ON-DEMAND 30-MINUTE WEBINARS
Impacted Teeth: Different Treatment Options Including Tooth Transplantation
Ewa Czochrowska
Medical University of Warsaw Poland
Speaker Bio
Dr Czochrowska graduated as a dentist from the Dental Faculty in Warsaw, Poland. She completed her postgraduate training in orthodontics at the University in Oslo, Norway in 1997 and then worked as a Research Fellow at the Orthodontic Department, Dental Faculty in Oslo until 2002. In 2003 she was awarded a PhD from the University in Oslo for a thesis on autotransplantation of teeth. For the publication from this work she received the American Journal of Orthodontics and Dentofacial Orthopedics Dewel Orthodontic Award in 2002. In 2014 she was awarded a habilitation in medical science from the Medical University in Warsaw on her work related to orthodontic treatment of patients with periodontitis. Dr Czochrowska is a past President of the European Orthodontic Society and hosted the EOS Congress in 2014 in Warsaw. She is President of the Polish Orthodontic Society and an Active Member of the Angle Society of Europe and the European Board of Orthodontists. She has organized two international congresses on tooth transplantation in 2016 and 2018. She has a private practice in Warsaw and works at the Department of Orthodontics, Medical University in Warsaw, Poland. Dr Czochrowska has authored and coauthored 10 book chapters and 50 scientific articles. She has lectured extensively worldwide on tooth transplantation and orthodontic treatment in patients with periodontal diseases.
Learning Objectives
To know different treatment options for impacted teeth and their predictability
To know the recommendations for the trans-alveolar transplanation (surgical uprighting) of ectopic teeth
To know the signs of successful tooth transplanation
To know different treatment options for impacted teeth and their predictability
To know the recommendations for the trans-alveolar transplanation (surgical uprighting) of ectopic teeth
To know the signs of successful tooth transplanation
Abstract
Treatment options for impacted teeth are related to the stage of root development, inclination of the impacted tooth, space conditions, status of adjacent teeth and patient’s attitudes to treatment. They include interceptive treatment (maxillary canines), orthodontic extrusion, surgical uprighting (trans-alveolar transplantation), autotransplanation of developing premolars and third molars to replace ankylosed and impacted teeth and tooth extraction. Successful outcome is determined by a well-planned and carefully executed orthodontic and surgical treatment.
Early diagnosis is pivotal to facilitate interceptive treatment for canine eruption and a successful surgical uprighting of impacted teeth. Different factors, which are important for the detection of tooth impaction, especially canine impaction, would be discussed during the lecture using scientific evidence. Clinical examples of successful and unsuccessful treatment for tooth impaction will illustrate different therapeutic scenarios. The important benefit of trans-alveolar transplantation of developing teeth is the potential for bone preservation and regeneration, that will be shown during the lecture.
Treatment options for impacted teeth are related to the stage of root development, inclination of the impacted tooth, space conditions, status of adjacent teeth and patient’s attitudes to treatment. They include interceptive treatment (maxillary canines), orthodontic extrusion, surgical uprighting (trans-alveolar transplantation), autotransplanation of developing premolars and third molars to replace ankylosed and impacted teeth and tooth extraction. Successful outcome is determined by a well-planned and carefully executed orthodontic and surgical treatment.
Early diagnosis is pivotal to facilitate interceptive treatment for canine eruption and a successful surgical uprighting of impacted teeth. Different factors, which are important for the detection of tooth impaction, especially canine impaction, would be discussed during the lecture using scientific evidence. Clinical examples of successful and unsuccessful treatment for tooth impaction will illustrate different therapeutic scenarios. The important benefit of trans-alveolar transplantation of developing teeth is the potential for bone preservation and regeneration, that will be shown during the lecture.
