Manejo clínico de caninos incluidos con arcos dobles: Presentación de caso clínico

摘要

.Includedcuspidteethandassociatedmalocclusionwiththemoccurwithrelativefrequency.Insomecasesitwillrequiresurgicaltreatmenttoplaceaclampingsystemtoperformtheteethtractiontotheirpositioninthearcade.Thenickel-titaniumwirearcheshaveahighdegreeofelasticity.Itsbest-knownuseisteethlevelingandalignmentduringearlystagesoforthodontictreatment,howeverthereareotherapplicationsthatallowsoptimizingtheresultsofthemechanics-therapy.Thisarticlereportsafemalepatientof11yearsandthreemonthsofagewithleftuppercuspidincludedmesio-inclinedandleftlowercuspidincluded.Thetreatmentconsistedofmakingareplacementflaptoputanattachmentasclampingsystemforthetractionoftheuppercuspid,completebracketsinbotharcadesanduseddoublearchestechnique.Theuseofthistechniqueallowedtheobjectiveoftreatment:intercuspationwithappropriateinclinationofcuspidsteeth,alignedmidlines,adequateproximalcontactsandappropriateoverbiteandoverjet.