Loading...
Publication
Caninos inclusos e opções de tratamento
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_21927 | 661.64 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Nesta dissertação pretende-se considerar uma panorâmica geral e atual sobre os caninos
superiores inclusos e as suas opções de tratamento.
A inclusão canina pode ser definida como uma falha na erupção, fruto de vários fatores
e condicionantes de origem geral ou local, em que o canino permanece no interior do
maxilar para além desse período. Afeta cerca de 2% da população. Contudo, na maioria
dos casos, é assintomática sendo o seu diagnóstico um achado ocasional, clínico ou
radiográfico. O diagnóstico precoce pode prevenir futuras complicações e diminuir o
tempo de tratamento, a complexidade e o custo. O diagnóstico é baseado na história
clínica, nos exames clínicos e radiológicos.
Devido à importância funcional e estética do canino, o seu tratamento requer uma
abordagem cautelosa e a interação multidisciplinar de profissionais de diferentes áreas.
As opções de tratamento incluem a abstenção de tratamento, o tratamento intercetivo, a
extração do canino incluso, a recolocação do canino na arcada seja por exposição
cirúrgica ou por tração cirúrgica-ortodôntica e o autotransplante. Todas as alternativas
terapêuticas têm as suas indicações, as suas vantagens e desvantagens, cabendo ao
clínico o papel de definir qual a melhor mediante o caso e verificar se o paciente é apto.
Foi efetuada uma pesquisa bibliográfica desde 1993 até 2014, recorrendo à PubMed,
ScienceDirect, SciELO e Cochrane Library; assim como bibliografia relevante para esta
revisão como livros e monografias pesquisados na Universidade Fernando Pessoa, na
Facultad de Odontología de la Universidad Complutense e na Faculdade de Medicina
Dentária da Universidade do Porto. As palavras-chave utilizadas foram: impacted
canines, canine impactions, impacted tooth e ectopic canine.
The objective of this thesis is to consider a general and current overview of impacted maxillary canines and treatment options. Impacted canines can be defined as a failure in eruption, resulting from several factors and general or local conditions, in which the canine remains inside the jaw beyond that period. It affects about 2% of the population. However, in most cases, it is asymptomatic, being the diagnosis an occasional find, clinical or radiographic. The early diagnosis can prevent future complications and shorten the treatment time, complexity and cost. Diagnosis is based on clinical history, clinical and radiological examinations. Due to the functional importance and aesthetic of canine teeth, the treatment requires a cautious approach and multidisciplinary interaction of professionals from different areas. Treatment options include abstention from treatment, interceptive treatment, extraction of the impacted canine, replacement of the canine in the arch by surgical exposure or surgical-orthodontic traction and autograft. All therapeutic options have their indications, advantages and disadvantages, and it is the clinician’s responsibility to define the best, considering the case, and to determine if the patient is eligible. Literature search was conducted from 1993 to 2014, using PubMed, ScienceDirect, SciELO and Cochrane Library; literature relevant to this review as books and monographs were researched at the Universidade Fernando Pessoa, at the Facultad de Odontología de la Universidad Complutense and at the Faculdade de MedicinaDentária da Universidade do Porto. The keywords used were impacted canines, canine impactions, impacted tooth and ectopic canine.
The objective of this thesis is to consider a general and current overview of impacted maxillary canines and treatment options. Impacted canines can be defined as a failure in eruption, resulting from several factors and general or local conditions, in which the canine remains inside the jaw beyond that period. It affects about 2% of the population. However, in most cases, it is asymptomatic, being the diagnosis an occasional find, clinical or radiographic. The early diagnosis can prevent future complications and shorten the treatment time, complexity and cost. Diagnosis is based on clinical history, clinical and radiological examinations. Due to the functional importance and aesthetic of canine teeth, the treatment requires a cautious approach and multidisciplinary interaction of professionals from different areas. Treatment options include abstention from treatment, interceptive treatment, extraction of the impacted canine, replacement of the canine in the arch by surgical exposure or surgical-orthodontic traction and autograft. All therapeutic options have their indications, advantages and disadvantages, and it is the clinician’s responsibility to define the best, considering the case, and to determine if the patient is eligible. Literature search was conducted from 1993 to 2014, using PubMed, ScienceDirect, SciELO and Cochrane Library; literature relevant to this review as books and monographs were researched at the Universidade Fernando Pessoa, at the Facultad de Odontología de la Universidad Complutense and at the Faculdade de MedicinaDentária da Universidade do Porto. The keywords used were impacted canines, canine impactions, impacted tooth and ectopic canine.
Description
Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária
Keywords
Impacted canines Canine impactions Impacted tooth Ectopic canine