Biological parking concept: proposal of a modular approach for the prevention of upper impacted canine in paediatric patients

Authors

  • M Beretta DDS, MS Ortho, MS Digital Dentistry, Adjunct Professor Postgraduate School of Orthodontics, University of Brescia, Private Practice in Varese
  • F Federici Canova DDS, MS Ortho, Adjunct Professor Postgraduate School of Orthodontics, University of Brescia, Private Practice in Viadana (MN)
  • A Gianolio DDS, MS Ortho, Private Practice in Bra (CN)
  • L Zaffarano DDS, MS Paediatric Dentistry, Adjunct Professor School of Paediatric Dentistry, University of Cagliari, Private Practice in Viadana (MN)
  • N Cirulli DDS, MS Ortho, Phd, Private Practice in Bari

DOI:

https://doi.org/10.23804/ejpd.2025.S07

Keywords:

prevention of impacted canine, rapid palatal expander, leaf expander, RME, SME, Zeroexpander, first deciduous molar extraction, deciduous canine extraction, interceptive treatment, relative analgesia

Abstract

AIM: The aim of this paper is to propose a new concept of "biological parking" for the prevention of upper impacted canine in the early mixed dentition, illustrating the management of palatal expansion, followed by serial extraction of first deciduous molar and than deciduous canine. CONCLUSION: Early maxillary expansion followed by the extraction first of the first milk molar and then of the deciduous canine, after the initial eruption of first premolars, in this exact sequence, can be effective in treating patients in early mixed dentition with risk of impacted canines.

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