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

Year 2018, Volume: 4 Issue: 2, 187 - 192, 01.01.2018

Alper Sindel Alper Kuştarcı Mükerrem Hatipoğlu Nelli Yıldırımyan

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

Abstract

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

Keywords

Diş transplantasyonu, Ototransplantasyon, Gömülü diş, Maksiller kanin

References

• 1. Puricelli E, Morganti MA, Azambuja HV, Ponzoni D, Friedrisch CC. Partial maxillary osteotomy following an unsuccessful forced eruption of an impacted maxillary canine: 10 year follow-up. Review and case report. J Appl Oral Sci 2012;20:667-72.
• 2. Lappin MM. Practical management of the impacted maxillary cuspid. Am J Orthod 1951;37:769-78.
• 3. Becker A. Palatally impacted canines. In: Becker A ed. Orthodontic treatment of impacted teeth. 3rd ed. West Sussex, UK: Wiley-Blackwell Publication, 2012: 118-21.
• 4. Becker A, Chaushu S. Etiology of maxillary canine impaction: A review. Am J Orthod Dentofacial Orthop 2015;148:557-67.
• 5. Fearne J, Lee R. Favourable spontaneous eruption of severely displaced maxillary canines with associated follicular disturbance. Br J Orthod 1988;15:93-8.
• 6. Sain DR, Hollis WA, Togrye AR. Correction of a superiorly displaced impacted canine due to a large dentigerous cyst. Am J Orthod Dentofacial Orthop 1992;102:270-6.
• 7. Brin I, Solomon Y, Zilberman Y. Trauma as a possible etiologic factor in maxillary canine impaction. Am J Orthod Dentofacial Orthop 1993;104:132-7.
• 8. Farmer ED, Lawton FE. Stones’ oral and dental diseases: aetiology, histopathology, clinical features and treatment: A textbook for dental students and a reference book for dental and medical practitioners, 5th ed. Edinburgh: E & S Livingstone Ltd, 1966: 193.
• 9. Camilleri S, Lewis C, McDonald F. Ectopic maxillary canines: Segregation analysis and a twin study. J Dent Res 2008;87:580-3.
• 10. Broadbent BH. Ontogenic development of occlusion. Angle Orthod 1941;11:223-41.
• 11. Dewel B. The Upper cuspid: Its development and impaction. Angle Orthod 1949;19:79-90.
• 12. Ericson S, Kurol J. Early treatment of palatally erupting maxillary canines by extraction of the primary canines. Eur J Orthod 1988;10:283-95.
• 13. Ericson S, Kurol J. Incisor resorption caused by maxillary cuspids: A radiographic study. Angle Orthod 1987;57:332- 46.
• 14. Srivastava N, Srivastava V. An inverted supernumerary tooth: Report of case. ASDC J Dent Child 2001;68:61-2.
• 15. Ulusoy AT, Akkocaoglu M, Akan S, Kocadereli I, Cehreli ZC. Reimplantation of an inverted maxillary premolar: case report of a multidisciplinary treatment approach. J Clin Pediatr Dent 2009;33:279-82.
• 16. Bishara SE, Ortho D. Impacted maxillary canines: A review. Am J Orthod Dentofacial Orthop 1992;101:159-71. 17. Rayne J. The unerupted maxillary canine. Dent Pract Dent Rec 1969;19:194-204.
• 18. Garib DG, Janson G, de Oliveira Baldo T, dos Santos PBD. Complications of misdiagnosis of maxillary canine ectopic eruption. Am J Orthod Dentofacial Orthop 2012;142:256-63.
• 19. Gilijamse M, Baart JA, Wolff J, Sándor GK, Forouzanfar T. Tooth autotransplantation in the anterior maxilla and mandible: Retrospective results in young patients. Oral Surg Oral Med Oral Pathol Oral Radiol 2016;122:187-92.
• 20. Frank CA. Treatment options for impacted teeth. J Am Dent Assoc 2000;131:623-32.
