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CASE REPORT Table of Contents   
Year : 2006  |  Volume : 17  |  Issue : 1  |  Page : 35-39
A modified double pedicle graft technique and other mucogingival interceptive surgeries for the management of impacted teeth : A case series

1 Dept of Periodontics, KLE Dental College, Yeshwanthpur, Bangalore-22, India
2 Dept of Periodontics, JSS Dental College and Hospital, S.S.Nagar, Bannimantap, Mysore-570 015, Karnataka, India

Correspondence Address:
S Sunil
Dept of Periodontics, KLE Dental College, Yeshwanthpur, Bangalore-22
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-9290.29894

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Maxillary canine is one of the most common teeth that are impacted. This accounts for 1-2% of all patients who attend orthodontic treatment. The key to achieve maximal eruption of these teeth is their surgical exposure and the role of periodontist in such situations is to provide a functional and satisfactory width of attached gingiva on the labial surface. There are different techniques to surgically expose the impacted teeth, namely--gingivectomy technique, apically positioned flap, closed eruption technique, modified apically positioned flap, double pedicle flap and free gingival graft. Selection of the procedure is dependent on the positioning of the tooth in relation to mucogingival junction and attached gingiva. In the present case series we describe three different techniques for uncovering of impacted teeth, which are apically positioned flap, closed eruption technique and a modified double pedicle graft specially planned for the situation. These procedures when selected diligently using sound selection criteria will create adequate width of attached gingiva which minimizes or eliminates the future mucogingival problems.

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