Endoscopic Removal of a Supernumerary Premolar in the Mandible during a Dental Implant Placement
Identifieur interne : 001493 ( Pmc/Checkpoint ); précédent : 001492; suivant : 001494Endoscopic Removal of a Supernumerary Premolar in the Mandible during a Dental Implant Placement
Auteurs : Víctor Beltrán [Chili, Allemagne] ; Mario Cantín [Chili] ; Eduardo Borie [Chili, Brésil] ; Ram N Fuentes [Chili] ; Wilfried Engelke [Allemagne]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2014.
Abstract
The surgical removal of supernumerary teeth is necessary in some cases, especially before the commencement of any orthodontic or implant treatment procedure. In the mandibular supernumerary premolar, a more conservative approach is required because of the presence of complications associated with conventional surgery due to the close proximity of the said premolar to the alveolar inferior and mental nerves, and the need for bone conservation for implant placement. The endoscopic surgical approach has been used for the removal of the maxillary supernumerary tooth, impacted third molar, and implants. In this case report, we present an endoscopically assisted surgical technique for the removal of an unerupted supernumerary premolar in the mandible associated with a dental implant placement procedure.
Url:
DOI: 10.1155/2014/975470
PubMed: 24772355
PubMed Central: 3977560
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Endoscopic Removal of a Supernumerary Premolar in the Mandible during a Dental Implant Placement</title><author><name sortKey="Beltran, Victor" sort="Beltran, Victor" uniqKey="Beltran V" first="Víctor" last="Beltrán">Víctor Beltrán</name><affiliation wicri:level="1"><nlm:aff id="I1">CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco, Chile</nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco</wicri:regionArea><wicri:noRegion>4781176 Temuco</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Centre, Department of Maxillofacial Surgery, Georg-August-Universität, Robert Koch Street 40, 37099 Göttingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Dentistry Centre, Department of Maxillofacial 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sort="Fuentes, Ram N" uniqKey="Fuentes R" first="Ram N" last="Fuentes">Ram N Fuentes</name><affiliation wicri:level="1"><nlm:aff id="I1">CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco, Chile</nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco</wicri:regionArea><wicri:noRegion>4781176 Temuco</wicri:noRegion></affiliation></author><author><name sortKey="Engelke, Wilfried" sort="Engelke, Wilfried" uniqKey="Engelke W" first="Wilfried" last="Engelke">Wilfried Engelke</name><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Centre, Department of Maxillofacial Surgery, Georg-August-Universität, Robert Koch Street 40, 37099 Göttingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Dentistry Centre, Department of Maxillofacial Surgery, Georg-August-Universität, Robert Koch Street 40, 37099 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level="a" type="main">Endoscopic Removal of a Supernumerary Premolar in the Mandible during a Dental Implant Placement</title><author><name sortKey="Beltran, Victor" sort="Beltran, Victor" uniqKey="Beltran V" first="Víctor" last="Beltrán">Víctor Beltrán</name><affiliation wicri:level="1"><nlm:aff id="I1">CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco, Chile</nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco</wicri:regionArea><wicri:noRegion>4781176 Temuco</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Centre, Department of Maxillofacial Surgery, Georg-August-Universität, Robert Koch Street 40, 37099 Göttingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Dentistry Centre, Department of Maxillofacial Surgery, Georg-August-Universität, Robert Koch Street 40, 37099 Göttingen</wicri:regionArea><wicri:noRegion>37099 Göttingen</wicri:noRegion><wicri:noRegion>37099 Göttingen</wicri:noRegion><wicri:noRegion>37099 Göttingen</wicri:noRegion></affiliation></author><author><name sortKey="Cantin, Mario" sort="Cantin, Mario" uniqKey="Cantin M" first="Mario" last="Cantín">Mario Cantín</name><affiliation wicri:level="1"><nlm:aff id="I3">CIMA Research Center, Dental School, Universidad de La Frontera, Manuel Mont 112, 4781176 Temuco, Chile</nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>CIMA Research Center, Dental School, Universidad de La Frontera, Manuel Mont 112, 4781176 Temuco</wicri:regionArea><wicri:noRegion>4781176 Temuco</wicri:noRegion></affiliation></author><author><name sortKey="Borie, Eduardo" sort="Borie, Eduardo" uniqKey="Borie E" first="Eduardo" last="Borie">Eduardo Borie</name><affiliation wicri:level="1"><nlm:aff id="I1">CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco, Chile</nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco</wicri:regionArea><wicri:noRegion>4781176 Temuco</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I4">Dental