Most impacted teeth can currently be uncovered and then guided to their position on the dental arch by a treatment that is both orthodontic and surgical. Both authors had already published “Orthodontic and Surgical Treatment of Impacted Teeth,” a work largely devoted to the problems raised by placing maxillary canines. Published in 2005 in the “Réussir” (Succeed) series, it is now out of print.
A new, much more ambitious version was presented at the publisher’s booth during the 16th Journées de l’Orthodontie.
As in the previous book, emphasis is placed on the need to establish an accurate anatomical diagnosis, to prepare the space for emergence before the surgical phase, and to use the most appropriate and effective mechanics for each case.
However, the new edition has been completely reviewed and updated from the perspective of surgical and orthodontic techniques (bonding, minivis, lingual orthodontics).
In six sections, the authors aim to cover all situations of impaction that may lead to repositioning the teeth on the dental arch.
• The 1st section serves as a concise introduction to all the problems posed by impaction of replacement teeth, with particular emphasis
for the maxillary canine.
Its germ develops at the border between the premaxilla and the maxilla proper. Its path is long and tortuous. These two factors combine to promote deviations in its orientation. However, the relatively late onset of its appearance makes it possible to monitor it and intervene preventively to promote natural eruption.
All the conventional and section imaging protocols (CT and cone beam) needed to determine the therapeutic indication, as well as the surgical and orthodontic protocols, are described along with their indications. Situations in which avulsion is indicated are discussed, particularly cases involving radicular substance loss that leads to ankylosis and
dentigerous cysts.
Each of the following sections is devoted to a particular group of teeth.
• Section 2 is devoted to the maxillary incisors and canines
of the maxilla.
It begins with an overview of their eruption in
normal conditions. A chapter is devoted to especially numerous dental and odontogenic supernumerary elements forming in the midline region of the premaxilla.
