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Volume 34 , Issue 5
September/October 2014
Pages 681–687

Impacted Canine Extraction by Ridge Expansion Using Air Scaler Surgical Instruments: A Case Report

Ivo Agabiti, MD, DDS/Fabio Bernardello, MD, DDS/Myron Nevins, DDS/Hom-Lay Wang, DDS, MSD, PhD

PMID: 25171039
DOI: 10.11607/prd.1884

The presence of an impacted tooth interferes with ideal implant placement. In such cases, atraumatic extraction is recommended in order to avoid difficult and complex bone regeneration procedures. In the present case report, a novel surgical approach to extract a horizontally impacted canine using an edentulous ridge expansion (ERE) technique and air scaler surgical devices is described. A 74-year-old female patient had a maxillary left horizontally impacted canine. The tooth was extracted after elevating a partial-thickness flap and performing an ERE technique using air scaler surgical instruments. The impacted tooth was fragmented through the breach created in the expanded ridge, and the fragments were carefully removed. A suitably sized implant was placed at the time of surgery. The treated site healed without complication. The implant was integrated, successfully restored, and stable after a 3-year follow-up period. This case report demonstrates a novel surgical approach to extract an impacted canine through ridge expansion, using air scaler surgical devices that allow implant placement in an ideal position. (Int J Periodontics Restorative Dent 2014;34:681–687. doi: 10.11607/prd.1884)

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