A case is reported in which an unerupted maxillary canine, situated buccally above the level of the mucogingival junction, was exposed surgically in conjunction with a free gingival graft. Alignment was achieved using the edgewise appliance. An adequate width of attached gingiva was maintained out of retention, with a good aesthetic result. The problems associated with radical exposure of buccally misplaced teeth are discussed.
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References
1.
BoydR. L. (1984) Clinical assessment of injuries in orthodontic movement of impacted teeth. II—Surgical recommendations, American Journal of Orthodontics, 86, 407–418.
2.
DachiS. F. and HowellF. V. (1961) A survey of 3,874 routine full mouth radiographs. II—A survey of impacted teeth, Oral Surgery, Oral Medicine and Oral Pathology, 14, 1165–1169.
3.
HallW. B. (1981) The current status of mucogingival problems and their therapy, Journal of Periodontology, 52, 569–575.
4.
KennedyJ. E., BirdW. C., PalcanisK. G. and DorfmanH. S. (1985) A longitudinal evaluation of varying widths of attached gingiva, Journal of Clinical Periodontology, 12, 667–675.
5.
KohaviD., ZilbermanY. and BeckerA. (1984) Periodontal status following the alignment of buccally ectopic maxillary canine teeth, American Journal of Orthodontics, 85, 78–82.
6.
LangN. P. and LöeH. (1972) The relationship between the width of keratinized gingiva and gingival health, Journal of Periodontology, 43, 623–627.
7.
MiyasatoM., CriggerM. and EgelbergJ. (1977) Gingival condition in areas of minimal and appreciable width of keratinized gingiva, Journal of Clinical Periodontology, 4, 200–209.
8.
TegsjöU., Valerius-OlsenH. and AnderssonL. (1984) Periodontal conditions following surgical exposure of unerupted maxillary canines—a long-term follow-up study of two surgical techniques, Swedish Dental Journal, 8, 257–263.
9.
VanarsdallR. L. and CornH. (1977) Soft tissue management of unerupted teeth, American Journal of Orthodontics, 72, 53–64.
