Use of a cantilever for orthodontic treatment of the impacted incisor in a horizontal position
Keywords:
Impacted teeth, orthodontic traction, tooth abnormalities, ectopic eruption of teeth, tooth movement techniques, orthodontic extrusion.Abstract
Introduction: The lack of a permanent incisor not only generates an adverse effect on facial aesthetics but also alters its function, especially the incisor guidance. Upper incisors can suffer mechanical blockage or change in their eruption due to a supernumerary tooth, a blow or another factor. The treatment of choice is orthodontic-surgical. The prognosis depends on the age, tooth position, morphology, size, root maturation and traction method. Knowing the use of an orthodontic appliance, which is easy to handle and can be used from an early age, will be of valuable contribution.
Objective: To show the successful use of a cantilever to enable orthodontic traction of an impacted incisor in a horizontal position.
Case presentation: Eight-year-old patient with class I malocclusion, specimen 2.1 retained in a horizontal position, presence of supernumerary tooth and persistence of specimen 6.1. Extraction of the supernumerary, release of specimen 2.1 and orthodontic traction is chosen. A buccal cantilever made of a 0.020” round steel arch with two circles at each end was used to provide elasticity and anchoring. The force used was 70 g. Six months after, the occlusion plane was reached. Brackets and tubes were cemented and the sequence of arches was continued until the 0.021”x0.025” steel arch was reached in 11 months. An optimal final position is obtained, favoring root formation and apical closure.
Conclusions: The use of the cantilever for orthodontic treatment of impacted permanent incisors in a horizontal position proved to be successful as well as easy to manipulate and control.
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References
1. Wiens JP, Goldstein GR, Andrawis M, Choi M, Priebe JW. Defining centric relation. J Prosthet Dent [Internet]. 2018 Jul [Citado 13/07/2018];120(1):114-22. Disponible en: https://www.thejpd.org/article/S0022-3913(17)30708-4/fulltext
2. Bai D, Han X. Occlusion, mandibular position and orthodontic treatment. West China J Stomatol [Internet]. 2013 Ago [Citado 20/07/2019];31(4):331-4. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23991565
3. Pentón García V, Véliz Águila Z, Herrera L. Diente retenido-invertido. Presentación de un caso: modelos de diagnóstico y evaluación. MediSur [Internet]. 2009 Dic [Citado 20/07/2019];7(6):59-63. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1727-897X2009000600010&lng=es&nrm=iso&tlng=es
4. Mato González A, Corvo Rodríguez MT, Fundora Gutiérrez K. Retención de incisivos centrales superiores por supernumerarios asociados a ambas coronas dentales. Rev Cienc Médicas Pinar Río [Internet]. 2016 Oct [Citado 23/06/2019];20(5):129-37. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1561-31942016000500015&lng=es&nrm=iso&tlng=es
5. Ciarlantini R, Melsen B. Semipermanent replacement of missing maxillary lateral incisors by mini-implant retained pontics: A follow-up study. Am J Orthod Dentofac Orthop [Internet]. 2017 May [Citado 23/06/2019];151(5):989-94. Disponible en: https://www.ajodo.org/article/S0889-5406(17)30092-6/fulltext
6. Testori T, Scaini R, Weinstein T, Deflorian M, Taschieri S, Del Fabbro M. Autogenous transplant of two impacted mandibular canines: a case report with 2-year follow-up. Eur J Oral Implantol [Internet]. 2018 [Citado 27/06/2019];11(2):227-32. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29806669
7. Figliuzzi MM, Altilia M, Mannarino L, Giudice A, Fortunato L. Minimally invasive surgical management of impacted maxillary canines. Ann Ital Chir [Internet]. 2018 [Citado 01/07/2019];89:443-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30221632
8. Kondamari SK, Taneeru S, Guttikonda VR, Masabattula GK. Ameloblastoma arising in the wall of dentigerous cyst: Report of a rare entity. J Oral Maxillofac Pathol [Internet]. 2018 Ene [Citado 28/06/2019];22(Suppl 1):S7-S10. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29491596
9. Dağsuyu İM, Kahraman F, Okşayan R. Three-dimensional evaluation of angular, linear, and resorption features of maxillary impacted canines on cone-beam computed tomography. Oral Radiol [Internet]. 2018 Ene [Citado 03/08/2019];34(1):66-72. Disponible en: https://link.springer.com/article/10.1007%2Fs11282-017-0289-5
10. Van Essen TA, Van Rijswijk JB. Intranasal toothache: case report. J Laryngol Otol [Internet]. 2013 Mar [Citado 20/06/2019];127(3):321-2. Disponible en: https://www.cambridge.org/core/journals/journal-of-laryngology-and-otology/article/intranasal-toothache-case-report/46733D496B9769B4D667FBD28FB1FDD0
11. Hägerström E, Nepper Christensen S. Ectopic tooth as a rare cause of foreign body reaction of the nose. Ugeskr Laeger [Internet]. 2016 May [Citado 20/08/2019];178(21):[Aprox. 2 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27237927
12. Lu P, Chew MT. Orthodontic-surgical management of an unusual dilacerated maxillary incisor. J Orthod Sci [Internet]. 2018 Nov [Citado 29/06/2019];7:24. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30547020/
13. Wasserman Milhem I, Bravo Casanova ML, Caraballo Moreno FA, Granados Pelayo DA, Restrepo Bolívar CP. Orthodontic tooth movement in immature apices. A systematic review. Rev Fac Odontol Univ Antioquia [Internet]. 2016 Ene [Citado 23/09/2019];27(2):367-88. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0121-246X2016000100367&lng=en&nrm=iso&tlng=en
14. Mavragani M, Bøe OE, Wisth PJ, Selvig KA. Changes in root length during orthodontic treatment: advantages for immature teeth. Eur J Orthod [Internet]. 2002 Feb [Citado 03/07/2019];24(1):91-7. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/11887384
15. Hendrix I, Carels C, Kuijpers Jagtman AM, Van Hof M. A radiographic study of posterior apical root resorption in orthodontic patients. Am J Orthod Dentofac Orthop. 1994; 105 (4): 345-9.
