Preservation Management of Horizontal Impacted Cuspid

121 Rating(s).


Posted on By Charles Schwimer In Orthodontics

A 16 year old male was referred by his Orthodontist for evaluation of cuspid tooth for removal. I suggested we expose and erupt the cuspid into the arch. It is the SPoT way. What would you do?

Pre tx
Pre tx CBCT

Pre tx CBCT
Pre tx CBCT


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7 Comments

Sutures with chain attached to bracket


Reply

Well done! I would have also tried ortho traction. Removing a tooth is always the very last option!
I also wanted to point out something very important when exposing the canine; Not to remove bone from the cervical area (Enamel-Cement Junction) otherwise the risk of gingival retraction increases when erupted into te arch.
Thanks for sharing my friend!

Jose Mompell


Reply

Excellent point Pepo👍.The tooth is well protected and equipped to be coerced to position. We not impair nature. Thank for your input. All the best. Chuck.


Reply

Chuck, you know what I would say. Well done. Especially in younger patients. Also, a natural canine is a much better functional tooth for occlusal purposes than an implant. Canine rise/dislusion and off axis loading. Regards Mo


Reply

But of corse my friend. That is how we were taught long ago. Only now with better diagnostics the decisions are more clear. The CBCT uncared a high likelihood for success. ORTHODONTIC BONE MODULATION is a powerful FORCE OF NATURE. See you sooon!!!! Chuck


Reply

Chuck,

Spectacular,

With the ability to know the position of the tooth- benefits the patient all the way around and serves as an excellent communication tool with our orthodontists- flap management also key here- you know I love these cases

See you 24 hours

Cheers,

Richard


Reply

Just great....and see you soon at XP Symposium. regards Mo


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