Dr Puricelli describes a case with a situation of what to do when you have given up on a maxillary canine in a 17-year-old:
When, after a traction attempt, the maxillary canine remains impacted or has been extracted, a great deal of
bone volume is lost. Besides the space gained or maintained in the dental arch, it's not uncommon that the
formation of an alveolar defect greatly reduces the possibilities for an acceptable outcome on the prosthetic
rehabilitation in terms of function and asthetics. The absence of a cuspid's root eminence might contribute to
alterations in the gingival shape and tonality.(1)
In her case report Dr Puricelli choses a 'partial maxillary osteotomy', closing the gap by moving the whole segment of lateral teeth. The patient is free of braces 7 months after surgery. I am sure this is not a standard
treatment, especially in the US where implants are widely promoted.
When, after a traction attempt, the maxillary canine remains impacted or has been extracted, a great deal of
bone volume is lost. Besides the space gained or maintained in the dental arch, it's not uncommon that the
formation of an alveolar defect greatly reduces the possibilities for an acceptable outcome on the prosthetic
rehabilitation in terms of function and asthetics. The absence of a cuspid's root eminence might contribute to
alterations in the gingival shape and tonality.(1)
In her case report Dr Puricelli choses a 'partial maxillary osteotomy', closing the gap by moving the whole segment of lateral teeth. The patient is free of braces 7 months after surgery. I am sure this is not a standard
treatment, especially in the US where implants are widely promoted.