16. Maspero C, Fama A, Galbiati G, Giannini L, Kairyte L, Bartorelli L, et al. Maxillary central incisor root resorption due to canine impaction after trauma. is the canine substitution for maxillary incisors a suitable treatment option? two case reports. Stomatologija [Internet]. 2018 Set [Citado 13/07/2019];20(3):102-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30531165/
17. Arriola Guillén LE, Ruiz Mora GA, Rodríguez Cárdenas YA, Aliaga Del Castillo A, Boessio Vizzotto M, Dias Da Silveira HL. Influence of impacted maxillary canine orthodontic traction complexity on root resorption of incisors: A retrospective longitudinal study. Am J Orthod Dentofac Orthop [Internet]. 2019 Ene [Citado 7/07/2019];155(1):28-39. Disponible en: https://www.ajodo.org/article/S0889-5406(18)30695-4/fulltext
18. Alsani A, Balhaddad AA. Delayed eruption of maxillary central incisors associated with the presence of supernumerary teeth: a case report with 18 months follow-up. J Contemp Dent Pract [Internet]. 2018 Dic [Citado 13/07/2019];19(12):1434-6. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/30713169
19. Parise Gré C, Schweigert Bona V, Pedrollo Lise D, Monteiro Júnior S. Esthetic rehabilitation of retained primary teeth-a conservative approach. J Prosthodont [Internet]. 2019 Ene [Citado 27/07/2019];28(1):e41-4. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1111/jopr.12602
20. Bin Shuwaish MS. Ceramic veneers for esthetic restoration of retained primary teeth: a 4-year follow-up case report. Oper Dent [Internet]. 2017 Abr [Citado 13/06/2019];42(2):133-42. Disponible en: https://www.jopdentonline.org/doi/10.2341/15-363-S
21. Potrubacz MI, Chimenti C, Marchione L, Tepedino M. Retrospective evaluation of treatment time and efficiency of a predictable cantilever system for orthodontic extrusion of impacted maxillary canines. Am J Orthod Dentofacial Orthop [Internet]. 2018 Jul [Citado 03/11/2020];154(1):55-64. Disponible en: https://www.ajodo.org/article/S0889-5406(18)30252-X/fulltext
22. Nakandakari C, Gonçalves JR, Cassano DS, Raveli TB, Bianchi J, Raveli DB. Orthodontic traction of impacted canine using cantilever. Case Rep Dent [Internet]. 2016 Oct [Citado 14/07/2019];2016:4386464. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27800192
23. Raghav P, Singh K, Munish Reddy C, Joshi D, Jain S. Treatment of maxillary impacted canine using ballista spring and orthodontic wire traction. Int J Clin Pediatr Dent [Internet]. 2017 Sep [Citado 21/07/2019];10(3):313-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/29104396
24. Tepedino M, Chimenti C, Masedu F, Iancu Potrubacz M. Predictable method to deliver physiologic force for extrusion of palatally impacted maxillary canines. Am J Orthod Dentofac Orthop [Internet]. 2018 Feb [Citado 09/07/2019];153(2):195-203. Disponible en: https://www.ajodo.org/article/S0889-5406(17)30790-4/fulltext
25. Karthikeyan BV, Khanna D, Chowdhary KY, Prabhuji ML. The versatile subepithelial connective tissue graft: a literature update. Gen Dent [Internet]. 2016 Dic [Citado 25/07/2019];64(6):e28-33. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/27814265
26. Noorollahian S, Shirban F. Chair time saving method for treatment of an impacted maxillary central incisor with 15-month follow-up. Dent Res J [Internet]. 2018 Mar [Citado 03/11/2020];15(2):150-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858075/
27. Schubert M, Hourfar J, Kanavakis G, Ludwig B. Early management of impacted maxillary incisors with skeletal anchorage. J Clin Orthod JCO [Internet]. 2015 Mar [Citado 03/11/2020];49(3):185-90. Disponible en: https://www.jco-online.com/archive/2015/03/185/
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