title: Combined orthodontic-surgical approach in the treatment of impacted maxillary canines: three clinical cases.
abstract: Impaction of maxillary canine is a relatively frequent orthodontic anomaly which could represent fuctional and aesthetic problems for patients. Nowadays, the conventional technique to impacted canines consists of a combined orthodontic and surgical approach, aimed to guide cuspids at the center of the alveolar ridge in a stable position and surrounded by healthy hard and soft tissues. This article presents three cases studies with different combined surgical-orthodontic approaches for the treatment of infraosseous impacted canines. An impacted maxillary canine could be guided, after adequate space is created orthodontically, to the center of the ridge through an orthodontic traction directly applied to the crown of impacted cuspid. Several surgical techniques have been proposed to expose the crown of impacted tooth. Location (buccal or palatal side) of impactation and depth influence surgical approach in order to obtain best aesthetic and functional results.
authors.affiliation: Department of Periodontics, University of Rome "Tor Vergata", "S. Giovanni Calibita, Fatebenefratelli" Hospital, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Spuntarelli
authors.affiliation: Department of Periodontics, University of Rome "Tor Vergata", "S. Giovanni Calibita, Fatebenefratelli" Hospital, Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Cecchetti
authors.affiliation: Graduate School in Materials for Health, Environment and Energy, University of Rome "Tor Vergata", Rome, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Arcuri
authors.affiliation: Graduate School in Materials for Health, Environment and Energy, University of Rome "Tor Vergata", Rome, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Testi
authors.affiliation: Department of Periodontics, University of Rome "Tor Vergata", "S. Giovanni Calibita, Fatebenefratelli" Hospital, Rome, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Melone
authors.affiliation: Department of Periodontics, University of Rome "Tor Vergata", "S. Giovanni Calibita, Fatebenefratelli" Hospital, Rome, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Bigelli
authors.affiliation: Department of Periodontics, University of Rome "Tor Vergata", "S. Giovanni Calibita, Fatebenefratelli" Hospital, Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Germano
keywords: impacted maxillary canines; orthodontic approach; surgical approach