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Interarch Traction Strategy for Palatal Cuspid Impactions
Adith Venugopal1, Nikhilesh R Vaid2
1Department of Orthodontics, University of Puthisastra, Phnom Penh, Cambodia, Phone: +85581471447,
Aim And Objective:
To disimpact a palatally impacted canine using a novel, compliance-dependent technique.
Background:
Orthodontic traction of palatally impacted teeth warrants careful mechanical strategies to avoid complications that include r oot damage to adjacent teeth and r esorptions. Sound biomechanical control to avoid these side effects is considered paramount in planning the traction.
Technique:
The palatally impacted canine was pulled into the arch with the aid of a modified power arm on the exposed canine and a miniscrew on the lower arch.
Conclusion:
The impacted canine was successfully brought into occlusion within 11 months.
Clinical Significance:
This paper highlights the use of a simple strategy using interarch mechanics and temporary anchorage devices (TADs) to aid in the safe mechanical eruption of impacted palatal canines without the need to bend complex wire designs.
