The Ideal palatal-buccal ratio of a maxillary canine be impacted:
1. 6:1
2. 2:1***
3. 3.2.
The canine region is a particular hinge region in implantology, at the boundary between the incisal region and the premolar and molar region, at the junction between the maxillary sinus and the nasal cavity. In implantology, understanding of this area is important from both a morphological point of view for implant support and from a functional point of view. Indeed, the canine plays a key role in the occlusion, especially during laterality movements.
We must take into account the constraints on the natural tooth when it is replaced by an artificial root. The notion of a canine pillar as a beam of resistance of the lower floor of the face finds its place here. The maxilla is a lacunary bone, whose support for implants is mostly limited to the alveolar process. However, often after loss of teeth, this alveolar bone volume is reabsorbed, either because of periodontitis, or by the wearing of a removable prosthesis, and involves the search for anchoring around the lacunary areas and in particular to the canine pillar which prolongs the alveolar process of the canine.
The canine is, in terms of frequency, the second tooth most often included. This is a problem that every dentist faces and must be able to handle. Several solutions for the management of this included canine are proposed. Among these therapeutics, the transcorono- radicular implant allows a new approach. Largely developed by Drs. Davarpanah and Szmukler-Moncler and based on mineral integration, this technique challenges the implicit postulate of implantology that an implant can only integrate with a nonosseous fabric, without inducing an inflammatory or deleterious reaction. The various studies describing the new interfaces between implant and dental tissue, as well as the numerous case reports, validate this innovative technique with many implications. This work presents the characteristics and therapeutics of the maxillary canine included, before developing the technique of transcoronadicular implant. Finally therapeutic solution is illustrated by the clinical cases present in the literature.
The canine region is a particular hinge region in implantology, at the boundary between the incisal region and the premolar and molar region, at the junction between the maxillary sinus and the nasal cavity. In implantology, understanding of this area is important from both a morphological point of view for implant support and from a functional point of view. Indeed, the canine plays a key role in the occlusion, especially during laterality movements.
We must take into account the constraints on the natural tooth when it is replaced by an artificial root. The notion of a canine pillar as a beam of resistance of the lower floor of the face finds its place here. The maxilla is a lacunary bone, whose support for implants is mostly limited to the alveolar process. However, often after loss of teeth, this alveolar bone volume is reabsorbed, either because of periodontitis, or by the wearing of a removable prosthesis, and involves the search for anchoring around the lacunary areas and in particular to the canine pillar which prolongs the alveolar process of the canine.
The canine is, in terms of frequency, the second tooth most often included. This is a problem that every dentist faces and must be able to handle. Several solutions for the management of this included canine are proposed. Among these therapeutics, the transcorono- radicular implant allows a new approach. Largely developed by Drs. Davarpanah and Szmukler-Moncler and based on mineral integration, this technique challenges the implicit postulate of implantology that an implant can only integrate with a nonosseous fabric, without inducing an inflammatory or deleterious reaction. The various studies describing the new interfaces between implant and dental tissue, as well as the numerous case reports, validate this innovative technique with many implications. This work presents the characteristics and therapeutics of the maxillary canine included, before developing the technique of transcoronadicular implant. Finally therapeutic solution is illustrated by the clinical cases present in the literature.
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