Gingival Health after Surgical Exposure of Impacted Maxillary Canines with Orthodontic Traction

Abstract

Background: Impaction of the maxillary canines is a common clinical issue. Canine impaction may develop from a localized, systemic, or hereditary source. Interdisciplinary approaches are frequently necessary for the treatment of impacted maxillary canines. Objective: This study's objectives were to describe a surgical technique for surgically revealing a labially affected maxillary canine, elaborate on how to take care of soft tissue to promote aesthetic results, and evaluate periodontal health following the procedure. Study Design: Prospective study. Settings: CIMS institute of Medical Sciences. Duration: 24 months. Methods: A total of 53 patients who had orthodontic treatment as well as surgical exposure treatment for a unilaterally labially impacted maxillary canine were included. There was no history of periodontal disease or periodontal collapse in any of the individuals. Informed consent was gained from each patient after thorough explanations of the ambitions, potential advantages, and potential dangers of this clinical study were given to all patients. All cases' gingival health was evaluated following the conclusion of fixed orthodontic treatment. Results: There were majority 35 (66.03%) females and 18 (43.97%) males among all cases. 17 (32.1%) cases were aged between 16-20 years, 15 (28.3%) patients had age 21-25 years and 21 (39.6%) cases had age 26-30 years. On the first postoperative day, only 6 patients (13.3%) complained of minor pain, and only 2 patients complained of visible edema and inflammation in 1 patient. Four patients had gingival scars visible. In general, gingival index values were 0.39. By visual inspection or periodontal probing, significant pathologic periodontal illnesses were not found. Conclusion: We found in this study that the maintenance of dental follicles encourages soft tissue management following combined surgery and orthodontics procedures for labially impacted maxillary canines to improve periodontal health.