MANAGEMENT OF IMPACTED MAXILLARY CUSPIDS: A CASE REPORT
F. Lio1, A. Pinto2 and P. Carosi1
1 Department of Clinical Science and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy;
2 University of Rome “Tor Vergata”-Department of Chemical Science and Technologies, PhD in Materials for Health, Environment and Energy-Dentistry, Rome, Italy.
Correspondence to:
P. Carosi, DDS,
Department of Clinical Science and Translational Medicine,
University of Rome “Tor Vergata”,
Rome, Italy.
e-mail: carosipaolo29@gmail.com
| Received: 02 February 2018 Accepted: 28 March 2018  |
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ABSTRACT
The maxillary canine is the second most frequently impacted tooth after the third molar. It presents the most difficult pattern of eruption. An appropriate and timely diagnosis is mandatory to prevent potential pathological sequelae. Clinical and radiographic evaluations are indispensable to making an adequate therapeutic choice. Computer tomography cone-beam is considered the most effective radiographic exam for this purpose. In the reported case, a full-thickness vestibular gingival margin flap is mandatory when a labial impaction is suspected. An osteotomy, necessary to visualize the impacted tooth, is performed to minimize the quantity of removed bone. The impacted canine is sectioned into 2 or 3 parts to remove it successfully.
KEYWORDS: impacted, teeth, canine, maxillary, imaging, CBCT