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CC BY 4.0 · European Journal of General Dentistry
DOI: 10.1055/s-0044-1786550
Review Article

Orthodontic and Surgical Management of Impacted Maxillary Canines: A Narrative Review

Mimoza E. Selmani
1   AAB College, Prishtina, Kosovo
,
Shkelzen B. Duci
2   Clinic of Plastic Surgery, University Clinical Center of Kosovo, Pristina, Kosovo
,
Nora Asani Gashi
1   AAB College, Prishtina, Kosovo
,
Manushaqe Selmani Bukleta
3   College of Medical Science, Faculty of Dentistry, “Rezonanca”, Pristina, Kosovo
4   Dental Clinic, Mdent Family Dentistry, Pristina, Kosovo
› Author Affiliations Funding None.
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Abstract

Maxillary canine impactions are a significant challenge for orthodontic and oral surgical practices. In this narrative review, we aim to evaluate surgical and orthodontic approaches for treating maxillary canine impactions, evaluate their effectiveness, and compare the two treatment modalities.

We reviewed several studies on databases such as Google Scholar, PUBMED, and MEDLINE to update recent knowledge for canine impactions and their treatment. We reviewed and included studies that matched our research objectives, including orthodontic management, open and closed eruption techniques, and contact and tooth alignment surgery.

Successful treatment results of canine impactions were reported increasingly in literature, and good clinical outcomes were observed in most cases. However, factors such as the severity of the impaction, patient age, and surgical experience were found to influence the choice of surgical technique and success rates. Complications associated with surgical management of maxillary canine impactions were also reported. These complications, which include tooth resorption, postoperative infection, ankylosis, and damage to adjacent structures, are generally rare but emphasize the importance of careful patient selection, surgical planning accuracy, and emphasis on diligent postoperative care.

Findings highlight surgical procedures' effectiveness, outcomes, and challenges to help clinicians make informed decisions and improve patient care. The results underscore the importance of evidence-based decision-making and a multidisciplinary approach for successful clinical outcomes. Future research will focus on long-term stability, patient-reported outcomes, and exploring emerging techniques to further improve the management of maxillary canine impactions.

Keywords

eruption - impactions - maxillary canines - orthodontic


Publication History

Article published online:
15 July 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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