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Bilaterally impacted maxillary canines and multiple missing teeth: a challenging adult case
K Mesotten1, I Naert, D van Steenberghe
1Department of Orthodontics, School of Dentistry, Oral Pathology and Maxillo-Facial Surgery, Faculty of Medicine, Katholieke Universiteit Leuven, Kapucijnenvoer 7, B-3000 Leuven, Belgium.
Orthodontics & Craniofacial Research
|January 26, 2005
Summary
This study demonstrates successful orthodontic correction of impacted maxillary canines in an adult patient. Dental implants were used for anchorage and prosthetic replacement, enabling a multidisciplinary approach to complex malocclusion.
Area of Science:
- Dentistry
- Orthodontics
- Implantology
Background:
- Adult patient presented with bilateral maxillary canine impaction, agenesis of lower second premolars, and extraction of lower first molars.
- This complex malocclusion required a comprehensive treatment strategy.
Observation:
- Surgical exposure and immediate orthodontic traction were used to reposition the impacted canines.
- Endosseous dental implants (Branemark system) were placed in the mandible.
Findings:
- Implants served a dual role: stabilizing orthodontic anchorage and providing a foundation for prosthetic tooth replacement.
- The multidisciplinary approach successfully closed the edentulous space in the lower arch and corrected the malocclusion.
Implications:
- Dental implants offer effective anchorage control for complex orthodontic tooth movements.
- A multidisciplinary treatment approach integrating orthodontics and implantology is crucial for managing severe dental anomalies and achieving functional and aesthetic rehabilitation.