Cirurgia de canino incluso em mandíbula com enxerto ósseo e PRF
Relato de Caso
DOI:
https://doi.org/10.36557/2009-3578.2025v11n2p1773-1788Keywords:
Erupção. Incluso. Regeneração.Abstract
The occurrence of impacted canines is multifactorial, resulting from a combination of environmental, systemic and local conditions. In principle, there are five treatment options for impacted lower canines. Additionally, the use of grafts after surgical removal of the impacted canine may be recommended to increase bone availability. The objective of the present study was to report a clinical case about the surgical treatment of a canine impacted in the mandible, highlighting the beneficial use of bone graft and Fibrin-Rich Plasma – PRF. A 23-year-old patient sought a dental office under the guidance of her orthodontist to evaluate an impacted lower canine in her right jaw. In this way, the patient was thoroughly evaluated. An imaging exam was requested, which confirmed the presence of the canine in a vertical position between the roots of teeth 42 and 44. With no medical contraindications, the surgery was scheduled under local anesthesia. On the day of the procedure, the patient had blood collected to obtain PRF. The surgery involved antisepsis, infiltration with anesthesia, mucosal incision, tissue detachment, osteotomy to expose and remove the tooth, regularization of the bone edges, irrigation with saline solution, application of PRF and suturing with absorbable and non-absorbable threads. Bone grafts play a crucial role in repairing bone defects, offering a biocompatible alternative that promotes the formation of new bone. The use of bone grafts in conjunction with PRF enhances results, accelerating bone regeneration and soft tissue healing. This combination provides a more favorable environment for recovery, reducing the chances of complications and ensuring more effective integration of the graft into the existing bone tissue.
Downloads
References
ABU-HUSSEIN, M.; WATTED, N.; HUSSIEN, E.; PROFF, P.; WATTED, A. Maxillary Impacted Canines; Clinical Review. International Journal Dental and Medical Sciences Research (IJDMSR), v. 1, n. 6, p. 10-26, 2017.
AGASTRA, E.; SAETTONE, M.; PARRINI, S.; CUGLIARI, G.; DEREGIBUS, A.; CASTROFLORIO, T. Impacted permanent mandibular canines: epidemiological evaluation. Journal of Clinical Medicine, v. 12, n. 16, p. 5375, 2023.
ALMARHOUMI, A. A.; OKASHAH, Y. A.; ALREHAILIL, M. A.; ALREHAILIL, N. A. Frequency and pattern of impacted Canines in Al-Madinah, Saudi Arabia: A cross-sectional radiographic study. Journal of Orthodontic Science, v. 11, n. 1, p. 15, 2022.
ARAÚJO, A. M.; MESQUITA, K. B. N.; AZEVEDO, M. W. C.; RIBEIRO, E. G. M.; BRÍGIDO, K. G. R.; BRÍGIDO, J. A. Use of platelet-rich fibrin (PRF) in dental surgical procedures. Research, Society and Development, v. 12, n. 2, p. e2512239811, 2023.
ATALAY, B.; DOGANAY, O. The use of platelet-rich fibrin in bone grafting. Bone Grafting, v. 7, p. 95-102, 2018.
BISHARA, S. E.; ORTHO, D. Impacted maxillary canines: a review. American Journal of Orthodontics and Dentofacial Orthopedics, v. 101, n. 2, p. 159-171, 1992.
BOLLOOKI, H.; HAMEED, O.; SHERRIFF, M.; MINHAS, G. Positional factors affecting the surgical management of impacted permanent mandibular canines. Journal of Orthodontics, v. 49, n. 4, p. 441-447, 2022.
CANDEIRO, G. T.; TAVARES, R. N. Tratamento cirúrgico em transmigração de canino inferior impactado-relato de caso. Revista da Faculdade de Odontologia de Porto Alegre, p. 39-41, 2009.
CAVUOTI, S.; MATARESE, G.; ISOLA, G.; ABDOLREZA, J.; FEMIANO, F.; PERILLO, L. Combined orthodontic-surgical management of a transmigrated mandibular canine. The Angle Orthodontist, v. 86, n. 4, p. 681-691, 2016.
COOKE, J.; WANG, H. L. Canine impactions: incidence and management. International Journal of Periodontics & Restorative Dentistry, v. 26, n. 5, p. 483-491, 2006.
CUNHA, F. S.; SANTORO, J. V. W. A.; ESCUDEIRO, E. Tratamento cirúrgico de canino incluso em região mentual: relato de caso. Revista Fluminense de Odontologia, v. 55, p. 18-25, 2020.
