Impacted Canines: Etiology, Diagnosis, and Orthodontic Management

Overview

Journal J Pharm Bioallied Sci

Specialty Pharmacology

Date 2012 Oct 16

PMID 23066259

Citations 37

Authors

Ranjit Manne

Chandrasekhar Gandikota

Shubhaker Rao Juvvadi

Haranath Reddy Medapati Rama

Sampath Anche

Affiliations

Soon will be listed here.

Abstract

Impaction of maxillary and mandibular canines is a frequently encountered clinical problem, the treatment of which usually requires an interdisciplinary approach. Surgical exposure of the impacted tooth and the complex orthodontic mechanisms that are applied to align the tooth into the arch may lead to varying amounts of damage to the supporting structures of the tooth, not to mention the long treatment duration and the financial burden to the patient. Hence, it seems worthwhile to focus on the means of early diagnosis and interception of this clinical situation. In the present article, an overview of the incidence and sequelae, as well as the surgical, periodontal, and orthodontic considerations in the management of impacted canines is presented.

Citing Articles

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Transmigration of an Impacted Mandibular Canine: A Report of Two Cases.

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Early Detection and Interceptive Orthodontic Treatment of Impacted Canine: A Case Report.

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Use of Orthodontic Mini-Implants in Conjunction with Elastics for Extrusion of Impacted Canines and Correction of Bimaxillary Protrusion.

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References

Ericson S, Kurol J . Early treatment of palatally erupting maxillary canines by extraction of the primary canines. Eur J Orthod. 1988; 10(4):283-95. DOI: 10.1093/ejo/10.4.283. View

Li L, Wong R, King N . Orthodontic traction of impacted canine using magnet: a case report. Cases J. 2008; 1(1):382. PMC: 2614941. DOI: 10.1186/1757-1626-1-382. View

Park H, Kwon O, Sung J . Micro-implant anchorage for forced eruption of impacted canines. J Clin Orthod. 2004; 38(5):297-302. View

Ericson S, Kurol J . Longitudinal study and analysis of clinical supervision of maxillary canine eruption. Community Dent Oral Epidemiol. 1986; 14(3):172-6. DOI: 10.1111/j.1600-0528.1986.tb01526.x. View

Kalra V . The K-9 spring for alignment of impacted canines. J Clin Orthod. 2001; 34(10):606-10. View

Bedoya M, Park J . A review of the diagnosis and management of impacted maxillary canines. J Am Dent Assoc. 2009; 140(12):1485-93. DOI: 10.14219/jada.archive.2009.0099. View

Jacoby H . The 'ballista spring" system for impacted teeth. Am J Orthod. 1979; 75(2):143-51. DOI: 10.1016/0002-9416(79)90183-0. View

Litsas G, Acar A . A review of early displaced maxillary canines: etiology, diagnosis and interceptive treatment. Open Dent J. 2011; 5:39-47. PMC: 3091288. DOI: 10.2174/1874210601105010039. View

Ericson S, Kurol J . Radiographic examination of ectopically erupting maxillary canines. Am J Orthod Dentofacial Orthop. 1987; 91(6):483-92. DOI: 10.1016/0889-5406(87)90005-9. View

10.

Hauser C, Lai Y, Karamaliki E . Eruption of impacted canines with an Australian helical archwire. J Clin Orthod. 2001; 34(9):538-41. View

11.

Bishara S . Impacted maxillary canines: a review. Am J Orthod Dentofacial Orthop. 1992; 101(2):159-71. DOI: 10.1016/0889-5406(92)70008-X. View

12.

Baccetti T . A controlled study of associated dental anomalies. Angle Orthod. 1998; 68(3):267-74. DOI: 10.1043/0003-3219(1998)068<0267:ACSOAD>2.3.CO;2. View

13.

Patel S, Cacciafesta V, Bosch C . Alignment of impacted canines with cantilevers and box loops. J Clin Orthod. 1999; 33(2):82-5. View

14.

Sinha P, NANDA R . Management of impacted maxillary canines using mandibular anchorage. Am J Orthod Dentofacial Orthop. 1999; 115(3):254-7. DOI: 10.1016/s0889-5406(99)70326-4. View

15.

Lindauer S, ISAACSON R . One-couple orthodontic appliance systems. Semin Orthod. 1995; 1(1):12-24. DOI: 10.1016/s1073-8746(95)80084-0. View

16.

Samuels R, Rudge S . Two-archwire technique for alignment of impacted teeth. J Clin Orthod. 1997; 31(3):183-7. View

17.

Richardson G, Russell K . A review of impacted permanent maxillary cuspids--diagnosis and prevention. J Can Dent Assoc. 2000; 66(9):497-501. View

18.

Crescini A, Clauser C, Giorgetti R, Cortellini P, Pini Prato G . Tunnel traction of infraosseous impacted maxillary canines. A three-year periodontal follow-up. Am J Orthod Dentofacial Orthop. 1994; 105(1):61-72. DOI: 10.1016/S0889-5406(94)70100-8. View

19.

Kokich V . Surgical and orthodontic management of impacted maxillary canines. Am J Orthod Dentofacial Orthop. 2004; 126(3):278-83. DOI: 10.1016/j.ajodo.2004.06.009. View

20.

Power S, Short M . An investigation into the response of palatally displaced canines to the removal of deciduous canines and an assessment of factors contributing to favourable eruption. Br J Orthod. 1993; 20(3):215-23. DOI: 10.1179/bjo.20.3.215. View