Example of managing a patient with a complex retention (analysis of a clinical case)

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Abstract

Tooth retention is a fairly common orthodontic anomaly. Of all the retained teeth, canines are most commonly involved. There are several approaches to treating retention, including displacement and removal. When choosing treatment strategies, localization of the retained tooth is of great importance. In this report, we sought to present an example of the removal of one of such difficult-retained teeth.

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About the authors

Irina V. Meshalkina

Valaam Dental Clinic; Department of Pediatric Dentistry and Orthodontics First Saint Petersburg State Medical University named after academician I.P. Pavlov Ministry of Health of Russia

Author for correspondence.
Email: tooth_fairy87@mail.ru

dentist-orthodontist

Russian Federation, 191025, Saint Petersburg; 197022, Saint Petersburg

T. B. Tkachenko

Department of Pediatric Dentistry and Orthodontics First Saint Petersburg State Medical University named after academician I.P. Pavlov Ministry of Health of Russia

Email: tooth_fairy87@mail.ru
Russian Federation, 197022, Saint Petersburg

References

  1. Aga-zade AR, Gasymova ZV. Complex approach to the removal of retented canines of the lower jaw. Institut stomatologii. 2003;(2):24–5. (in Rissian)
  2. Budkova TS, Zhigurt IYu, Khoroshilkina FYa. Retention of teeth, treatment plan and prognosis. Novoe v stomatologii. 2005;1(special issue):46–53. (in Rissian)
  3. Balin VN, Iordanishvili AK, Kovalevsky AM. Practical periodontology. [Prakticheskaya periodontologiya]. St. Petersburg: Piter-press; 1995. (in Rissian)
  4. Bezvestnyy GV. Method of diagnosis of retention of the upper and lower third molars. In: Leont'ev V.K., ed. New diagnostic methods and results of their implementation in dental practice: TsNIIS proceedings. [Novye metody diagnostiki i rezul'taty ikh vnedreniya v stomatologicheskuyu praktiku: trudy TsNI-IS]. Moscow; 2012:198–200. (in Rissian)

Supplementary files

Supplementary Files
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2. Fig. 1. Frontal photograph of the dentition in a closed position.

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3. Fig. 2. Side photographs of the dentition: a - on the right, b - on the left.

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4. Fig. 3. Position of the impacted tooth 3.3 on computed tomography before orthodontic treatment.

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5. Fig. 4. Survey orthopantomogram at the stage of treatment. February 2016

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6. Fig. 5. Survey orthopantomogram at the stage of treatment. May Feb 2016

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7. Fig. 6. Survey orthopantomogram at the stage of treatment. November 2016

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8. Fig. 7. Survey orthopantomogram at the stage of treatment. February 2017

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9. Fig. 8. Eruption of the crown of the tooth 3.3, May 2017

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10. Fig. 9. Survey orthopantomogram at the stage of treatment. July 2017

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11. Fig. 10. The dentition at the stage of leveling and working off the torque by the tooth 3.3. May 2018

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12. Fig. 11. Survey orthopantomogram at the stage of treatment. May Oct 2018

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13. Fig. 12. The dentition at the stage of leveling and working out the ka tooth 3.3. December 2018

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14. Fig. 13. The dentition after removing the bracket system. Tooth 3.3 fully installed in the dentition.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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