DA SILVA, J. S.; BEIRIZ, R. K. A.; RAPOSO, M. J. Utilização de enxerto ósseo e fibrina rica em plaquetas (PRF) na implantodontia: relato de caso. Archives of Health Investigation, v. 10, n. 7, p. 1176-1183, 2021.
ERICSON, S.; KUROL, J. Incisor resorption caused by maxillary cuspids: a radiographic study. The Angle Orthodontist, v. 57, n. 4, p. 332-346, 1987.
FOSTER, R. D.; ANTHONY, J. P.; SHARMA, A.; POGREL, M. A. Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: an outcome analysis of primary bony union and endosseous implant success. Journal for the Sciences and Specialties of the Head and Neck, v. 21, n. 1, p. 66-71, 1999.
HUDSON, A. P. G.; HARRIS, A. M. P.; MOHAMED, N. Early identification and management of mandibular canine ectopia: Clinical. South African Dental Journal, v. 66, n. 10, p. 462-467, 2011.
MAZZONETTO, R.; NETTO, H. D.; NASCIMENTO, F. F. Enxertos ósseos em implantodontia. Nova Odessa: Napoleão, 2012.
MOLINA-BARAHONA, M.; DELGADO-GAETE, B.; MORALES-NAVARRO, D.; URBIZO-VÉLEZ, J.; AVECILLAS-RODAS, R. Imaging Evaluation of Platelet-Rich Fibrin in Post-Exodontic Bone Regeneration: A Systematic Review. Dentistry Journal, v. 11, n. 12, p. 277, 2023.
NEVILLE, B. W.; DMM, D. D.; ALLEN, C. M.; BOUQUOT, J. E. Patologia Oral e Maxilofacial. 2. ed. Rio de Janeiro: Guanabara-Koogan, 2004.
PEARSON, M. H.; ROBINSON, S. N.; REED, R.; BIRNIE, D. J.; ZAKI, G. A. Management of palatally impacted canines: the findings of a collaborative study. European Journal of Orthodontics, v. 19, n. 5, p. 511-515, 1997.
RAYPATI, D. K.; RAGHUVEER, H. P.; SHOBHA, E. S.; TAVANE, N. P. Implant rehabilitation in compromised alveolar bone: to augment or to not augment. International Journal of Scientific Research, v. 8, p. 20180-20185, 2017.
SAJNANI, A. K.; KING, N. M. Success rates of different management techniques for impacted mandibular canines and associated complications in children and adolescents. Journal of Investigative and Clinical Dentistry, v. 6, n. 3, p. 228-233, 2015.
SHARMA et al. Influence of platelet-rich fibrin on wound healing and bone regeneration after tooth extraction: A clinical and radiographic study. Journal of Oral Biology and Craniofacial Research, v. 10, n. 4, p. 385-390, 2020.
TORDJMAN, B. C. Diferentes Abordagens Cirúrgicas no Tratamento de Caninos Inclusos. Repositório CESPU, 2023.
WITEK et al. The effect of platelet‐rich fibrin exudate addition to porous poly (lactic‐co‐glycolic acid) scaffold in bone healing: An in vivo study. Journal of Biomedical Materials Research Part B: Applied Biomaterials, v. 108, n. 4, p. 1304-1310, 2020.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Rafael Reis de Souza, Apollo De Souza Conceição, André Luiz Oliveira de Carvalho, Lyara Martins Furtado, Larissa Helena de Oliveira Resende, Renan Batista Lima, Ramon Danilo Shimazu, Flávio Tendolo Fayad, Marcio Langbeck Castelo Branco
This work is licensed under a Creative Commons Attribution 4.0 International License.
Você tem o direito de:
- Compartilhar — copiar e redistribuir o material em qualquer suporte ou formato para qualquer fim, mesmo que comercial.
- Adaptar — remixar, transformar, e criar a partir do material para qualquer fim, mesmo que comercial.
De acordo com os termos seguintes:
- Atribuição — Você deve dar o crédito apropriado , prover um link para a licença e indicar se mudanças foram feitas . Você deve fazê-lo em qualquer circunstância razoável, mas de nenhuma maneira que sugira que o licenciante apoia você ou o seu uso.
- Sem restrições adicionais — Você não pode aplicar termos jurídicos ou medidas de caráter tecnológico que restrinjam legalmente outros de fazerem algo que a licença permita.