Materials and Prosthodontics Department, Ribeirão Preto Dental School, University of São Paulo, Avenida Café w/n, 14040-904 Ribeirão Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Dental Materials and Prosthodontics Department, Ribeirão Preto Dental School, University of São Paulo, Avenida Café w/n, 14040-904 Ribeirão Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Fuentes, Ram N" sort="Fuentes, Ram N" uniqKey="Fuentes R" first="Ram N" last="Fuentes">Ram N Fuentes</name><affiliation wicri:level="1"><nlm:aff id="I1">CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco, Chile</nlm:aff><country xml:lang="fr">Chili</country><wicri:regionArea>CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco</wicri:regionArea><wicri:noRegion>4781176 Temuco</wicri:noRegion></affiliation></author><author><name sortKey="Engelke, Wilfried" sort="Engelke, Wilfried" uniqKey="Engelke W" first="Wilfried" last="Engelke">Wilfried Engelke</name><affiliation wicri:level="1"><nlm:aff id="I2">Dentistry Centre, Department of Maxillofacial Surgery, Georg-August-Universität, Robert Koch Street 40, 37099 Göttingen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Dentistry Centre, Department of Maxillofacial Surgery, Georg-August-Universität, Robert Koch Street 40, 37099 Göttingen</wicri:regionArea><wicri:noRegion>37099 Göttingen</wicri:noRegion><wicri:noRegion>37099 Göttingen</wicri:noRegion><wicri:noRegion>37099 Göttingen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The surgical removal of supernumerary teeth is necessary in some cases, especially before the commencement of any orthodontic or implant treatment procedure. In the mandibular supernumerary premolar, a more conservative approach is required because of the presence of complications associated with conventional surgery due to the close proximity of the said premolar to the alveolar inferior and mental nerves, and the need for bone conservation for implant placement. The endoscopic surgical approach has been used for the removal of the maxillary supernumerary tooth, impacted third molar, and implants. In this case report, we present an endoscopically assisted surgical technique for the removal of an unerupted supernumerary premolar in the mandible associated with a dental implant placement procedure.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Shafer, Wg" uniqKey="Shafer W">WG Shafer</name></author><author><name sortKey="Hine, Mk" uniqKey="Hine M">MK Hine</name></author><author><name sortKey="Levy, Bm" uniqKey="Levy B">BM Levy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anthonappa, Rp" uniqKey="Anthonappa R">RP Anthonappa</name></author><author><name sortKey="Omer, Rsm" uniqKey="Omer R">RSM Omer</name></author><author><name sortKey="King, Nm" uniqKey="King N">NM King</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rajab, Ld" uniqKey="Rajab L">LD Rajab</name></author><author><name sortKey="Hamdan, Mam" uniqKey="Hamdan M">MAM 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24772355</article-id><article-id pub-id-type="pmc">3977560</article-id><article-id pub-id-type="doi">10.1155/2014/975470</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Endoscopic Removal of a Supernumerary Premolar in the Mandible during a Dental Implant Placement</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Beltrán</surname><given-names>Víctor</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Cantín</surname><given-names>Mario</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-6175-6221</contrib-id><name><surname>Borie</surname><given-names>Eduardo</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Fuentes</surname><given-names>Ramón</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Engelke</surname><given-names>Wilfried</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>CIMOFIR Research Center, Dental School, Universidad de La Frontera, Manuel Montt 112, 4781176 Temuco, Chile</aff><aff id="I2"><sup>2</sup>Dentistry Centre, Department of Maxillofacial Surgery, Georg-August-Universität, Robert Koch Street 40, 37099 Göttingen, Germany</aff><aff id="I3"><sup>3</sup>CIMA Research Center, Dental School, Universidad de La Frontera, Manuel Mont 112, 4781176 Temuco, Chile</aff><aff id="I4"><sup>4</sup>Dental Materials and Prosthodontics Department, Ribeirão Preto Dental School, University of São Paulo, Avenida Café w/n, 14040-904 Ribeirão Preto, SP, Brazil</aff><author-notes><corresp id="cor1">*Víctor Beltrán: <email>victor.beltran@ufrontera.cl</email></corresp><fn fn-type="other"><p>Academic Editors: T. Hata and C. Silva</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>19</day><month>3</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>975470</elocation-id><history><date date-type="received"><day>6</day><month>1</month><year>2014</year></date><date date-type="accepted"><day>2</day><month>2</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Víctor Beltrán