Cirugía de canino retenido mediante un botón ortodóntico.
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2018-12
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Universidad de Guayaquil. Facultad Piloto de Odontologia.
Resumen
Los caninos superiores son los dientes con las raíces más largas en la cavidad bucal, proporcionan fuerza para cumplir con funciones como la de desgarre y forman parte de la estética facial, las prominencias caninas específicas de estos dientes que juegan gran importancia en la expresión natural del rostro. En relación a la retención de estas piezas dentarias encontramos que tienen un 80 % de incidencia a diferencia de los caninos inferiores. Las causas pueden ser por factores embrionarios o por factores mecánicos relacionados con el tiempo y la ubicación durante el trayecto anterior a su erupción. Objetivo: Determinar los criterios más aceptados en el manejo quirúrgico del canino retenido con tracción ortodóntica. Su gran porcentaje estético facial en cada individuo nos lleva a optar por los procedimientos ortodónticos- quirúrgicos para su posterior reubicación en la arcada dentaria, el mismo que debe ser conservador: invadiendo la menor cantidad posible de tejido óseo, mucosa o fibromucosa. Este procedimiento se dará en 3 tiempos, realizaremos el despegamiento mucoperióstico, la osteotomía liberadora para la posterior preparación de la ventana mucosa. La colocación del botón ortodóntico se deberá realizar entre los 7-10 días posteriores al acto quirúrgico. Resultados: incidencia de retención del canino superior del 80% más que los caninos inferiores, el sexo con mayor incidencia en retención es el femenino con posición predominante: vestibular, 36%, transalveolar 9%, bilaterales es del 19.4%, unilaterales derechas 47.2%, unilaterales izquierdas 33.3%, edad dominante 13-17 años, el canino superior derecho tiene mayor prevalencia sobre el canino superior izquierdo.
The upper canines are the teeth with the longest roots in the oral cavity, they provide strength to fulfill functions such as tearing and are part of the facial aesthetic, the specific canine prominences of these teeth that play great importance in the natural expression of the face. In relation to the retention of these teeth we find that they have an 80% incidence as opposed to the lower canines. The causes may be due to embryonic factors or mechanical factors related to time and location during the journey prior to its eruption. Objective: To determine the most accepted criteria in the surgical management of the retained canine with orthodontic traction. Its great facial aesthetic percentage in each individual leads us to opt for orthodontic-surgical procedures for its subsequent relocation in the dental arch, which must be conservative: invading the least possible amount of bone, mucosa or fibromusse tissue. This procedure will be given in 3 times, we will perform the mucoperiosteal detachment, the releasing osteotomy for the subsequent preparation of the mucosal window. The placement of the orthodontic button should be performed between 7-10 days after the surgical act. Results: incidence of upper canine retention of 80% more than lower canines, the sex with the highest incidence in retention is the female with predominant position: vestibular, 36%, transalveolar 9%, bilateral is 19.4%, unilateral right 47.2% , left unilateral 33.3%, dominant age 13-17 years, the right upper canine has greater prevalence over the upper left canine.
The upper canines are the teeth with the longest roots in the oral cavity, they provide strength to fulfill functions such as tearing and are part of the facial aesthetic, the specific canine prominences of these teeth that play great importance in the natural expression of the face. In relation to the retention of these teeth we find that they have an 80% incidence as opposed to the lower canines. The causes may be due to embryonic factors or mechanical factors related to time and location during the journey prior to its eruption. Objective: To determine the most accepted criteria in the surgical management of the retained canine with orthodontic traction. Its great facial aesthetic percentage in each individual leads us to opt for orthodontic-surgical procedures for its subsequent relocation in the dental arch, which must be conservative: invading the least possible amount of bone, mucosa or fibromusse tissue. This procedure will be given in 3 times, we will perform the mucoperiosteal detachment, the releasing osteotomy for the subsequent preparation of the mucosal window. The placement of the orthodontic button should be performed between 7-10 days after the surgical act. Results: incidence of upper canine retention of 80% more than lower canines, the sex with the highest incidence in retention is the female with predominant position: vestibular, 36%, transalveolar 9%, bilateral is 19.4%, unilateral right 47.2% , left unilateral 33.3%, dominant age 13-17 years, the right upper canine has greater prevalence over the upper left canine.
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RETENCION DENTARIA, PROCEDIMIENTOS QUIRURGICOS ORALES, OSTEOTOMIA