oral surgery in ortho

Question 1

What soft tissue procedures can be carried out for ortho?

Answer 1

Frenectomy (rarely done)
Impacted canines:
- either buccal apically repositioned flap or palatal open exposure
Impacted premolar exposure

Question 2

What types of frenectomy are carried out for ortho?

Answer 2

V to Y frenoplasty
Z-plasty

Question 3

What hard tissue procedures can be carried out for ortho?

Answer 3

Impacted canines
Premolar extraction or exposure of impacted
Other extractions
Submerged retained primary teeth
Implants
Mini-implants
Orthognathic surgery

Question 4

What different hard tissue procedures can be carried out for impacted canines?

Answer 4

Buccal apically repositioned flap with bone removal
Palatal open exposure with bone removal
Buccal or palatal closed exposure with gold chain attachment
Extraction

Question 5

What are the treatment options for impacted canines?

Answer 5

Leave and monitor
Extract the canine
Surgical exposure and orthodontic alignment:
- mini-implants
- corticotomy
Transplant

Question 6

What are the indications for canine transplant?

Answer 6

Cannot get reasonable result by exposure and traction
If there is a potential for damage to other teeth
If space is available or can be made available without premolar extraction
Older patients seeking a quick solution

Question 7

What makes implants ideal for anchorage?

Answer 7

Patient compliance unnecessary
Absolute anchorage as there is no PDL
Easily used under a variety of treatments
Easily placed
Removable if necessary