Palavras-chave
cirurgia oral
dente impactado
impactação bucal
métodos de ancoragem em ortodontia
odontologia
ortodontia
técnica VISTA
Como Citar
Resumo
Antecedentes: Caninos impactados vestibularmente com deslocamento anterior moderado ou severo são um desafio clínico. As sequelas estéticas mucogengivais e a reabsorção de dentes próximos exigiriam tratamento interdisciplinar. Assim, a abordagem terapêutica é complexa e tem alto custo biológico e econômico. Objetivo: Realizar uma scoping review apoiada em dois casos clínicos com abordagem multidisciplinar, cirúrgica e ortodôntica, para tracionamento de caninos vestibulares retidos. Métodos: Três bancos de dados (PubMed, Scopus e LiLACS) e o Google Scholar foram usados para a revisão usando combinações de termos MeSH e conectores booleanos. Estudos clínicos que consistem em descrições de casos, séries de casos e revisões da técnica de acesso de túnel subperiosteal por incisão vertical (VISTA) e manejo ortodôntico do canino impactado com/sem miniparafusos. Os dois casos clínicos aqui apresentados tiveram intervenções cirúrgicas e ortodônticas para tracionar caninos retidos vestibularmente pela técnica VISTA com duas âncoras ortodônticas, miniparafusos e adaptação de um botão palatino modificado com tubos duplos soldados às bandas dos primeiros molares superiores, além de um braço de aço soldado à banda de dente 26 para substituir o miniparafuso. Resultados: Dos 45 títulos, quatro artigos foram selecionados. A técnica VISTA para tracionar caninos impactados vestibularmente mostra vantagens para o manejo dos tecidos moles e biomecânica. A apresentação desses casos oferece duas alternativas adaptadas às condições socioeconômicas dos pacientes, ambas com ótimos resultados ortodônticos e preservação dos tecidos periodontais durante o tracionamento dos caninos retidos.
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