Diode Laser Surgery for the Disinclusion of Palatally Impacted Canines: A Case Report.

IF 0.9 4区医学 Q3 SURGERY

Annali italiani di chirurgia Pub Date : 2025-01-01 DOI:10.62713/aic.3592

Martina Horodynski, Adriana Assunta De Stefano, Francesca Crocamo, Alessandra Impellizzeri, Umberto Romeo, Gabriella Galluccio

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Abstract

Aim: Mandibular third molars are the most frequently impacted teeth, followed by maxillary canines. Between one and three percent of the general population is affected by permanent maxillary canine impaction; in males, this condition is less common than in females. This case report evaluates the spontaneous eruption of palatally impacted canines following diode laser exposure.

Case presentation: A 15-year-old female referred to our observation to improve her smile. At the first visit, the absence of upper left permanent canines and the persistence of upper right primary canines were detected. Meticulous surgical exposure with a diode laser was planned based on the cone beam computed tomography (CBCT). The wound was covered with a periodontal pack, and the traction of the teeth in the dental arch was achieved without the need for orthodontic devices. The canines' eruption was tracked at 1, 8 and 16 weeks following surgery, using an intraoral scanner (Medit i700, Medit Corp., Seoul, South Korea) and photos.

Results: Both canines completely erupted 16 weeks after surgery, so brackets were placed on them, and self-ligating multibrackets were used to bandage the upper arch.

Conclusions: Laser surgery for impacted canines is an excellent conservative option for their exposure; compared to standard surgery, it offers several advantages, including faster eruption, no need for sutures, and no bleeding during or after the operation.

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二极管激光手术治疗腭侧阻生犬齿脱位1例。

目的：下颌第三磨牙是最常见的阻生牙，其次是上颌犬齿。总人口中有1%到3%的人患有永久性上颌嵌塞；在男性中，这种情况比女性更少见。本病例报告评估在二极管激光照射后腭阻生犬的自发爆发。病例介绍：一位15岁的女性通过我们的观察改善了她的笑容。在第一次访问时，检测到左上恒牙缺失和右上原牙持续存在。在锥形束计算机断层扫描（CBCT）的基础上，计划用二极管激光进行细致的手术暴露。伤口被牙周包覆盖，在牙弓中牵引牙齿，而不需要正畸装置。在手术后的第1周、第8周和第16周，使用口腔内扫描仪（Medit i700, Medit Corp., Seoul, South Korea）和照片追踪狗的爆发情况。结果：术后16周两犬牙完全出牙，采用托槽固定，采用自结扎多层托槽包扎上弓。结论：激光手术治疗埋伏牙是一种很好的保守治疗方法；与标准手术相比，它有几个优点，包括更快的爆发，不需要缝合，手术中或手术后不出血。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.