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Dental Congress 2019
Journal of Clinical Dentistry and Oral Health | Volume 3
Page 49
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
alliedacademies.comYEARS
April 15-16, 2019 | Milan, Italy
DENTISTRY
AND ORAL HEALTH
2
nd
International Conference on
SURGICAL AND ORTHODONTIC MANAGEMENT OF IMPACTED TEETH
Abu-Hussein Muhamad
Limited to Pediatric Dentistry, Greece
T
he permanent canines are the foundation of an esthetic smile and functional occlusion. Factors that in-
terfere with its development and eruption had serious consequences on esthetics, function and stability
of stomatognathic system. Many authors speculated about the cause of impacted mandibular canines. These
causes include inadequate space, supernumerary teeth and premature loss of the deciduous canine, excessive
crown length, hereditary factors, and functional disturbances of the endocrine glands, tumour’s, cysts and
trauma. Impacted mandibular canines are also more likely to be located on the labial aspect of the dental arch
than are maxillary canines Shafer et al. suggested the following sequela of canine impaction: labial or lingual
malpositioning of impacted tooth, migration of the neighbouring teeth and loss of dental arch length, internal
resorption, dentigerous cyst formation, infection particularly with the partially erupted tooth. Partly erupted or
impacted cuspids may increase the risk of infection and cystic follicular lesions and compromise the lifespan of
neighbouring lateral incisors due to root resorption. The different methods of diagnosis that may allow for early
detection and prevention should include a family history, visual and tactile clinical examinations by the age of
9-10 years and a thorough radiographic assessment. Because there is a high probability that palatally impacted
maxillary canines may occur with other dental anomalies, the clinician should be alert to this possibility. When
the condition is identified early, extraction of the deciduous canines may, in specific cases, allow the impacted
canines to correct their paths of eruption and erupt into the mouth in relatively good alignment. Clinical signs
that may indicate ectopic or impacted cuspids include lack of a canine bulge in the buccal sulcus by the age of
10 years, over retained primary cuspids, delayed eruption of their permanent successor and asymmetry in the
exfoliation and eruption of the right and left canines. In conclusion, the management of impacted canines has
a multidisciplinary approach as it plays a vital role in esthetics and function. Surgical exposure and orthodontic
correction is the most preferable treatment unless contraindicated. Extraction of the impacted canine should
be the last resort, as every impacted canine should be treated in a hostile way to prevent its complications. This
presentation reviews its diagnosis and treatment plan in an orthodontic and surgical aspect.
J Clin Dentistry Oral Health 2019, Volume 3