‫جامعة البصرة‬

UNIVERSITY OF BASRAH
‫كلية طب االسنان‬
COLLEGE OF DENTISTRY
‫فرع جراحة الفم‬
O&MFS DEPARTMENT

FOURTH STAGE

ACADEMIC YEAR: 2019-2020

SCIENTIFIC REPORT

Oral surgery

Maxillary Impacted canine

Under supervision:-‫ سندس عبدالودود نعمة‬.‫د‬

‫امحد عيل حمسن املرعيش‬.‫د‬

Done by:- ‫شهد عالء عبداملنعم‬

Student’s Mark
Student's Mark
18

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 ‫جامعة البصرة‬
UNIVERSITY OF BASRAH
‫كلية طب االسنان‬
COLLEGE OF DENTISTRY
‫فرع جراحة الفم‬
O&MFS DEPARTMENT

-: Definition

Archer (1975) proposed that an impacted tooth or an embedded tooth is the

tooth that has failed to erupt completely to its correct normal position in the dental

arch, and its eruption potential has been lost.

Textbook of oral & maxillofacial surgery 4th edition (2016) ,Neelima Anil Malik (India)(CH.20)

Etiology of the impaction :

Textbook of oral & maxillofacial surgery 4th edition (2016) ,Neelima Anil Malik (India)(CH.20

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 ‫جامعة البصرة‬
UNIVERSITY OF BASRAH
‫كلية طب االسنان‬
COLLEGE OF DENTISTRY
‫فرع جراحة الفم‬
O&MFS DEPARTMENT

Investigation of maxillary impacted canine

clinical signs :-

1. Presence of distinct bulge in the palate or on the buccal aspect of the maxilla.
2. If canine is labially impacted, there will be a deflection of the lateral incisor
(apical portion of root lingually and the crown labially).

Radiographic localization :-

The position of the upper canine is assessed from

Radiographs which are taken in two planes to give
3-dimensional impressions of the tooth and they are :-
1- Intraoral periapical films. 2-Vertex occlusal films

These are
supplemented with
i. Oblique occlusal films
ii. Anterior occlusal films
iii. True lateral films
iv. Tangential views films
v. CBCT
Textbook of oral &maxillofacial surgery 2nd edition (2013), SM balaji (CH.18)

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 ‫جامعة البصرة‬
UNIVERSITY OF BASRAH
‫كلية طب االسنان‬
COLLEGE OF DENTISTRY
‫فرع جراحة الفم‬
O&MFS DEPARTMENT

Classification of impacted maxillary canine

Class I :- Palatally Impacted canine ( horizontal ,vertical,semivertical)

Class II :- Buccally impacted canine ( Horizontal ,vertical ,
semivertical( Class III :- Impacted canine located in both the palatal and
labial sides
Class IV :- Impacted canine located in the alveolar process.
Class V :- Impacted canine located in an edentulous maxilla.

Textbook of oral & maxillofacial surgery 4th edition (2016) ,Nee-lima Anil Malik (India)(CH.20)

TREATMENT

FACTORS DETERMINING TREATMENT

a. Age of the patient

b. Stage of tooth development
c. Position of impacted tooth
d. Evidence of root resorption of adjacent permanent teeth

TREATMENT OPTIONS

i. No treatment
ii. Surgical removal of un erupted canine
iii. Surgical exposure of the crown with or orthodontic treatment

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 ‫جامعة البصرة‬
UNIVERSITY OF BASRAH
‫كلية طب االسنان‬
COLLEGE OF DENTISTRY
‫فرع جراحة الفم‬
O&MFS DEPARTMENT
- Surgical procedure:

In general the surgical procedure can be summarized in five basic steps:

1. Gaining access by flap elevation.
2. Removal of overlying bone.
3. Sectioning of tooth.
4. Delivery of the tooth with elevators.
5. Preparation for Wound closure.
Textbook of oral &maxillofacial surgery 2nd edition (2013), SM balaji (CH.18)

- based on the data from the clinical and radiographic examination, the
Surgical removal of maxillary impacted canines may be per-formed in
three ways:-

1) the labial approach,

2) the palatal approach
3) combination of the two
. Textbook of oral &maxillofacial surgery 2nd edition (2013), SM balaji (CH.18)

1)Extraction using labial approach

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 ‫جامعة البصرة‬
UNIVERSITY OF BASRAH
‫كلية طب االسنان‬
COLLEGE OF DENTISTRY
‫فرع جراحة الفم‬
O&MFS DEPARTMENT

2) extraction using palatal approach

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 ‫جامعة البصرة‬
UNIVERSITY OF BASRAH
‫كلية طب االسنان‬
COLLEGE OF DENTISTRY
‫فرع جراحة الفم‬
O&MFS DEPARTMENT
Fragiskos D.Fragiskos (Ed.) Oral surgery(Athena) (CH.7 )

Reference:-

-Textbook of oral & maxillofacial surgery 4th edition (2016) ,Neelima Anil Malik
(India)(ch.20)
-Textbook of oral &maxillofacial surgery 2nd edition (2013), SM balaji (CH.18)
-Fragiskos D.Fragiskos (Ed.) oral surgery (Athena) (CH.7)