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[Therapeutic strategies for impacted maxillary canines]
J A Baart1, C J Bakker, B Prahl-Andersen
1Afdeling Mondziekten en Kaakchirugie/Orale Pathologie van het Academisch Ziekenhuis Vrije Universiteit Amsterdam (ACTA).
Nederlands Tijdschrift Voor Tandheelkunde
|June 2, 2001
Summary
Impacted maxillary canines affect 1-2% of teens. Delay extracting deciduous teeth or premolars until eruption success is confirmed, as 15% of surgically exposed canines fail to erupt.
Area of Science:
- Dentistry
- Orthodontics
- Oral and Maxillofacial Surgery
Background:
- A significant percentage of teenagers experience disturbances in maxillary canine eruption patterns.
- This often necessitates intervention by orthodontists and oral and maxillofacial surgeons.
Observation:
- Surgical exposure and bracket placement are common procedures for impacted maxillary canines.
- Extraction of deciduous canines or first premolars is frequently considered in conjunction with these procedures.
Findings:
- An average of 15% of surgically exposed or ligated maxillary canines ultimately fail to erupt.
- This highlights a significant complication rate associated with current treatment protocols.
Implications:
- Clinicians should exercise caution before extracting deciduous canines or permanent first premolars.
- Treatment decisions should be deferred until the eruption potential of the impacted canine is more certain post-intervention.