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PARTIAL MAXILLARY OSTEOTOMY FOLLOWING AN UNSUCCESSFUL FORCED ERUPTION OF AN IMPACTED MAXILLARY CANINE - 10 YEAR FOLLOW-UP. REVIEW AND CASE REPORT Edela Puricelli, Mário Alexandre Morganti, Henrique Voltollini de Azambuja, Deise Ponzoni, Clarice C. Friesdshich J. Appl. Oral Sci. vol.19 no.6 Bauru Nov./Dec. 2011

Partial maxillary osteotomy following anunsuccessful forced eruption of an impactedmaxillary canine - 10 year follow-up. Review and case report

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oral manifestations in hypertensive patients: a clinic study

Partial maxillary osteotomy following anunsuccessful forced eruption of an impactedmaxillary canine - 10 year follow-up. Review and case report

Edela Puricelli, Mrio Alexandre Morganti, Henrique Voltollini de Azambuja, Deise Ponzoni, Clarice C. Friesdshich

J. Appl. Oral Sci.vol.19no.6BauruNov./Dec.2011

INTRODUCCIN _Impactacin canina

Enfermedad frecuente.1-2% de la poblacin. 18% de todos los dientes impactados.Arco superior: 80-90% Afectacin por cara palatina 3:1posicin hzt

Tto ms complicado

INTRODUCCIN _

RXIntra/extra3D

INTRODUCCIN _TIPOS DE TTO6 meses

ESTUDIO DEL CASO _

Paciente 17 aosOrtodoncia31 mesesResistencia 12-14CirugaColocacin dispositivo traccin canino FracasoMantenimiento espacio

-Inclinacin transalveolar 13-Prdida sea 12-14-Edad favorableKobayashi

ESTUDIO DEL CASO _

ESTUDIO DEL CASO _Paciente 17 aosCirugaExtraccin 13Osteotoma parcial maxilar 14-17Fractura bicorticalCincelTraslado cortical 12-14OsteosntesisTornillosPlacasTitanioOrtodonciaElsticos de traccin

Anestesia general

ESTUDIO DEL CASO _

Inmovilizacin durante 21 das7 meses y 21 das despus se retir Ortodoncia 9,7 aos despus, se retiraron las placas y tornillosTras 10 aos y 10 meses de seguimiento, se realiz una exploracin

ESTUDIO DEL CASO _Retenedores removiblesVitalidad OKEstabilidad dental OKPeriodonto Ok

ESTUDIO DEL CASO _

ESTUDIO DEL CASO _

ESTUDIO DEL CASO _

REFERENCIAS _1- Alessandri Bonetti G, Incerti Parenti S, Daprile G, Montevecchi M. Failure after closed traction of an unerupted maxillary permanent canine: diagnosis and treatment planning. Am J Orthod Dentofacial Orthop. 2011;140:121-5.2- Alqerban A, Jacobs R, Fieuws S, Nackaerts O, SEDENTEXCT Project Consortium, Willems G. Comparison of 6 cone-beam computed tomography systems for image quality and detection of simulated canine impaction-induced external root resorption in maxillary lateral incisors. Am J Orthod Dentofacial Orthop. 2011;140:129-39.3- Bass TB. Observations on the misplaced upper canine tooth. Dental Pract Dent Rec. 1967;18:25-33.4- Becker A, Chaushu G, Chaushu S. Analysis of failure in the treatment of impacted maxillary canines. Am J Orthod Dentofacial Orthop. 2010;137:743-54.5- Bishara SE. Impacted maxillary canines: a review. Am J Orthod Dentofacial Orthop. 1992;101:159-71.6- Bishara SE. Clinical management of impacted maxillary canines. Semin Orthod. 1998;4:87-98.7- Bishara SE, Kommer DD, McNeil MH, Montagano LN, Oesterle LJ, Youngquist HW. Management of impacted canines. Am J Orthod. 1976;69:371-87.8- Block MS. Treatment of the single tooth extraction site. Oral Maxillofac Surg Clin North Am. 2004;16:41-63.9- Cappellette M, Cappellette Jnior M, Fernandes LCM, Oliveira AP, Oliveira WC. Palatine impacted permanent maxillary canines: diagnose and therapeutics. Rev Dent Press Ortodon Ortopedi Facial. 2008;13:60-73.10- Conz MB, Granjeiro JM, Soares GA. Physicochemical characterization of six commercial hydroxyapatites for medicaldental applicatons as bone graft. J Appl Oral Sci. 2005;13:136-40.11- Crescini A, Clauser C, Giorgetti R, Cortellini P, Pini Prato GP. Tunnel traction of infraosseous impacted maxillary canines. A three-year periodontal follow-up. Am J Orthod Dentofacial Orthop. 1994;105:61-72.12- Dachi S, Howell FV. A survey of 3,874 routine full-month radiographs. II. A study of impacted teeth. Oral Surg Oral Med Oral Pathol. 1961;14:1165-9.13- Indovina A Jr, Block MS. Comparison of 3 bone substitutes in canine extraction sites. J Oral Maxillofac Surg. 2002;60:53-8.14- Lindauer SJ, Rubenstein LK, Hang WM, Andersen WC, Isaacson RJ. Canine impaction identified early with panoramic radiographs. J Am Dent Assoc. 1992;123:91-2,95-7.15- Oliveira MV, Pithon MM. Attempted traction of impacted and ankylosed maxillary canines. Am J Orthod Dentofacial Orthop. 2012;142:106-14.16- Oliveira-Santos C, Capelozza AL, Dezzoti MS, Fischer CM, Poleti ML, Rubira-Bullen IR. Visibility of the mandibular canal on CBCT cross-sectional images. J Appl Oral Sci. 2011;19:240-3.17- Puricelli E. Reteno dentria: novos conceitos no tratamento ortocirrgico. In: Gonalves EAN, Feller C, editors. Atualizao na clnica odontolgica: a prtica da clnica geral. So Paulo: Artes Mdicas; 1998. p. 3-28.18- Puricelli E. Apicotomy: a root apical fracture for surgical treatment of impacted upper canines. Head Face Med. 2007;3:33.19- Silva OG Filho, Carvalho PM, Capelozza L Filho, Carvalho RM. Canine function performed by the premolar. Rev Dent Press Ortodon Ortopedi Facial. 2006;11:32-40.20- Wolf JE, Mattila K. Localization of impacted maxillary canines by panoramic tomography. Dentomaxillofac Radiol. 1979;8:85-91.

RIGOR CIENTFICO _Journal of Applied Oral ScienceNacionalidad: BrasileaPublicacin: bimensualAo de comiezo: 2003Web: J Applied Oral Science Anteriormente:

Opinin personal _

El estudio muestra que la osteotoma maxilar parcial es:Solucin eficaz en defectos seos maxilares (oclusin)Recomendada en pacientes jvenes

ALBERTO GARCA DE LA FUENTE

CIRUGA ORAL