Positioning of Impacted Canine Teeth by Auto-transplantation After Unsuccessful Orthodontic Traction: Case Report

Abstract

Canine teeth have important roles in both functional occlusion and facial aesthetics. Management of impacted maxillary canine teeth may be considered as one of the most complex cases in dentistry. Orthodontic traction or surgical extraction may be considered as two main treatment options and this decision requires careful evaluation for each patient. This report aims to present the treatment course of a 29-year-old female patient who had previously undergone unsuccessful orthodontic traction therapy for five years to position her impacted maxillary canine teeth on both sides. After considering all alternative treatment options and evaluating the teeth and their prognoses, the maxillary canines were corrected by surgical extraction followed by intraoperative root canal therapy and auto-transplantation to the surgically created recipient sites. Patient is within the third year of follow-up with no complications

Keywords

• Tooth transplantation, Autotransplantation, Impacted tooth, Maxillary canine

Başarısız Ortodontik Sürdürme Sonrası Gömülü Kanin Dişlerinin Ototransplantasyon ile Pozisyonlandırılması: Olgu Sunumu

Öz

Dental arkta maksiller kanin dişler, hem fonksiyonel oklüzyon hem de yüz estetiği yönünden önemli role sahiptir. Gömülü konumdaki maksiller kaninler ise tedavi açısından diş hekimliğindeki en kompleks olgular arasında değerlendirilmektedir. Bu olgulardaki ana tedavi seçenekleri ortodontik sürdürme veya cerrahi çekim olmakla beraber bu hastaların kapsamlı bir şekilde değerlendirilmesi gereklidir. Çalışmada bilateral gömülü maksiller kanin dişlerinin ortodontik sürdürülmesi için beş yıllık bir tedavi geçmişi bulunan 29 yaşındaki kadın hastanın sonuç elde edilememesi nedeniyle fakültemize başvurusunu takiben gerçekleştirilen tedavisi rapor edilmiştir. Diğer alternatif tedavi seçenekleri, dişlerin durumu ve prognozu değerlendirilmiş ve gömülü kanin dişlerinin cerrahi çekim ile birlikte intraoperatif endodontik tedavisine ve cerrahi olarak hazırlanan alıcı sahalara ototransplantasyonuna karar verilmiştir. Takibinin üçüncü yılında olan hastada başarı sağlanmış olup, süreci etkileyecek bir komplikasyon gelişmemiştir

Anahtar Kelimeler

• Diş transplantasyonu, Ototransplantasyon, Gömülü diş, Maksiller kanin

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