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Impacted Canine Management Using Aligners Supported by Orthodontic Temporary Anchorage Devices
1Postgraduate School of Orthodontics, University of Ferrara, Via Fossato di Mortara, 44100 Ferrara, Italy.
Summary
This study presents two reliable methods for treating impacted canines using aligners combined with temporary anchorage devices (TADs). These approaches offer effective canine disinclusion with enhanced biomechanics and reduced patient cooperation needs.
Area of Science:
- Orthodontics
- Dental Implantology
Background:
- Impacted canines present complex orthodontic challenges, often requiring advanced anchorage solutions.
- Aligner therapy offers a less invasive approach but may need adjuncts for severe impactions.
Observation:
- Two clinical scenarios for impacted canine treatment using aligners and orthodontic mini-screws (TADs) were evaluated.
- Treatment sequences depend on space availability and initial malocclusion, involving space creation, surgical exposure, and traction.
Findings:
- Both aligner-supported TAD approaches are reliable for canine disinclusion.
- The choice between scenarios depends on arch space and malocclusion severity.
- These methods simplify biomechanics and eliminate the need for patient cooperation in forced eruption.
Implications:
- Aligner therapy combined with TADs provides a viable alternative to conventional canine disinclusion methods.
- These techniques enhance treatment predictability and efficiency for impacted canines.
- The described protocols offer improved biomechanical control and patient comfort.
