Management of bilateral impacted upper canines by single tooth dento-osseous osteotomy |
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| Authors: | Tamami Shino Etsuko Motegi Kenji Sueishi Takahiko Shibahara |
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| Institution: | 1. Inage Dental Clinic, 3-15-7 Inagehigashi, Inage-ku, Chiba 263-0031, Japan;2. Department of Orthodontics, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502, Japan;3. Department of Oral Surgery, Tokyo Dental College, 1-2-2 Masago, Mihama-ku, Chiba 261-8502, Japan;1. Assistant Professor of Orthodontics, Department of Orthodontics, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran;2. Orthodontist, Department of Orthodontics, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran;3. Assistant Professor, Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran;4. Assistant Professor of Periodontology, Department of Periodontology, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran;5. Assistant Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;1. Associate Professor, Department of Oral Surgery, University of Seville, Seville, Spain;2. Adjunct Assistant Professor, Department of Oral Maxillofacial Surgery, University of Michigan, Ann Arbor, MI;3. Student, Department of Oral Surgery, University of Seville, Seville, Spain;4. Student, Department of Oral Surgery, University of Seville, Seville, Spain;6. Senior Clinical Oral Surgeon, Department of Oral Surgery, University of Seville, Seville, Spain;5. Master Professor, Department of Oral Surgery, University of Seville, Seville, Spain;1. Private practice, Madison, Conn;2. Assistant professor, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn;3. Research associate, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn;4. Undergraduate dental student, School of Dental Medicine, University of Connecticut, Farmington, Conn;5. Resident, Division of Orthodontics, Department of Craniofacial Sciences, School of Dental Medicine, University of Connecticut, Farmington, Conn;6. Assistant professor, Division of Orthodontics, College of Dental Medicine, Columbia University, New York, NY;7. Professor and head, Division of Orthodontics, Department of Craniofacial Sciences; alumni endowed chair, School of Dental Medicine, University of Connecticut, Farmington, Conn;8. Associate professor and program director, Division of Orthodontics, Department of Craniofacial Sciences; Charles Burstone professor, School of Dental Medicine, University of Connecticut, Farmington, Conn |
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| Abstract: | When it is difficult to treat impacted teeth with orthodontic traction, surgical techniques including intentional luxation, autografts and distraction osteogenesis may be performed. However, these techniques are associated with problems such as root resorption, gingival recession and pulp circulatory disorders after extrusion. Single tooth dento-osseous osteotomy is considered to be a surgical technique with minimal effect on the pulp and periodontium. We used this method to treat a patient with impacted permanent canine teeth. After concomitant single tooth dento-osseous osteotomy and orthodontic treatment, root resorption of the bilateral canines was kept to a minimum and pulp vitality was confirmed. This method may be effective in patients in whom ordinary traction is difficult. |
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