Management of impacted canine tooth
The word impactus in Latin means pushed against. An impacted tooth is the tooth which is completely or partially unerupted and is positioned against another tooth or bone or soft tissue so that its further eruption is unlikely. Impaction of maxillary and mandibular canines is a frequently encountered clinical problem. There are many causes for impaction of canine teeth. Some of the reasons contributing to this condition are trauma to deciduous tooth bud, a delayed rate of resorption of the deciduous tooth, disturbance in tooth eruption Sequence, rotation of tooth buds Some secondary causes like Abnormal muscle pressure, Febrile diseases, Endocrine disturbances, Vitamin D deficiency also contribute to impaction of canine teeth. A genetic component is also evident in some cases as seen in cases of familial and bilateral occurrence. Impacted canines also occur with increased frequency in cases of reciprocal dental associations such as the ectopic eruption of first molars, infra-occlusion of primary molars, aplasia of premolars and third molars. The impacted canine is most commonly classified as occurring labial, palatal or mid alveolar i.e the impacted teeth being situated in the middle of the alveolar bone.
Clinical and radiographic appearance in a patient before and after extraction of a impacted canine tooth
There are several sequelae because of the impacted canine teeth. Some of them are a migration of neighbouring teeth and loss of arch length, Internal resorption or external root resorption of an impacted or neighbouring tooth, Dentigerous cyst formation, Infection particularly with a partial eruption, Referred pain. The management of the impacted canine teeth varies according to their position and prognosis. Those impacted teeth which are favourably positioned and having good prognosis are brought into the dental arch by using orthodontic brackets. Those teeth which are causing pressure on the adjacent teeth and causing resorption, those teeth which are positioned unfavourably and are having poor prognosis are removed by surgical extraction. As canine teeth are considered as cornerstones of the dental arch and are the most important teeth in the patient’s smile, these impacted teeth with reasonably fair to good prognosis are tried to be preserved as far as possible.
All types of dental treatments, smile designing, surgical removal of impacted wisdom teeth and orthodontic treatment with state of the art facilities are available at Richardson’s dental & craniofacial hospital.