Exodontia de canino inferior ectópico – relato de caso

Abstract

INTRODUCTION: Ectopic eruption is defined as a dental anomaly in which the tooth assumes an abnormal trajectory. After the third molars, canines are theeth most affected by eruptive disorders. On the etiologies of dental impactions the causes can be primary or secondary. Among the primary one are the root resorption of the deciduous tooth, and the secondary one are abnormal muscle pressure, endocrine disorders. The are factors that contribute to the retention of canine teeth, in addiction to lack of space, such as alteration of the path, agenesis. The time of treatment i na importnt fator to develop the positioning of the teeth in the dental arch, and most indicated is the one started early. When the canines become impacted by the presence of supranumeraries or lack of space, the are mostly anhylosed, making it impossible to perform a surgical repositioning or orthodontic treatment, extraction should be considere, despite the possibility of more conservative treatment. The diagnosis is usually made through routine clinical and radiograhic examinations or through investigations of complaints of paina round of the age tem. The radiographic examination is essencial in the elaboration of the planning to be executed. Panoramic radiographs are on the of the ways to diagnose tooth position. There i salso computed tomography fot better visualization, When it is impossible to use the retained element extraction is the treatment of choice. OBJETIVE: To report a clinical case of lower canine, since the tracing, was not feasible. METHODOLOGY: After panoramic radiography and computed tomography were performed. Facing the path of teeth, thee treatment was the removal, of the three elements. In this way, extraction would be the most viable option, taking into account orthodontic planning and the development of cysts and possible damage to the mental nerve. The surgery was perfomed on na out patient basis by a specialist on maxillofacial surgery and traumatology. Intra and extra oral asepsis were donel local anesthetic. It was performed incision, opening, removal of dental elements, curettage, biopsy and suture. The material was sent for bipsy to confirm the material suggestive of odontoma. The result of the biopsy confirms diagnostic hypotheses: compound odontoma. Afther the sugery recommendations to the patient, oral hygiene and food, medication, prescrition and in the future implant dentistry. RESULTS: The result of this study contribute to the fact that earlier the intervention in the orthodontic treatment is the greater the chances of success. CONCLUSION: When the intervention is performed at the early stagethe treatment is less traumatic.