Keywords
buccal impaction
dentistry
impacted tooth
oral surgery
orthodontics
vertical incision subperiosteal tunneling access
VISTA technique
How to Cite
Abstract
Background: Buccally impacted canines with moderate/severe anterior displacement are a clinical challenge. Mucogingival aesthetic sequelae and resorption of nearby teeth would require interdisciplinary management. Thus, the therapeutic approach is complex and has a high biological and economic cost. Purpose: To conduct a scoping review supported with two clinical cases with a multidisciplinary, surgical and orthodontic, approach to pull buccally retained canines. Methods: Three databases (i.e., PubMed, Scopus, and Lilacs) and Google Scholar were used for the reviewed using MeSH term combinations and Boolean connectors. Clinical studies consisting of case descriptions, case series, and reviews of the vertical incision subperiosteal tunneling access (VISTA) technique and orthodontic management of the impacted canine with/without miniscrews. The two clinical cases presented here had surgical and orthodontic interventions to pull buccally retained canines using the VISTA technique with two orthodontic anchors, miniscrews and adaptation of a modified palatal button with double tubes welded to upper first molar bands, in addition to a steel arm welded to the tooth band 26 to replace the miniscrew. Results: Of 45 titles, four articles were selected. The VISTA technique to pull buccally impacted canines shows advantages for soft tissue management and biomechanics. The presentation of these cases offers two alternatives that are adapted to the socioeconomic conditions of the patients, both with optimal orthodontic results and preservation of the periodontal tissues during the traction of the retained canines.
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