Impacted Canines: Ignored Clues Subvert Clinical Diagnosis & Strategic Treatment Planning
Professor Stella Chaushu
Hebrew University Hadassah School of Dental Medicine, Jerusalem, Israel
Speaker Bio
Dr. Stella Chaushu is Vice Dean, Full Professor and Chairperson of Department of Orthodontics, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel, from where she earned her DMD and Specialist in Orthodontics degrees and her MSc and PhD in Immunology. Prof. Chaushu is extensively involved in promoting orthodontic research through her numerous leadership positions, scholarly publications, conference presentations, and teaching, which have garnered her awards and recognition around the world, including the prestigious Dewel award, given for the highest-ranked clinical research published in the American Journal of Orthodontics and Dentofacial Orthopedics and of Orthodontics in 2015. She has authored together with her colleagues more than 100 scientific papers, 16 chapters in books and 2 patents. As a clinician she is considered an opinion leader in treatment of impacted teeth, adult orthodontics and Special Needs patients. Her basic science research focuses on the role of the immune system in orthodontic tooth movement. Dr. Chaushu is a member of the Editorial Board of American Journal of Orthodontics and Dentofacial Orthopedics and of Orthodontics and past Associate Editor of Progress in Orthodontics and reviews manuscripts for many international journals.
Learning Objectives
- Recognize
the clinical and radiographic clues for incipient canine impaction
- Understand
the importance of timing for initiation of preventive treatment
- Determine the most efficient mechanotherapy with minimal side
effects
Abstract
Delayed diagnosis and management of the impacted canines can cause severe complications such as displacement and root resorption of adjacent teeth. These complications may result in long, costly, and sometimes painful treatment, which also involves surgical exposure of the impacted tooth. In contrast, early diagnosis and timely preventive measures may reduce the risk of complications, the severity of displacement and even remedy the impaction.
A first step in early diagnosis is clinical recognition of the presence of pathognomonic features associated with buccal versus palatal impacted canines. The next step is the assessment by plane radiographies, such as panoramic and/or intraoral x-rays. Nevertheless, it is recognized that even highly qualified professionals, including orthodontists and oral surgeons are known to make mistakes with these methods.
In this context, the relative position of the adjacent teeth to an impacted canine may be used as an important, albeit ignored clue for early diagnosis, both clinical and radiographical. Subsequently, when impaction has been confirmed, understanding its influence on the position of the adjacent teeth is crucial for planning the most efficient mechanotherapy with minimal side effects.
The presentation will overview the pathognomonic distinct effect of palatally versus buccally impacted canines on adjacent teeth and discuss the importance of their early recognition in diagnosis and treatment planning.
Delayed diagnosis and management of the impacted canines can cause severe complications such as displacement and root resorption of adjacent teeth. These complications may result in long, costly, and sometimes painful treatment, which also involves surgical exposure of the impacted tooth. In contrast, early diagnosis and timely preventive measures may reduce the risk of complications, the severity of displacement and even remedy the impaction.
A first step in early diagnosis is clinical recognition of the presence of pathognomonic features associated with buccal versus palatal impacted canines. The next step is the assessment by plane radiographies, such as panoramic and/or intraoral x-rays. Nevertheless, it is recognized that even highly qualified professionals, including orthodontists and oral surgeons are known to make mistakes with these methods.
In this context, the relative position of the adjacent teeth to an impacted canine may be used as an important, albeit ignored clue for early diagnosis, both clinical and radiographical. Subsequently, when impaction has been confirmed, understanding its influence on the position of the adjacent teeth is crucial for planning the most efficient mechanotherapy with minimal side effects.
The presentation will overview the pathognomonic distinct effect of palatally versus buccally impacted canines on adjacent teeth and discuss the importance of their early recognition in diagnosis and treatment planning.
ORTHODONTIC MANAGEMENT OF PALATALLY ECTOPIC AND IMPACTED CANINES
Julia Naoumova
Institute of Odontology at Sahlgrenska Academy, University of Gothenburg Sweden
Speaker Bio
Julia Naoumova is associate professor at the Department of Orthodontics,
Institute of Odontology at Sahlgrenska Academy, University of Gothenburg and senior consultant orthodontist at the Specialist
clinic of Orthodontics in Gothenburg, Sweden.
Dr Naoumova undertook her Bachelor
in Dental Surgery in 2005 and her Master in Dental Surgery in 2007 from the
University of Malmö, Sweden. She obtained her specialization in Orthodontics in
2010 in Gothenburg and took her PhD in 2014 from the University of Gothenburg.
Dr Naoumova was awarded in 2016 with the Beni Solow price for the best article
in EJO and in 2019 with the best poster prize at the European Orthodontic
Congress. Since 2021 she is Associate professor in Orthodontics. Dr Naoumova is supervising postgraduate
students, master students and Phd students in different prospective randomized
clinical projects. Dr Naoumova has been honored as invited speaker at national
and international congresses. Her main research interests are interceptive
treatments, eruption disorders and orthodontic treatments of impacted teeth.