• 21. Mazinis E, Zafeiriadis A, Karathanasis A, Lambrianidis T. Transmigration of impacted canines: prevalence, management and implications on tooth structure and pulp vitality of adjacent teeth. Clin Oral Investig 2012;16:625-32.
• 22. Caminiti MF, Sandor GK, Giambattistini C, Tompson B. Outcomes of the surgical exposure, bonding and eruption of 82 impacted maxillary canines. J Can Dent Assoc 1998;64:572-9.
• 23. Fuller JL, Denehy GE, Hall SA. Concise dental anatomy and morphology. 4th ed. Iowa City, IA: University of Iowa College of Dentistry, 1999.
• 24. Kokich VG, Nappen DL, Shapiro PA. Gingival contour and clinical crown length: their effect on the esthetic appearance of maxillary anterior teeth. Am J Orthod 1984;86:89-94.
• 25. Machado AW, McComb RW, Moon W, Gandini LG. Influence of the vertical position of maxillary central incisors on the perception of smile esthetics among orthodontists and laypersons. J Esthet Restor Dent 2013;25:392-401.
• 26. Grande T, Stolze A, Goldbecher H. Management of an extremely displaced maxillary canine. J Orofac Orthop 2005;66:319-25.
• 27. Sajnani AK. Permanent maxillary canines–review of eruption pattern and local etiological factors leading to impaction. J Investig Clin Dent 2015;6:1-7.
• 28. Aras MH, Halicioğlu K, Yavuz M-S, Çağlaroğlu M. Evaluation of surgical-orthodontic treatments on impacted mandibular canines. Med Oral Patol Oral Cir Bucal 2011;16:925-8.
• 29. Jacobs SG. Reducing the incidence of unerupted palatally displaced canines by extraction of deciduous canines. The history and application of this procedure with some case reports. Aust Dent J 1998;43:20-7.
• 30. Ru N, Bai Y. Canine autotransplantation: Effect of extraction site preservation with a titanium prosthesis and a bioresorbable membrane. Am J Orthod Dentofacial Orthop 2013;143:724-34.
• 31. Bauss O, Schilke R, Fenske C, Engelke W, Kiliaridis S. Autotransplantation of immature third molars: influence of different splinting methods and fixation periods. Dent Traumatol 2002;18:322-8.
• 32. Teixeira C, Pasternak B, Vansan L, Sousa-Neto M. Autogenous transplantation of teeth with complete root formation: Two case reports. Int Endod J 2006;39:977-85.
• 33. Andreasen J, Paulsen H, Yu Z, Bayer T, Schwartz O. A long-term study of 370 autotransplanted premolars. Part II. Tooth survival and pulp healing subsequent to transplantation. Eur J Orthod 1990;12:14-24.
• 34. Paulsen HU, Andreasen JO, Schwartz O. Pulp and periodontal healing, root development and root resorption subsequent to transplantation and orthodontic rotation: A long-term study of autotransplanted premolars. Am J Orthod Dentofacial Orthop 1995;108:630-40.
• 35. Arikan F, Nizam N, Sonmez S. 5-year longitudinal study of survival rate and periodontal parameter changes at sites of maxillary canine autotransplantation. J Periodontol 2008;79:595-602.
• 36. Andreasen J. Periodontal healing after replantation and autotransplantation of incisors in monkeys. Int J Oral Surg 1981;10:54-61.
• 37. Czochrowska EM, Stenvik A, Bjercke B, Zachrisson BU. Outcome of tooth transplantation: survival and success rates 17-41 years posttreatment. Am J Orthod Dentofacial Orthop 2002;121:110-9.
• 38. Chugh A, Aggarwal R, Chugh VK, Wadhwa P, Kohli M. Autogenous tooth transplantation as a treatment option. Int J Clin Pediatr Dent 2012;5:87-92.
• 39. Gonnissen H, Politis C, Schepers S, Lambrichts I, Vrielinck L, Sun Y, Schuermans J. Long-term success and survival rates of autogenously transplanted canines. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110:570-8.