Ectopic teeth can be auto transplanted to normal position under certain
conditions such as orthodontic and surgical indications and
optimal healing of transplants’ tissues after surgery. The healing
depends on of extent of #osteotomy and amount of trauma to the root and
periodontal #ligament during the surgery. The aim of this paper is to
introduce an innovative technique, which reduces trauma during auto
#transplantation thus allowing uncomplicated healing. A mandibular
#ectopic developing canine was diagnosed in 11-year-old girl. There were
orthodontic contraindications for extraction of the affected tooth.
Success of treatment would have been thus #dependant on the amount of
trauma received during surgery and normal healing after transplantation
to normal position. For that reason the novel technique for use of
orthodontic bracket was applied to limit trauma to the root during
removal of the tooth. The canine’s crown was exposed, orthodontic
bracket
was bonded to the enamel and wire was attached to the bracket. The
pulling force were applied to the bracket and allowed controlled and
gentle
removal of canine from initial #intraosseous position without abrading
its root against surrounding bone. The released canine was immediately
transplanted to normal position. One year after surgery the canine
erupted spontaneously and presented normal mobility and healthy soft and
hard tissues. The use of orthodontic bracket may contribute to reduce
trauma to periodontal tissues during removal of impacted teeth for auto
transplantation thus promoting uncomplicated healing after surgery.
#Novel Technique of Auto# Transplantation of #Ectopic #Canines in Growing Patients by Paweł Plakwicz in BJSTR
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