DIAGNOSIS AND TREATMENT OF IMPACTED MAXILLARY CANINE

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Journal of the Korean Academy of Pediatric Dentistry 2006;33(3):534-547.
Published online August 31, 2006.

DIAGNOSIS AND TREATMENT OF IMPACTED MAXILLARY CANINE

매복 상악 견치의 진단과 치료

이상호

조선대학교 치과대학 소아치과학교실

Correspondence: ,

Abstract

Ectopic eruption and impaction of canines is a frequently encountered clinical problems. The incidence of impaction ranges between 1-3%. The cause of canine impaction can be the result of localized factors or can be a polygenic multifactorial inheritance and associated with other dental anomalies. The general dentist and pediatric dentist should know how to properly diagnose and manage potential disturbances in the eruption of maxillary canine. Diagnosis of impacted canine at age 8-10 years can significantly reduce serious ramifications, including surgical exposure and orthodontic traction as well as root resorption of the lateral incisors. Extraction of primary canine would be one of the method to prevent the impaction. The surgical procedure should be designed to minimize the destruction of periodontal tissue of impacted canine. Closed eruption technique is thought to be optimal method of surgical exposure compared with other methods. An overview of the incidence, sequela as well as the surgical periodontal, and orthodontic consideration in the management of impacted canine was presented.

Key Words: Maxillary canine, Impaction, Surgical exposure, Orthodontic traction, Closed eruption technique