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      Impacted canines: Etiology, diagnosis, and orthodontic management

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          Abstract

          Impaction of maxillary and mandibular canines is a frequently encountered clinical problem, the treatment of which usually requires an interdisciplinary approach. Surgical exposure of the impacted tooth and the complex orthodontic mechanisms that are applied to align the tooth into the arch may lead to varying amounts of damage to the supporting structures of the tooth, not to mention the long treatment duration and the financial burden to the patient. Hence, it seems worthwhile to focus on the means of early diagnosis and interception of this clinical situation. In the present article, an overview of the incidence and sequelae, as well as the surgical, periodontal, and orthodontic considerations in the management of impacted canines is presented.

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          Most cited references29

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          Impacted maxillary canines: a review.

          An overview of the incidence and sequelae, as well as the surgical, periodontal, and orthodontic considerations in the management, of impacted canines is presented. The clinician needs to be familiar with the differences in the surgical management of the labially and palatally impacted canines, the best method of attachment to the canine for orthodontic force application, the advantages of one-arch versus two-arch treatment, and the implications of canine extraction. The various factors that influence all these decisions are discussed.
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            The palatally displaced canine as a dental anomaly of genetic origin.

            Palatal displacement of the maxillary canine tooth is a positional variation thought generally to develop as a result of local factors, such as retained deciduous canines, anomalous permanent lateral incisors, or dental crowding. This article contributes biologic evidence pointing to genetic factors as the primary origin of most palatal displacements and subsequent impactions of maxillary canine teeth. Data gathered from multiple sources are integrated to support a genetic etiology for the palatally displaced canine (PDC) on the basis of five evidential categories: 1. Occurrence of other dental anomalies concomitant with PDC; 2. Bilateral occurrence of PDC; 3. Sex differences in PDC occurrence; 4. Familial occurrence of PDC; 5. Population differences in PDC occurrence. From analysis of available evidence, the PDC positional anomaly appears to be a product of polygenic, multifactorial inheritance.
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              Early treatment of palatally erupting maxillary canines by extraction of the primary canines.

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                Author and article information

                Journal
                J Pharm Bioallied Sci
                J Pharm Bioallied Sci
                JPBS
                Journal of Pharmacy & Bioallied Sciences
                Medknow Publications & Media Pvt Ltd (India )
                0976-4879
                0975-7406
                August 2012
                : 4
                : Suppl 2
                : S234-S238
                Affiliations
                [1]Department of Orthodontics and Dentofacial Orthopedics, Panineeya Dental College, Hyderabad, India
                [1 ]Department of Oral and Maxillofacial Surgery, Panineeya Dental College, Hyderabad, India
                Author notes
                Address for correspondence: Shubhaker Rao Juvvadi E-mail: shubhaker@ 123456gmail.com
                Article
                JPBS-4-234
                10.4103/0975-7406.100216
                3467862
                23066259
                c0df5cab-9cc8-4b04-9803-c30bfe2a2601
                Copyright: © Journal of Pharmacy and Bioallied Sciences

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 01 December 2011
                : 02 January 2012
                : 26 January 2012
                Categories
                Dental Science - Review Article

                Pharmacology & Pharmaceutical medicine
                etiology,impacted canines,surgical techniques,prevention,diagnosis,orthodontic techniques

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