Orthodontic treatment of Classe III patient with upper permanent impacted canines. A case report

Authors

  • Miguel Hirschhaut Odontólogo UCV; Especialista en Ortodoncia University of Pennsylvania, School of Dental Medicine, Pennsylvania, USA; Docente colaborador Postgrado Ortodoncia, Universidad Central de Venezuela. Distrito Capital, Venezuela.
  • Vanessa Ochoa Odontólogo, Universidad Santa María. Distrito Capital, Venezuela.
  • Verónika Cabeza Odontólogo, Universidad Santa María. Distrito Capital, Venezuela.
  • Gisela Marcano Odontólogo, Universidad Central de Venezuela. Distrito Capital, Venezuela.

DOI:

https://doi.org/10.54139/odousuc.v21i1.426

Keywords:

Impacted canines, orthodontic treatment, surgical exposure

Abstract

Impacted canines are a challenge to the treating orthodontist. They can produce several complications related to treatment length. Among others: soft tissue inflammation, caries, enamel decalcifications, root resorption and loss of the patient’s compliance. The follicles of the impacted cuspids are related to root resorption of the upper lateral incisors. Impacted canines require interdisciplinary intervention in order to be managed with an open surgical exposure technique and orthodontic traction. Based on the fact that is the fastest and more efficient approach. Clinical case presentation: A 10 year old male Class III with a midface deficiency and 3-D maxillary deficiency. Presented for treatment with a bilateral posterior crossbite and an anterior crossbite. Patient presented two upper impacted canines related to a 14 mm upper arch length discrepancy (crowding). Case was managed integrating a Phase I consisting of rapid palatal expansion and maxillary anterior traction with a Delaire Mask with 350 grams of force for 12 months. Afterwards a Phase II for 15 months with Straight Wire 0.22 Roth prescription fixed appliances. Once space was obtained during Phase II. The upper cuspids were surgically exposed by the Oral and Maxilofacial Surgeon and brought into the arch. Case was completed to Class I molar and canine. Correcting the occlusion and facial balance. Giving the patient a complete solution to the case. Restoring his function and esthetics.

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Published

2020-07-01

How to Cite

Hirschhaut, M., Ochoa, V., Cabeza, V., & Marcano, G. (2020). Orthodontic treatment of Classe III patient with upper permanent impacted canines. A case report . ODOUS, 21(1), 19–31. https://doi.org/10.54139/odousuc.v21i1.426

Issue

Vol. 21 No. 1 (2020): Enero-Junio 2020

Section

Clinical Case

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