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DR JEAN-MAR C DERSOT – Doctor of Dental Surgery – University Doctorate,
University Diploma in Periodontology – Paris
Professor Michel Le Gall – Qualified Specialist in Dentofacial Orthopedics
Maxillary canines are the second most frequently impacted teeth, with a prevalence rate of 1% to 3%. Palatal impaction is more common in Caucasians. When left untreated, impacted maxillary canines can interfere with the alignment of adjacent teeth, reduce arch length, increase the risk of follicular cyst formation and recurrent infections. They can also cause external resorption of adjacent teeth, as well as irreversible damage that may lead to tooth loss.
Through various clinical cases, we will develop the different prophylactic methods to optimize the development of permanent canines:
Is there a preventative approach to this inclusion?
o What are the first clinical signs;
o The radiological signs and appropriate views.
– What are the preventative measures and their timing?
o Transverse expansion / disjunction;
o Distalization of lateral sectors;
o Extraction of milk canines.
– Common sense therapeutic approach to inclusion:
o Surgical clearance before or after space creation;
o Torque control in areas adjacent to the inclusion;
o What to do in case of resorption
Dr. LAURENT PETITPAS – Qualified Specialist in Dentofacial Orthopedics
Context and objectives:
This conference highlights the integration of 3D imaging into the
diagnostic and therapeutic process, based on the innovative concept of the
virtual twin. It also explores the benefits of image overlay for monitoring,
evaluating, and optimizing treatments.
The virtual twin: a digital revolution in orthodontics
. This is a three-dimensional digital reconstruction of the patient,
combining data from CBCT scans, optical impressions, and
clinical photography.
This model allows for comprehensive analysis, accurate simulation of
treatment options, and easier communication with the
patient and other practitioners.
2. 3D Imaging: An Advanced Analysis Tool
Volumetric imaging allows practitioners to
precisely explore bone, dental, and facial structures.
This provides better anticipation of orthodontic,
surgical, or implant treatments.
3. Overlay: a dynamic evaluation tool
. This involves overlaying two 3D datasets at different times
(e.g., before/after treatment).
It allows for a quantitative evaluation of displacements,
results obtained, and precise adjustment of the treatment plan if
necessary.
4. Clinical relevance and promising future
o The virtual twin is becoming an essential tool for planning and
predicting outcomes.
o By integrating these technologies, clinicians gain in precision,
efficiency, and personalization of care.
Conclusion :
3D imaging and overlay are no longer simply complementary tools, but
fundamental pillars of modern dentistry. The virtual twin is emerging
as a digital revolution in healthcare, offering a future where anticipation, precision, and personalization will be the watchwords of
clinical treatment.
Dr. Adrien LE VERGE – Dental Surgeon – University Diploma in Endodontics
Canines are frequently affected by eruption disorders, which can impact the roots of the lateral incisors that guide their eruption. Understanding the processes of root resorption, making appropriate differential diagnoses, and choosing the right treatment approach, while considering the impact on the endodontium, is essential.
