Use of a Piezosurgery Technique to Remove a Deeply Impacted Supernumerary Tooth in the Anterior Maxilla

Case Reports in Dentistry
Shintaro SukegawaYoshihiko Furuki

Abstract

Deeply impacted supernumerary teeth in the anterior maxillary cannot be generally removed by the conventional labial or palatal surgical approach because of the risk of damaging the surrounding soft tissues and the possibility of injuring the roots of adjacent permanent teeth. In piezosurgery, bony tissues are selectively cut, thereby avoiding the soft tissue damage caused by rotary cutting instruments. We report the case of a 15-year-old Japanese boy from whom a deeply impacted supernumerary tooth in the anterior maxillary was safely removed through the floor of the nasal cavity. The surgical extraction was performed without damaging the nasal mucosa or adjacent structures such as the roots of the adjacent permanent teeth. Considering that piezosurgery limits the extent of surgical invasion, this technique can be practiced as a minimally invasive and safe surgical procedure for treating suitably selected cases with a deeply impacted supernumerary tooth.

References

Sep 27, 2005·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Sule BayrakSaziye Sari
Dec 20, 2007·Oral and Maxillofacial Surgery Clinics of North America·Paul S Tiwana, George M Kushner
Feb 2, 2008·International Journal of Paediatric Dentistry·Carlos De Oliveira GomesRicardo Alves Mesquita
Apr 10, 2010·Journal of Indian Society of Periodontology·Hema SeshanSameer Zope
Dec 24, 2010·International Journal of Oral and Maxillofacial Surgery·G PavlíkováJ Sedý
Oct 16, 2012·Journal of Pharmacy & Bioallied Sciences·M Nazargi MahabobSucitha Kothari
Jul 16, 2014·The Journal of Oral Implantology·Cassiano Costa Silva PereiraRoberta Okamoto

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Methods Mentioned

BETA
sedation
dissection

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