Short- and long-term periodontal evaluation of impacted canines treated with a closed surgical-orthodontic approach

Aldo Crescini, Michele Nieri, Jacopo Buti, Tiziano Baccetti, Saverio Mauro, Giovan Paolo Pini Prato

    Research output: Contribution to journalArticlepeer-review


    Aim: The aims were to evaluate and compare the periodontal status of unilateral impacted maxillary canines treated by a combined surgical-orthodontic technique with that of normally erupted controlateral canines. Material and Methods: One hundred and twenty-five patients, consecutively enrolled, aged between 12.8 and 52.0 years, 31 males and 94 females, presented one impacted maxillary canine (test group) and the controlateral canine normally erupted (control group). All cases were treated by a surgical flap and orthodontic traction directed to the centre of the crest and evaluated periodontally at the end of treatment. Fifty-eight patients were followed up for a mean of 3.4 ± 0.5 years. Pocket depth (PD), keratinized tissue width (KT) and gingival recession were recorded. Multilevel models were created. Results: At the end of the orthodontic treatment, PD and KT of the 125 impacted canines were slightly, but statistically significantly higher than controls. Only one treated canine showed a recession (1 mm). At follow-up (58 patients), this difference decreased and the two groups were not significantly different. Conclusions: The combined technique permitted the traction of the impacted canines to the centre of the crest, thus simulating a physiological eruption pattern. Correct alignment and good periodontal status were obtained. © 2007 Blackwell Munksgaard.
    Original languageEnglish
    Pages (from-to)232-242
    Number of pages10
    JournalJournal of Clinical Periodontology
    Issue number3
    Publication statusPublished - Mar 2007


    • Closed surgical approach
    • Impacted canines
    • Keratinized tissue width
    • Probing pocket depth
    • Surgical-orthodontic treatment


    Dive into the research topics of 'Short- and long-term periodontal evaluation of impacted canines treated with a closed surgical-orthodontic approach'. Together they form a unique fingerprint.

    Cite this