Indução cirúgica de caninos maxilares retidos

Abstract

The eruption of the maxillary canines usually occurs around 11-12 years, and is the last teeth to position themselves in the upper arch. The process of embryological formation and eruption is quite complex translating into often anomalies eruption. The maxillary canine is the second most frequent retention after maxillary third molar, with an incidence of approximately 2%. The retained canines are usually located on the palatal and female predominance. Regarding the study, was conducted a literature review of the epidemiology, pathogenesis, diagnosis and present the different therapeutic modalities with greater emphasis on the surgical induction of retained maxillary canines with or without orthodontic treatment. We conducted a survey of classical literature and scientific articles published in the last 10 years, in the database of Medline and the Cochrane Library. The search was limited: clinical trial, randomized controlled trial, review, meta-analysis and guidelines. The retention of canines is usually diagnosed late, during a routine clinical examination. Early diagnosis of possible retention allows planning preventive and conservative therapeutic with a better prognosis. Therefore, it is necessary in all cases, a detailed clinical and radiographic examination to confirm the diagnosis in order to determine the degree of retention and exact location of the canines in the three planes of space. Depending on the clinical data presented is indicated specific treatment plan, which may be interceptive and / or corrective. The maxillary canines are critical in facial and dental aesthetics and functional occlusion. Therefore, various surgical techniques have been proposed for promote effectively their placement in the dental arch, however, only with interdisciplinary cooperation between general dentists and specialists, be possible preventive treatment or surgical such anomalies. Keywords Impacted maxillary canines, interceptive treatment, surgical exposure, spontaneous eruption, surgical-orthodontic treatment.

Date of Award	2013
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Alexandre Castro Caldas (Supervisor) & António Silva (Supervisor)