et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>The surgical removal of supernumerary teeth is necessary in some cases, especially before the commencement of any orthodontic or implant treatment procedure. In the mandibular supernumerary premolar, a more conservative approach is required because of the presence of complications associated with conventional surgery due to the close proximity of the said premolar to the alveolar inferior and mental nerves, and the need for bone conservation for implant placement. The endoscopic surgical approach has been used for the removal of the maxillary supernumerary tooth, impacted third molar, and implants. In this case report, we present an endoscopically assisted surgical technique for the removal of an unerupted supernumerary premolar in the mandible associated with a dental implant placement procedure.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Panoramic radiograph. Note that it is aware of the presence of supernumerary tooth (a). Location through computed tomography. The blue line illustrates the parasagittal section which locates the supernumerary tooth (b). Supernumerary tooth (red circle) located in relation to the buccal cortex (c).</p></caption><graphic xlink:href="CRID2014-975470.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Removal by milling the coronal portion of the supernumerary tooth ankylosed to the vestibular cortex. Note the mesial and buccal relationship to the implant placed according to plan surgery. Black arrow shows the visualization of the supernumerary tooth crown near the buccal cortex after superficial osteotomy (a). Immersion endoscope (IE) visualization during the drilling of the radicular portion of the supernumerary tooth, observed with a yellowish color and apparently had two fused roots in an anterior portion (b).</p></caption><graphic xlink:href="CRID2014-975470.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Schematic diagram of supernumerary tooth removal with endoscopic approach. (a) Support endoscopy (SE), an endoscope of 2.7 mm diameter and a 30-degree view angle, with support and irrigation, was used for drilling of the tooth. (b) Immersion endoscopy (IE), an endoscope of 1.9 mm diameter, with 30- and 70-degree view angles and continuous irrigation via the support sheath, was used, which permits either short distance observation or up to 40x visualization when there is direct contact with the site by saline solution. (c) Complete elimination of the tooth structure without affecting the bone wall. The bone defect created was inspected with SE. No communication with the implant and buccal bony wall fully retained was observed.</p></caption><graphic xlink:href="CRID2014-975470.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Endoscopic visualization techniques in oral surgery and implantology. (a) Support Endoscopy (SE). A Karl Storz optic (2.7 mm diameter) with support and irrigation sheath. (b) Immersion endoscopy (IE). Sterile equipment, Karl Storz optic (1.9 mm diameter) with supporting sheath to accommodate the 1.9 mm diameter optic connected to saline irrigation, tip modified to adapt to the dental alveolus.</p></caption><graphic xlink:href="CRID2014-975470.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Total removal of supernumerary tooth (a). Support endoscope (SE) or macroscopic endoscopic control; note the integrity of the buccal cortex (red arrows) and no communication with the implant (black arrow) (b).</p></caption><graphic xlink:href="CRID2014-975470.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Four-wall bony defect filled with particulate bone graft.</p></caption><graphic xlink:href="CRID2014-975470.006"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Allemagne</li><li>Brésil</li><li>Chili</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><country name="Chili"><noRegion><name sortKey="Beltran, Victor" sort="Beltran, Victor" uniqKey="Beltran V" first="Víctor" last="Beltrán">Víctor Beltrán</name></noRegion><name sortKey="Borie, Eduardo" sort="Borie, Eduardo" uniqKey="Borie E" first="Eduardo" last="Borie">Eduardo Borie</name><name sortKey="Cantin, Mario" sort="Cantin, Mario" uniqKey="Cantin M" first="Mario" last="Cantín">Mario Cantín</name><name sortKey="Fuentes, Ram N" sort="Fuentes, Ram N" uniqKey="Fuentes R" first="Ram N" last="Fuentes">Ram N Fuentes</name></country><country name="Allemagne"><noRegion><name sortKey="Beltran, Victor" sort="Beltran, Victor" uniqKey="Beltran V" first="Víctor" last="Beltrán">Víctor Beltrán</name></noRegion><name sortKey="Engelke, Wilfried" sort="Engelke, Wilfried" uniqKey="Engelke W" first="Wilfried" last="Engelke">Wilfried Engelke</name></country><country name="Brésil"><region name="État de São Paulo"><name sortKey="Borie, Eduardo" sort="Borie, Eduardo" uniqKey="Borie E" first="Eduardo" last="Borie">Eduardo Borie</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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