This updated Cochrane review comparing open v closed surgical approaches for palatally displaced canines includes 3 studies involving 146 patients with the available evidence suggesting that neither surgical technique for exposing canine teeth is superior.
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4 RCTs were included in this review of interceptive primary canine extraction. They provide some limited evidence that extractions may facilitate permanent canine eruption but the study quality is low.
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It is reported that around 13% of upper canines can be displaced, the majority of these being palatally displaced. Controversy exists on whether a closed techniques of moving a canine into its correct position beneath the palatal mucosa (closed technique) is preferential to an open technique which involves moving the canine into its correct position [read the full story…]
The upper permanent canine normally erupts between 11-12 years of age. However, for between 1-3% of children this does not occur and in 50% of the cases it is due to the tooth being displaced palatally. Two surgical approaches are used to allow orthodontic alignment. An open procedure where a palatal flap is raised ,overlying [read the full story…]
