Manejo multidisciplinar de caninos superiores retidos no vestibular com a técnica VISTA e alternativas ortodônticas. Revisão de escopo suportada com casos
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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.
anchoring methods in orthodontics, buccal impaction, dentistry, impacted tooth, oral surgery, orthodontics, vertical incision subperiosteal tunneling access, VISTA techniqueacceso de tunelización subperióstica con incisión vertical, cirugía oral, diente impactado, impactación vestibular, métodos de anclaje en ortodoncia, odontología, ortodoncia, técnica VISTAacesso de tunelização subperiosteal por incisão vertical, cirurgia oral, dente impactado, impactação bucal, métodos de ancoragem em ortodontia, odontologia, ortodontia, técnica VISTA
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