To start with a basic thing. It seems very strange that during surgery, with the teeth in plain sight, photos
are not used routinely!!! With smart phones today, everything is getting photographed, why not document where the tooth is, how it actually looks, where it is in relation to adjacent teeth, etc. Especially if the orthodontist isn't present, which it seems he would like to be...and then how can he not document the teeth himself?
are not used routinely!!! With smart phones today, everything is getting photographed, why not document where the tooth is, how it actually looks, where it is in relation to adjacent teeth, etc. Especially if the orthodontist isn't present, which it seems he would like to be...and then how can he not document the teeth himself?
Palatally impacted teeth
If you decide to go after the tooth to expose it and get a gold chain or eyelet bonded to it, the alternatives are:
If you decide to go after the tooth to expose it and get a gold chain or eyelet bonded to it, the alternatives are:
Buccally / Labially impacted
Dr Wasem Alulu's video of surgical exposure of buccal impaction
Grafting:
When you operate you can do it 'closed', covering the tooth with a tissue flap, or 'open' ,
it would seem that surgical exposure with careful attention to the periodontal tissues and orthodontic
alignment without intentional closing over with soft tissue could provide a more predictable result for
patients who require interdisciplinary management of ectopically positioned teeth. The value of grafting
is similar to going from a two-dimensional radiograph to a 3-dimensioinal cone beam tomography
imaging for localization of ectopically positioned teeth. (p 221)(4)
When you operate you can do it 'closed', covering the tooth with a tissue flap, or 'open' ,
it would seem that surgical exposure with careful attention to the periodontal tissues and orthodontic
alignment without intentional closing over with soft tissue could provide a more predictable result for
patients who require interdisciplinary management of ectopically positioned teeth. The value of grafting
is similar to going from a two-dimensional radiograph to a 3-dimensioinal cone beam tomography
imaging for localization of ectopically positioned teeth. (p 221)(4)