<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-199X</journal-id>
<journal-title><![CDATA[Revista odontológica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Odont. Mex]]></abbrev-journal-title>
<issn>1870-199X</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Facultad de Odontología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-199X2024000300048</article-id>
<article-id pub-id-type="doi">10.22201/fo.1870199xp.2024.28.3.91108</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Parámetros periodontales clínicos y tomográficos dos años después de la exposición quirúrgica de caninos maxilares. Reporte de casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Tomographic and periodontal clinical parameters two years after surgical exposition of maxillary impacted canines. Case series]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mier-Ortiz]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Reynoso]]></surname>
<given-names><![CDATA[Pedro Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yáñez-Ocampo]]></surname>
<given-names><![CDATA[Beatriz Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esquivel-Chirino]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Odontología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Odontología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Odontología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>28</volume>
<numero>3</numero>
<fpage>48</fpage>
<lpage>59</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-199X2024000300048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-199X2024000300048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-199X2024000300048&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Introducción: este reporte de casos clínicos presenta la evaluación de parámetros periodontales, que habitualmente deberán valorarse en pacientes con caninos maxilares impactados como predictores de los resultados posoperatorios. Objetivo: evaluar el seguimiento posquirúrgico a los dos años, analizando los parámetros periodontales clínicos y tomográficos de caninos maxilares impactados sometidos a tracción ortodóncica después de ser expuestos utilizando colgajos de reposición apical y lateral a partir de tejido queratinizado existente. Presentación de casos: se evaluaron parámetros clínicos: índice de placa, índice gingival, profundidad de bolsa, ancho de tejido queratinizado y puntuación estética de Cairo; además, parámetros tomográficos: altura ósea, soporte óseo y grosor óseo. Después de dos años de seguimiento postoperatorio, los parámetros clínicos mostraron ausencia total de placa en el área gingival, ausencia de inflamación, hemorragia y cambio de color y ausencia de bolsas periodontales. El ancho de tejido queratinizado obtenido fue de 4.3mm y siguió al diente en sus movimientos; su estética y calidad fue comparable al de los dientes vecinos. En la tomografía se observó que la altura ósea fue mayor en la región vestibular y menor en la región palatina, el porcentaje de soporte óseo estuvo relacionado con la altura de las crestas alveolares. El grosor de la cortical ósea vestibular fue menor en relación al grosor de la cortical ósea palatina. Conclusión: las técnicas de cirugía plástica periodontal mediante colgajos de reposición apical y lateral han mostrado ser eficaces en el mantenimiento de un adecuado tejido queratinizado alrededor de dientes naturales. Existen limitados reportes donde se presente la evaluación conjunta de parámetros periodontales clínicos y tomográficos. Este reporte de casos contribuye para crear en un futuro, un protocolo de evaluación previo a la cirugía de exposición de caninos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Introduction: This report on clinical cases presents the evaluation of periodontal parameters that should be assessed in patients with impacted maxillary canines as predictors of post-operative results. Objective: To evaluate the surgical follow-up after two years, analyzing the tomographic and clinical periodontal parameters of the impacted maxillary canines that underwent an orthodontic traction procedure after exposure by using apical and lateral reposition flaps from existing keratinized tissue. Case presentation: Clinical parameters were evaluated: plaque index, gingival index, pocket depth, keratinized tissue width, and Cairo esthetic score. Tomographic parameters were also evaluated: bone height, bone support, and bone thickness. After two years of post-operative follow-up, clinical parameters showed the absence of plaque in the gingival area, absence of inflammation, bleeding, color change, and absence of periodontal pockets. The width of keratinized tissue obtained was 4.3 mm and it always kept up with the tooth&#8217;s movement. Its aesthetics and quality are comparable to the adjacent tooth. Cone-beam computed tomography showed that the bone height was greater in the labial region and lesser in the palatal region and the percentage of bone support was related to the height of the alveolar crests. The thickness of the labial bone plate was smaller compared to the thickness of the palatal bone plate. Conclusion: The apical-positioned flap and the lateral-positioned flap have been demonstrated as periodontal plastic surgery techniques to maintain an appropriate width of keratinized tissue around natural teeth. In the literature, there are not sufficient reports showing the joint evaluation of clinical and tomographic periodontal parameters, so they must continue to be reported to create an evaluation protocol before canine exposure surgery in the future.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[caninos impactados]]></kwd>
<kwd lng="es"><![CDATA[colgajo reposición apical y lateral]]></kwd>
<kwd lng="es"><![CDATA[salud periodontal]]></kwd>
<kwd lng="en"><![CDATA[impacted canines]]></kwd>
<kwd lng="en"><![CDATA[apical and lateral positioned flap]]></kwd>
<kwd lng="en"><![CDATA[periodontal health]]></kwd>
</kwd-group>
</article-meta>
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