impacted canines
  • Intro
  • 101
    • Terminology
    • Basics on Impacted Canines
    • Analyzing the problem - CBCT
    • Expose & Bond
    • Making space for the canine to erupt
    • Traction
  • Advanced
    • Osteotomy
    • Apicotomy
    • Autotransplantation
    • Substituting canine with premolar
    • Partial osteotomy (Puricelli)
    • Advanced biomechanics and techniques
  • Losing canines
    • Complications >
      • Ankylosis
      • Resorption
      • Dilaceration and Apicotomy
      • Dehiscence
      • Odontomas and cysts
      • Periodontal disease
      • Open Bite
      • 'White spots'
      • Progressive Condylar Resorption
      • Risks with treatment
    • The orthodontist
    • The orthodontist v. oral surgeon
    • Outcomes
    • The hopeless cases?
    • Extraction, bone grafts, implants >
      • Bone Grafts
    • Bridge instead of implant
  • Saving canines
    • The most important thing...
    • Standards
    • "impactologist' or a functioning team
    • Evidence Based Science instead of Myths and Philosophies
    • Education, Training and Quality Check
    • CBCT
    • CBCT and beyond...
    • Parents and their resources
  • Sam's story
    • +++++ Images +++++
    • Sam's story: short version
    • Sam's story: the very long story >
      • Part 1: Local orthodontist
      • Part 2: UCSF
      • Part 3: Dr Becker, Jerusalem. March 2014.
      • Part 4: Post-Becker, Bay Area
      • Part 5: Dr Kai, Dr Schendel and Apicotomy
      • Part 6: Dr Lakha, Dr Beck
      • Part 7: Dr Bohannan: Extraction & Bonegraft
  • More
    • References
    • Case stories
    • Dental Controversies >
      • Extracting bicuspids
      • Extracting third molars/ wisdom teeth
    • Files and links
    • Blog
    • Cartoons about orthodontics
    • Old ways
    • Insurance woes
  • Implants
  • Contact
Chipped front teeth at age 8, 2006. The pieces were glued back the next day at UCSF.
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3/12/08
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This is Sam, at 11 years and 3 months, and his teeth, on 5/12/2009

12/9/10 - Sam 12 years and 10 months
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12/28/2010 - Sam 12 years 10 months
'Full Mouth x-rays' (periapicals + bitewings) by C-Dental in Menlo Park = 190 µSiv (each one is 9.5 MSiv)
(About $150)
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Sam on Jan 17 2014
Sam on July 15, 2014
composite.pdf
File Size: 661 kb
File Type: pdf
Download File


PANORAMA/ PANOGRAM /PANOGRAPH/PANOREX (26 microsieverts =µSiv )
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9/24/08
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December 2010
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April 2012, Sam age 14. Orthodontist # 1 concludes that 6 months of traction has had no effect. He cuts the chains and gives us a referral for extraction.
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September 2012, after surgery #2
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CBCT ( August 2013) derived panorama.
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1/17/2014: image requested by Dr Becker. According to UCSF Dr Nelson,comparing CBCT May 2012 and Sep 2013, the lower canine had moved 3-4 mm. Dr Nelson gave up traction on the lower canine Nov 22, 2013, after he said it had only moved 1/2 mm over 3 months.
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Post surgery #3, March 6th, 2014
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CEPHALOGRAM
July 15, 2014

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Click for:

lateral ceph tracing pdf

overlay tracing.pdf

composite pdf
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CBCT   #1 May 2012 and #2 August 2013
(25 µSv for 2012 and 15 µSv for 2013)
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CBCT May 2012
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(Above images provided by #2 orthodontist, he did not show us any manipulations or other views, just commented that it looked like there was a window in the bone for the canines to emerge through).
The red marking is the inferior alveolar nerve - a computer aided estimate
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Compare: May 2012 - August 2013
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Compare: May 2012 - August 2013
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Superimposed images: the white is May 2012, the blue is August 2013
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Superimposed images: the white is May 2012, the blue is September 2013
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CBCT #3: March 17, 2015
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In vivo Dental Anatomage * analysis of the 3/17/2015 CBCT done by specialist in Israel
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UPPER CANINE - PA= PERIAPICAL (1.65 micro sieverts AT UCSF, 9.5 µSiv at C-Dental)
(A real peri-apical should include the root part, 'peri' = around, 'apical' = tip)
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December 2010
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September 15, 2011. Pre surgery
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September 15, 2011. Pre surgery
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November 2012
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March 2013
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6/21/2013 unfortunately, view does not include the lateral incisor
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1/17/2014
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1/20/2014
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1/20/2014
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Jerusalem, March 6, 2014
LOWER CANINE
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December 2010
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September 15, 2011
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September 15, 2011
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November 2012
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March 2013
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6/21/2013
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1/17/2014
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1/17/2014
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Jerusalem, March 6, 2014

CDental, San Mateo: TMJ CBCT
9/13/2016, $515
15 x 15 standard 112 µSv + 15 x 15 ecco (open mouth) 72 µSv
2016-09-13_bower_samuel_-_beamreaders_report.pdf
File Size: 960 kb
File Type: pdf
Download File


12/15/2017: Extraction #6, bonegrafting
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Sam and Sievert (µSiv)

                       Pano (25)             Full mouth        PA (2-9.5)            CBCT         Cefalo                  µSiv

2010                  1 x 25 = 25             190              2x2=4                                                           219
2011                                                                   4x2=8                                                              8
2012                  2 x 25 = 50                                2x2=4                   25                                      79
2013                                                                   4x2=8                   15                                      23
2014                  4 x 25 = 100                         6x2=12, 2x9.5=19                      5(?)                   136
          Dr Schendel's x-ray, non-digital = 10                                                                                  10
2015                                                                                               160                                    160
2016                   24                                                                      112 + 72     5 + 5                  218
2017                                                                                                               5                            5
2018                                                                                             1203 (sic!)                          1203                                                                                          
                                                                                                                                               _____
                                                                                                                                                758 + 1203

1 mSv = 1000 µSiv
* The Anatomage company is located in San Jose in the Bay Area. An Anatomodel of Sam teeth was suggested by Dr Eraso of Beamreaders in November of 2013 to Dr Nelson, but he never followed up on it. It's funny that their
software would be used 2 years later in Israel.