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      Coincidencia de criterios para el manejo quirúrgico de caninos impactados/retenidos entre ortodoncistas y cirujanos maxilofaciales: estudio piloto Translated title: Criteria agreement for the surgical management of impacted/retained canines among orthodontists and maxillofacial surgeons: a pilot study

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          Abstract

          RESUMEN Introducción: Los caninos son piezas dentarias consideradas como importantes en el sistema estomatognático. En la actualidad existe una gran cantidad de pacientes con caninos impactados en México y el tratamiento es desafiante desde una perspectiva diagnóstica y terapéutica para los especialistas. El tratamiento ortodóntico-quirúrgico se ha vuelto el método preferido por los clínicos tanto especialistas en ortodoncia como cirujanos maxilofaciales. Objetivo: Determinar el grado de coincidencia en los criterios para el manejo quirúrgico de caninos impactados/ retenidos. Material y métodos: Fue un estudio observacional descriptivo y analítico. Se aplicó un cuestionario que consistió de 29 preguntas con un tamaño de muestra de 30 ortodoncistas y 30 cirujanos maxilofaciales. Resultados: Este estudio encontró en promedio un nivel moderado de concordancia (54 %) en el manejo de los caninos retenidos entre cirujanos maxilofaciales y ortodoncistas. Conclusiones: Nuestros resultados indican que, aunque existe alguna alineación en las prácticas de manejo entre estos dos grupos profesionales, también hay una considerable variabilidad. Esto puede reflejar diferencias en la formación, experiencia y preferencias individuales. A pesar de la limitación de una muestra pequeña, estos hallazgos sugieren la necesidad de directrices clínicas más claras y/o formación adicional para mejorar la coherencia en el manejo de los caninos retenidos.

          Translated abstract

          ABSTRACT Introduction: Canines are dental pieces considered as important in the stomatognathic system. Currently, there is a large number of patients with impacted canines in Mexico, and treatment is challenging from a diagnostic and therapeutic perspective for specialists. Orthodontic-surgical treatment has become the preferred method by clinicians, both orthodontics specialists and maxillofacial surgeons. Objective: To determine the degree of agreement in the criteria for the surgical management of impacted/retained canines. Materials and methods: It was a descriptive and analytical observational study. A questionnaire consisting of 29 questions was applied with a sample size of 30 orthodontists and 30 maxillofacial surgeons. Results: This study found on average a moderate level of agreement (54 %) in the management of retained canines between maxillofacial surgeons and orthodontists. Conclusions: Our results indicate that, although there is some alignment in management practices between these two professional groups, there is also considerable variability. This may reflect differences in training, experience, and individual preferences. Despite the limitation of a small sample, these findings suggest the need for clearer clinical guidelines and/or additional training to improve consistency in the management of retained canines.

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          Most cited references19

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          Orthodontic traction of impacted canines: Concepts and clinical application

          ABSTRACT Orthodontic traction of impacted canines stands as a major challenge for Orthodontics. It is a relatively frequent clinical complaint which management, more often than not, requires a multidisciplinary approach. Surgical exposure of the impacted canine, and the complex orthodontic mechanics applied to align the tooth back into the arch, may frequently lead to complications involving supporting tissues, not to mention the long treatment time and high costs imposed to patients. In face of that, it is worth highlighting the relevance of early diagnosis as to intervene efficiently and as soon as possible. This paper presents a review of the main concepts involving prevalence, etiology and classification of impacted canines, and describes the different clinical management options that would help solve the problem. It illustrates the topic by presenting a treatment delivered to a 13 year 7 months old male patient, suffering from a Class II, division 2, left subdivision, malocclusion, associated to a deep bite and a prolonged retention of a primary upper canine caused by the impaction of the permanent tooth. Corrective orthodontic therapy was associated to a rapid maxillary expansion and to the use of a high pull headgear. Impacted canine was submitted to orthodontic traction and correctly positioned back into the arch. This approach proved to be efficient in meeting both functional and aesthetic goals.
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            Surgical and orthodontic management of impacted maxillary canines

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              Management of impacted canines.

              In this article an overview of the problem of impacted canines has been presented and some of the clinical considerations related to surgical management and types of attachments have been discussed. In the orthodontic management of impacted canines the clinician has to make certain decisions regarding one-arch vs. two-arch treatment and canine vs. first premolar extraction. The factors which might influence such decisions were also discussed.
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                Author and article information

                Journal
                maxi
                Revista Española de Cirugía Oral y Maxilofacial
                Rev Esp Cirug Oral y Maxilofac
                Sociedad Española de Cirugía Oral y Maxilofacial y de Cabeza y Cuello (Madrid, Madrid, Spain )
                1130-0558
                2173-9161
                June 2023
                : 45
                : 2
                : 71-78
                Affiliations
                [1] San Luís Potosí orgnameUniversidad Autónoma de San Luís Potosí orgdiv1Facultad de Estomatología Mexico
                [2] San Luis orgnameHospital Central Dr. Ignacio Morones Prieto orgdiv1Servicio de Cirugía Oral y Maxilofacial México
                [4] orgnameUniversidad Autónoma de San Luís Potosí orgdiv1Facultad de Estomatología orgdiv2Laboratorio de Investigación Clínica Mexico
                [3] San Luis orgnameUniversidad Autónoma de San Luís Potosí orgdiv1Facultad de Estomatología orgdiv2Servicio de Cirugía Oral y Maxilofacial Mexico
                Article
                S1130-05582023000200004 S1130-0558(23)04500200004
                10.20986/recom.2023.1462/2023
                1e8b4efb-f15b-4a89-bfd8-4e13365ebd2a

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 10 July 2023
                : 07 August 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 19, Pages: 8
                Product

                SciELO Spain

                Categories
                Originales

                Retained canine,surgical exposure,management of retained canines,surgical technique,Canino retenido,canino impactado,exposición quirúrgica,manejo de caninos retenidos,técnica quirúrgica,impacted canine

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