11th Dental Facial Cosmetic International Conference

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Optimise The Aesthetic Periodontal Conditions Around Maxillary Impacted Canine

As part of a private practice, between January 2010 and December 2018, 911 impacted teeth were exposed for orthodontic reasons. The majority were the maxillary canines (73.65%), followed by the mandibular canines (5.27%), then the maxillary central incisors (5.16%), and the second mandibular premolars (4.72%). The 671 maxillary canines were present in 549 patients with a medium age, at the time of the surgery, of 15 y-3 m (from 7 y-10 m to 45 y-1m). The sex distribution was 60.7% (F) and 39.3% (H). 32.8% of maxillary canines were buccal and 67.2% were palatal. Only 8 canines had not moved, with a success rate of 98.7%. An interview, conducted with orthodontic referees, precise that, in the presence of an impacted canine, the duration of orthodontic treatment was lengthened, on average by 6 months, but in some cases by 12 months or more. The purpose of this surgery is to help the orthodontist to position the tooth in the dental arch with all the components of the periodontium and the best aesthetic integration. The purpose of this lecture is to illustrate the maxillary canine exposure periodontal surgery and to propose a logical surgical decision tree.

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