CLINICAL EFFECTIVENESS OF 3 DIFFERENT TOOLS IN MANAGEMENT OF SURGICAL EXPOSURE OF IMPACTED CANINE DURING ORTHODONTIC THERAPY: A CASE REPORT

Dr. Dhanashree MorePatil*, Dr. Monu U. Shah, Dr. Vidhi Kevadia, Dr. Yogesh Doshi, Dr. Vishnu Maske

ABSTRACT

Title: Comparison of clinical effectiveness of 3 different tools in management of surgical exposure of impacted
canine during orthodontic therapy. Objective: To compare clinical effectiveness in management of surgical
exposure of impacted canine during orthodontic therapy with regards to –time required, intra -operative bleeding,
post operative wound healing, patient discomfort and ease of attachment bonding. Methodology: Orthodontic
patients with impacted canine requiring exposure were selected. Scalpel, electrosurgery and laser were 3 tools used
for exposure. Parameters assessed using these tools were time required, intra -operative bleeding, post operative
wound healing, patient discomfort and ease of attachment bonding. Follow up visit were performed at 1-2 weeks
post- surgery. Results: The results of the study showed significant difference with respect time required for the
surgery, intraoperative bleeding, patient discomfort/pain and ease of attachment bonding to impacted canine.
Conclusion: Selection of an appropriate surgical technique for canine exposure is important. The level and position
of tooth impaction, bone thickness and available keratinized soft tissue are the important factors in selecting the
surgical approach. Thus, laser and electrocautery provides a promising method for treatment of surgical exposure
of impacted canine. They also offer advantages such as increased haemostatic effect, improved visibility and
increased patient acceptance.

Keywords: Scalpel, electrosurgery and laser were 3 tools used for exposure.