted Mandibular Canines TractionGustavo Armando Ruíz-Mora0Luis Ernesto Arriola-Guillén1Aron Aliaga-Del Castillo2Yalil Augusto Rodríguez-Cárdenas3Vinicius Dutra4Mabel Mejía-Milian5Division of OrthodonticsDivision of Orthodontics and Division of Oral and Maxillofacial RadiologyDepartment of Orthodontics and Pediatric DentistryDivision of Oral and Maxillofacial RadiologyDepartment of Oral PathologyDivision of Oral and Maxillofacial RadiologyThe objectives of the treatment of impacted canines differ according to the characteristics of dental malocclusion. Traction of the tooth is a conservative and viable alternative, which allows for maintaining stability and occlusal function. The following case report describes the treatment of an 11.6-year-old female patient, who presented bilateral impaction of mandibular canines in contact with the midline, mixed dentition in the inter-transitional period, class I angle malocclusion, with light crowding teeth. The treatment comprised three phases. The first phase, verticalization of the mandibular canines in mixed dentition, was performed to pull the impacted bilateral mandibular canines towards the dental arch to achieve their verticalization, maintaining the molar relationship, and the position of the upper and lower incisors. In the second phase, osteogenic rest was planned to relieve post-traction stress while awaiting the replacement of the mixed dentition. Finally, the third phase in permanent dentition was to align and level canines within the arch after extraction of the deciduous canines. For the viability of the permanent mandibular canines in the dental arch, orthosurgical traction was implemented, with a traction system with closed nickel–titanium coil springs with a transitory rigid dental-mucous-supported anchorage device, which allowed control and protection of the adjacent teeth and movements with helical forces of a controlled three-dimensional range. The results of the treatment were adequate, achieving consolidated molar and canine relationships, overjet, overbite, and optimal facial balance.http://dx.doi.org/10.1155/2023/6943221 |
| spellingShingle | Gustavo Armando Ruíz-Mora Luis Ernesto Arriola-Guillén Aron Aliaga-Del Castillo Yalil Augusto Rodríguez-Cárdenas Vinicius Dutra Mabel Mejía-Milian Conservative Treatment of Bilateral Impacted Mandibular Canines Traction Case Reports in Dentistry |
| title | Conservative Treatment of Bilateral Impacted Mandibular Canines Traction |
| title_full | Conservative Treatment of Bilateral Impacted Mandibular Canines Traction |
| title_fullStr | Conservative Treatment of Bilateral Impacted Mandibular Canines Traction |
| title_full_unstemmed | Conservative Treatment of Bilateral Impacted Mandibular Canines Traction |
| title_short | Conservative Treatment of Bilateral Impacted Mandibular Canines Traction |
| title_sort | conservative treatment of bilateral impacted mandibular canines traction |
| url | http://dx.doi.org/10.1155/2023/6943221 |
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