Traction of Palatal Impacted Teeth: Description of a New Orthosurgical Technique

Traction of Palatal Impacted Teeth: Description of a New Orthosurgical Technique

Fernando Vacilotto Gomes¹, Ivan Abreu Gomes², Luciano Mayer³, Maria Cristina Rodrigo Lara4

¹ Dentist. Oromaxillofacial Surgeon and Traumatologist and Dental Implant Surgeon. MSc in Dentistry from the School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil. Oromaxillofacial Surgery and Trauma (CTBMF) Service of Santa Casa de Misericórdia Hospital, Sant’Ana do Livramento, Brazil. Professor Specialization in Implant Dentistry at AGOR, Porto Alegre, Brazil.
² Dentist. Orthodontist and Maxillofacial Orthopedic Dentist and Surgeon, Private Practice.
³ Dentist. Dental Implant Surgeon. PhD in Oromaxillofacial Surgery and Trauma. Course Coordinator, Specialization in Implant Dentistry at AGOR, Porto Alegre, Brazil.
4 Dentist. Specialist in Dental Radiology and Private Practice, Sant’Ana do Livramento, Brazil.

international Journal of Natural Science1

Introduction: Impacted teeth are a routine finding in orthodontics and oromaxillofacial surgery, particularly impaction of maxillary teeth detected during examination of deciduous teeth and confirmed by radiographs or CT scans. This study describes a new technique for the traction of palatally impacted teeth, a procedure for which technical difficulties are often encountered.
Report: A description of a new orthosurgical technique for the traction of palatal impacted teeth.
Conclusion: Clinical observations revealed that this novel technique made impacted tooth traction easier, particularly for the treatment of palatally impacted teeth.

Keywords: Maxilla; Orthopedic Appliances; Impacted Tooth.

Free Full-text PDF

How to cite this article:
Fernando Vacilotto Gomes, Ivan Abreu Gomes, Luciano Mayer, Maria Cristina Rodrigo Lara. Traction of Palatal Impacted Teeth: Description of a New Orthosurgical Technique. International Journal of Natural Science and Reviews, 2017; 1:6.


1. Sukh R, Singh GP, Tandon P. Interdisciplinary approach for the management of bilaterally impacted maxillary canines. Contemp Clin Dent. 2014 Oct;5(4):539-44.
2. Brin I, Zilberman Y, Azaz B. The unerupted maxillary central incisor: Review of its etiology and treatment. ASDC J Dent Child. 1982;49:352–6.
3. Jacoby H. The etiology of maxillary canine impactions. Am J Orthod. 1983;84:125–32.
4. Bishara SE. Impacted maxillary canines: A review. Am J Orthod Dentofacial Orthop. 1992;101:159–71.
5. Kokich VG, Mathews DP. Surgical and orthodontic management of impacted teeth. Dent Clin North Am. 1993;37:181–204.
6. Almeida RR, Fuziy A, Almeida MR, Almeida Pedrin RR, Henriques JFC, Insabralde CMB. Abordagem da impactação e/ou irrupção ectópica dos caninos permanentes: considerações gerais, diagnóstico e terapêutica. Rev Dental Press Ortodon Ortop Facial. 2001; 6(1):93-116.
7. Cappellette M, Cappellette M, Fernandes LM, Oliveira AP, Yamamoto LH, Shido FT, Oliveira, WC. Caninos permanentes retidos por palatino: diagnóstico e terapêutica: uma sugestão técnica de tratamento. Rev Dent Press Ortodon Ortop Facial. 2008;13(1):60-73.
8. Puricelli E. Apicotomy: a root apical fracture for surgical treatment of impacted upper canines. Head Face Med. 2007;6(3)33.
9. Frank SW, Engel GH. The effects of the maxillary quadhelix appliance expansion on cephalometric measurements in growing orthodontic patients. Am J Orthod Dentofacial Orthop. 1982;81(5):378-389.
10. Duarte MS. O aparelho quadrihélice (Quad-helix) e suas variações. Rev Dent Press Ortodon Ortop Facial. 2006;11(2):128-156.
11. Mahaini L. The Relationship between Palatal Displacement of Upper Canines and Incisors Widths in a Syrian Sample of Patients with Uncrowded Arches. J Contemp Dent Pract. 2015 Nov 1;16(11):873-5.
12. da Silva Santos LM, Bastos LC, Oliveira-Santos C, da Silva SJ, Neves FS, Campos PS. Cone-beam computed tomography findings of impacted upper canines. Imaging Sci Dent. 2014 Dec;44(4):287-92.
13. Spallarossa M, Canevello C, Silvestrini Biavati F, Laffi N. Surgical orthodontic treatment of an impacted canine in the presence of dens invaginatus and follicular cyst. Case Rep Dent. 2014;2014:643082.
14. Gebert TJ, Palma VC, Borges AH, Volpato LE. Dental transposition of canine and lateral incisor and impacted central incisor treatment: a case report. Dental Press J Orthod. 2014 Jan-Feb;19(1):106-12.

Terms of Use/Privacy Policy/ Disclaimer/ Other Policies:
You agree that by using our site, you have read, understood, and agreed to be bound by all of our terms of use/privacy policy/ disclaimer/ other policies (click here for details).

This work and its PDF file(s) are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.