Open or closed exposure for palatal canines

1. Open or Closed Exposure for
Palatally Impacted Maxillary
Canines? A Review
Aslam Alkadhimi

2. • Canine exposures
• Assisting in theatres
• Which tech is better?!
• Why open exposure?
• Why closed exposure?
• What is the evidence?
• What do my seniors
think?

4. Article Layout
• Abstract
• Search Methods
• What are the two surgical exposure techniques?
• Are there any factors to consider when selecting open Vs closed
surgical exposure?
• Advantages and disadvantages of each technique
• Flowchart
• Conclusion

5. Clinical relevance

6. Search Methods

7. 1-Surgical exposure techniques
Surgical exposure
Open Closed
Gingival sparing full thickness Dressing No dressing
With traction without traction
Two step One step

10. • 1-Presence of supernumerary, odontoma or dentigerous cyst
• 2-Age: The stage of root development
• 3-Vertical level of impaction
• 4-Root resorption of adjacent incisors
2-Primary factors to consider

12. • Clinical factors
• 1-Orthodontic treatment time
• 2-Surgical treatment time
• 3-Ankylosis related root resorption
• 4-Aesthetics
• 5-Re-exposure
• Patient factors
• 1-Patient’s comfort and perception of recovery
• 2-Periodontal health
3-Secondary factors to consider

15. Thank you