Acta Odontológica Colombiana (Jan 2018)
Inverted canine in the frontal process of maxilla: A case report
Abstract
Background: The permanent canine tooth in the maxilla presents the highest rate of ectopic eruption, remaining bone-impacted in most cases. This is more common among women than among men. The development of this tooth goes from the anterior wall of the maxillary sinus below the oor of the orbit and descends mesially and lingually. Case presentation: A 25-year-old female patient who attended the dental clinic after being diagnosed, through a panoramic radiograph, with a tooth retained ectopically in the ascending process of the maxilla. Intervention: A surgical intervention was performed under general anaesthesia. In addition, lidocaine with epinephrine were administered locally to help vasoconstriction. A semilunar ap near the bottom of the vestibular sac was performed. Once the impacted canine was removed, the ap was closed and an x-ray was taken. Outcome: The defect left by the canine showed no evidence of a direct communication between the oral cavity and the maxillary sinus, so no materials were added to separate cavities. Conclusion: it is recommended to take and analyse a panoramic image and a register of models to predict potential retention tooth problems at the age of 9-10 years. In the decision to take a canine retained towards the dental arch, the patient’s age, root shape, dental position, arch space and surgical risk must be considered.
