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A SHORT EVALUATION OF SOME PRINCIPLES & PREFERENCES IN
ORTHODONTIC ERUPTION OF IMPACTED TOOTH
Dr. Yalçın Ergir / Orthodontist - TURKEY / 2017 June
… and the
dreams that you dare to dream really do come true…
sings farmer
girl Dorothy, at the film: “Wizard of Oz”.
Every impacted
tooth has dreams; that they have to dare to dream =
to be erupted by
an orthodontist
to be in the
right location and positon at the jaw
to be in proper
alignment with the neighbor teeth
to be in proper
occlusion with the antagonist teeth
to serve
lifelong vitally in healthy periodontium…
** ** **
One thing is
SURE in orthodontic eruption of impacted teeth that:
“it is not SURE
that it will be successfully erupted –
no eruption
guarantee; even if the position of the tooth
radiographically seems to be at the right angle & close
to the desired target; even though the right forces in
right vectors are applied.
** ** **
It is sure worth
trying orthodontic treatment because in case of success:
own tooth – own
tissues are incompatibly much more precious than a
senseless titanium implant, which requires minor surgery
as well.
** ** **
In orthodontics;
you can never make long term plans while erupting an
impacted tooth. You always have to modify or refresh the
force applying systems - according to the response you
get and the achieved new level of the tooth.
** ** **
An orthodontist
may have to make minor surgical applications during the
journey as fibrous scar tissues cover the bracket
surface. The resisting tissues on the way may have to be
eliminated as well in order to create a proper guidance
to the tooth.
** ** **
The hard part is
to bring the submarine to the sea surface.
Once the
impacted tooth reaches to the surface in any position;
then it is very
easy to carry it to its original space by casual
orthodontic mechanics.
As we have
mentioned; eruption is not guaranteed –
no erupted teeth
can resist to Orthodontics afterwards.
** ** **
If the tooth can
be erupted; “Relapse” is the nightmare of orthodontic
treatments. But in erupting an impacted tooth, there is
almost no relapse risk as the tooth will never submerge
back again. But retention is essential after each
treatment, as the erupted tooth’s proper inclination and
relations must be preserved forever…
Dr. Yalçın Ergir
/ Orthodontist - TURKEY / 2017 June
** ** **
More detailed
information about orthodontic traction techniques to
erupt an impacted tooth can be read at this case
report:
http://www.ergir.com/2011/right_here_waiting.htm
TÜM ORTODONTİ MAKALELERİ:
http://www.ergir.com/ortodonti.htm
http://www.ergir.com |
