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KMID : 0358920110380040435
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Journal of the Korean Academy of Pedodontics
2011 Volume.38 No. 4 p.435 ~ p.440
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AUTOTANSPLANTATION OF IMPACTED MAXILLARY CANINES: CASE REPORTS
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Ko Yoon-Sik
Kim Ji-Yeon
Park Ki-Tae
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Abstract
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Maxillary canine impaction is a common eruption problem in children. Impaction frequently involves further complications such as root resorption of adjacent teeth, cyst formation and migration of the neighboring teeth, etc. Various treatment modalities include extraction of preceding deciduous canine, orthodontic traction, and surgical extraction followed by immediate replantation of the extracted tooth at the proper position(autotransplantation). Autotransplantation is considered as the treatment of choice when surgical exposure and subsequent orthodontic traction are difficult or impossible due to unfavorable impacted position. The prognosis of autotransplantation is affected by the degree of apex formation, surgical procedures performed, timing of root canal treatment, and length of stabilization period. In these two cases presented, the patients with unerupted maxillary canine were treated with autotransplantation. One case was thought that guidance of eruption by orthodontic traction was difficult because of its unfavorable impacted position. In the other case, parents didn’t agree to treat by orthodontic traction, therefore autotransplantation was done. In both cases, autotransplantation was carried out following root canal treatment and orthodontic treatment, and both cases have demonstrated to be successful to this day.
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KEYWORD
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Maxillary canine, Autotransplantation, Impaction
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