Diversas modalidades de intervención temprana de caninos ectópicos.

  • Carlos Astorga CESFAM Dr. Luis Herrera, Chañaral.
  • Felipe Donoso Práctica privada.
  • Claudia Fierro Facultad de Odontología, Universidad de Concepción.
  • Antonieta Pérez Facultad de Odontología. Universidad de Concepción.

Abstract

La impactación del canino permanente se encuentra a menudo en la práctica ortodóncica y su etiología se asocia a factores locales de espacio y genéticos. El no intervenir a tiempo trae como consecuencia la reabsorción de raíces de dientes vecinos, desarrollo de quistes, anquilosis y necesidad de tratamientos  ortodóncicos complejos y costosos. El objetivo de esta revisión fue recoger las distintas modalidades publicadas en los últimos años para prevenir este fenómeno. Son cuatro las más importantes: Intervención solo basadas en extracciones, extracción de caninos temporales más contención (arco de tracción cervical), intervención activa en dentición mixta tardía, intervención activa en dentición mixta temprana. Estos distintos tipos de intervención muestran un mayor porcentaje de éxito eruptivo del canino permanente maxilar (80 - 97%). La extracción del canino temporal sigue siendo un método efectivo para evitar la impactación palatina del canino, cuya tasa de éxito se vería aumentada sí además se complementa con otro método interceptivo.Palabras claves: impactación, canino, tratamiento.Maxillary canine impactation is often encountered in orthodontic clinical practice and the aetiology is associated to genetic factors as well as local space factors. If preventive treatment is not started in ectopic maxillary canines, some possible consequences may occur, such as resorption of the roots of the neighboring permanent teeth, cysts, ankylosis and expensive surgical and orthodontic treatment. The aim of this review was to preset several early treatment modalities for ectopic maxillary canines based on recent scientific evidence. Four are the most important: Only extractions intervention, extraction of deciduous canines with cervical pull headgear, active intervention in late mixed dentition and active intervention in early mixed dentition. These different modalities showed a greater increasing the rate of normal eruption of ectopic canines ( 80- 97%). The extraction of primary canine alone is still an effective method to prevent canine impactation, whose success rate would be increased if some other method interceptive is added.Keywords: canine, ectopic, treatment.

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Published
2012-07-22
How to Cite
ASTORGA, Carlos et al. Diversas modalidades de intervención temprana de caninos ectópicos.. Journal of Oral Research, [S.l.], v. 1, n. 1, p. 39-43, july 2012. ISSN 0719-2479. Available at: <http://www.joralres.com/index.php/JOR/article/view/joralres.2012.009>. Date accessed: 22 june 2021. doi: https://doi.org/10.17126/joralres.2012.009.
Section
Reviews

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