jco 2 anine extractions adult cases with unusual 2在成人案例中动物提取不寻常厌食症.pdfVIP

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UpperCanineExtractionsinAdult

CaseswithUnusualMalocclusions

GIANLUIGIFIORILLO,DDS

FELICEFESTA,MD,DDS

CAROLGRADS

Treatmentplanningforadultmalocclusionsmaypatienthadaconvexprofile,anobtusenasolabial

sometimesdictateatypicalor“strategic”ex-angle,excessivelowerfacialheight,ahighman-

tractions,especiallyincasesinvolvingperiodontaldibularplaneangle,andaretrusivemandible.

problems.1-7Forexample,thecriticaldecisiontoBilateralClassIImolarandcaninerelationships

extractacaninewithperiodontaldamageoranwereobserved,alongwithacrossbiteoftheupper

unfavorableboneimpactionmaybejustifiedbyanlateralincisors,buccaldisplacementofthemaxil-

uncertainprognosisforthetoothandaconsciouslaryleftcanine(whichwascompletelyblockedout

choicetoshortentreatment.Althoughtheextrac-ofthearch),andpalataldisplacementofthemax-

tionofanupperpermanentcaninealwaysinvolvesillaryleftlateralincisor.Theupperleftcanine

estheticandfunctionalcompromises,optionssuchshowedseveregingivalrecessionandboneloss.

asmovementofapremolarintothecaninepositionTheupperandlowermidlineswereshiftedtothe

orprostheticrehabilitationcanproducesatisfac-leftby4mmand2mm,respectively.Wemeasured

toryresults.7mmofcrowdingintherightmaxillaryquadrant

Thisarticlepresentstwoadultcasesinwhichand9mmofcrowdingintheleftmaxillaryquad-

wewereabletoresolveth