Learning Objectives
You are able to describe treatment modalities of palatally impacted canines (PIC).
You are able to describe surgical techniques of PIC.
You are able to describe the advantages and limitations with glass-ionomer open exposure (GOPEX).
You are able to describe treatment modalities of palatally impacted canines (PIC).
You are able to describe surgical techniques of PIC.
You are able to describe the advantages and limitations with glass-ionomer open exposure (GOPEX).
Abstract
This lecture will provide an overview of evidence based knowledge of different orthodontic treatments to prevent and to correct palatally ectopic and impacted canines.
Early diagnosis and treatment of palatally ectopic canines are crucial since they may cause resorption of neighboring teeth. Therefore, treatment of ectopic and impacted canines is one of the most prioritized treatments in orthodontics. Two common surgical methods to exposure impacted canines is open or closed technique. A modified open exposure called GOPEX (glass ionomer open exposure) has been used in Gothenburg, Sweden for almost 50 years. In this method, glass-ionomer cement coverage is used as a dressing agent which penetrates the gingival surface and thus lets the biological dental emergence system believe that the tooth has emerged and hence the canine continues to erupt in the palate. With this technique the canine is allowed to spontaneously erupt for about 6 months before orthodontic traction is applied. In this presentation, data with clinical cases from an ongoing RCT study comparing GOPEX to closed exposure with respect to postoperative pain and pain during the orthodontic treatment will be shown.
Aims: overview of evidence based knowledge of different orthodontic treatments to prevent and to correct palatally ectopic and impacted canines.
Objectives: this lecture will provide an enhanced understanding of interceptive and comprehensive treatment of ectopic and impacted canines.
Learning outcomes: following this lecture, delegates should have acquired knowledge regarding which interceptive and comprehensive treatments are beneficial in treating palatally ectopic and impacted canines. The attendees will also be able to describe the advantages and limitations with GOPEX in order to apply this knowledge when treatment planning ectopic and impacted canines.
This lecture will provide an overview of evidence based knowledge of different orthodontic treatments to prevent and to correct palatally ectopic and impacted canines.
Early diagnosis and treatment of palatally ectopic canines are crucial since they may cause resorption of neighboring teeth. Therefore, treatment of ectopic and impacted canines is one of the most prioritized treatments in orthodontics. Two common surgical methods to exposure impacted canines is open or closed technique. A modified open exposure called GOPEX (glass ionomer open exposure) has been used in Gothenburg, Sweden for almost 50 years. In this method, glass-ionomer cement coverage is used as a dressing agent which penetrates the gingival surface and thus lets the biological dental emergence system believe that the tooth has emerged and hence the canine continues to erupt in the palate. With this technique the canine is allowed to spontaneously erupt for about 6 months before orthodontic traction is applied. In this presentation, data with clinical cases from an ongoing RCT study comparing GOPEX to closed exposure with respect to postoperative pain and pain during the orthodontic treatment will be shown.
Aims: overview of evidence based knowledge of different orthodontic treatments to prevent and to correct palatally ectopic and impacted canines.
Objectives: this lecture will provide an enhanced understanding of interceptive and comprehensive treatment of ectopic and impacted canines.
Learning outcomes: following this lecture, delegates should have acquired knowledge regarding which interceptive and comprehensive treatments are beneficial in treating palatally ectopic and impacted canines. The attendees will also be able to describe the advantages and limitations with GOPEX in order to apply this knowledge when treatment planning ectopic and impacted canines.
Chairperson
Vaska Vandevska-Radunovic
REGISTRATION FEES
Registration entitles you to access the 3 on-demand webinars from 3 to 20 November, and the live roundtable discussion on
Friday 17 November, 18:00-19:30 CET.
Registration fees are inclusive of 20% VAT and non-refundable. Payment must be made electronically by credit/debit card.
To become a member of the European Orthodontic Society and benefit from the discounted fees, click here
| CATEGORY | FEE |
| EOS Member and Life Member | £25.00 |
| EOS Postgraduate Student/Trainee | £12.00 |
| Non-member | £105.00 |
| Postgraduate Student/Trainee (Non-member) | £30.00 |