APICOECTOMY TREATMENT OF AN IMPACTED MAXILLARY CANINE THAT RESISTED ORTHODONTICALLY FORCED ERUPTION
Figure 2. Panoramic radiograph and a CBCT reconstruction show the apical bend in the canine, which anchored it to the cortical bone of the nasal cavity floor. The canine could not descend to eruption, despite sufficient space and orthodontically-induced forces
Figure 3. One week after apicoectomy of the apical bend, and after endodontic treatment
evidence of lesion or resorption was observed, and a third( last) follow-up appointment was scheduled( Fig. 4). At the last follow-up, 26 months postoperatively, a complete clinical and radiographic examination was performed. It included a panoramic radiograph and a CBCT scan, with lateral and cross-sectional reconstructions. The patient was symptom-free, and the right maxillary canine had maintained its functional position. There were no radiographic signs of periapical lesion or root resorption. The lamina dura was visible and the periodontal ligament space was normal. The radiographic examination showed a reduction of the alveolar bone height around the canine; this reduction was attributed to generalized periodontitis( Fig. 5).
24 STOMA. EDUJ( 2016) 3( 1)