Ectopic Canines; Prevention, Exposure and Extrusion for a Great Natural Smile
| Wednesday, June 21, 2023 |
Time: 6:30-8:30pm |
| Credits: 2 CE Hours |
Speakers:
Timothy Hempton, DDS: is an Adjunct Associate Clinical Professor at Tufts University, a Diplomate of the American Board of Periodontology and the recipient of the 2011 Yankee Dental Congress Clinician of the Year award. He maintains a private practice Limited to Periodontics and Dental Implants in Dedham, MA.
Richard Brunn, DDS: an orthodontist and pediatric dentist, completed his undergraduate education at SUNY Stonybrook and was awarded his D.D.S. from SUNY Stonybrook School of Dental Medicine. He completed his training in orthodontics at the Boston University Goldman School of Graduate dentistry and his training in Pediatric Dentistry at the Boston Children’s Hospital and the Harvard School of Dental Medicine.
Ectopic Canines; Prevention, Exposure and Extrusion for a Great Natural Smile
After 3rd molars, the second most commonly impacted teeth are the maxillary canines. The impaction of a canine not only poses an aesthetic concern but may also present significant risk for maxillary lateral root resorption if not treated by age 12. Prevention of impaction can be achieved via appropriate diagnosis and intervention during growth and development. Radiographic and clinical evaluation during the mixed dentition to prevent impactions will be discussed. These interventions such as extraction of primary teeth and orthodontic therapy to open space for the permanent canine will be reviewed. Cases where this intervention is not provided in a timely manner or does not have a successful preventive outcome will also be presented. Radiographic techniques to identify the location of the ectopic canine will be reviewed. Clinical cases involving surgical management techniques for exposure and subsequent orthodontic management for extrusion into the arch will be presented. In addition, two cases of adult canine and exposure and long term follow up will be presented.
Objectives:
- How to identify pediatric patients at risk for canine impaction
- Therapeutic management to prevent canine impaction
- Review the buccal object rule radiographic technique to determine tooth location
- Understand when the Panoramic radiograph and CBCT may be needed for additional Radiographic analysis
- Learn flap design to surgically access an impacted canine on the buccal
- Learn flap design to surgically access an impacted canine on the palatal
- Discuss Materials utilized in the process of placing a bracket during a surgical procedure for tooth extrusion
- Review Post operative management
- Describe Orthodontic management post exposure.
Moderator:
Maritza Morell, DMD, MS, MPH, SM: is a Board Certified Pediatric Dentist, a Diplomate of the American Board of Pediatric Dentistry and a Public Health Dentist. Dr Morell is the MDS Region Six Trustee. She is a Senior Clinical Associate in Pediatric Dentistry at the Boston Children’s Hospital and the Harvard School of Dental Medicine since 1999. In addition, she owns two pediatric dentistry and orthodontics private practices in Andover and Lawrence, Massachusetts.