Dr. Tsolakis earned his Dental Degree from the University of Thessaloniki, Greece and received his Masters Degree of Science in Dentistry with specialty certification in Orthodontics at Case Western Reserve University, USA. Dr Tsolakis holds a PhD Degree from Athens University, Greece.
Currently he is Assistant Professor of Orthodontics at the University of Athens, Greece and Adjunct Associate Professor of Orthodontics at Case Western Reserve University, Cleveland, Ohio, USA.
He has worked through academics on a variety of research projects, including the normal and abnormal growth and development of the mandible and maxilla, biologic mechanisms of tooth movement in normal and osteoporotic rats, Class III orthodontic problems and impacted teeth with selected publications in these fields.
He has contributed to several book chapters with one of his noteworthy contributions to Enlow’s “Essentials of Facial Growth”. He has lectured extensively in Universities and professional organizations in Europe and United States. He is the editor of the journal “European Journal of Dental Science”. He also maintains a clinical orthodontic practice at his private office in Greece.
INVITED LECTURE: Managing impacted maxillary canines. From diagnosis to treatment.
Maxillary canines are the second more frequent impacted teeth, after the third molars presenting prevalence of impaction from 1% to 3%. A radiographic evaluation is always necessary in order to confirm the canine impaction. The sensitivity of CBCT compared to the conventional x-rays is much higher allowing more precise diagnosis of the location, the detection of possible root resorption in lateral and/or central incisors due to canine impaction, as well as treatment decisions.
Whenever prevention strategy of impacted maxillary canines fails, the conventional treatment consists of combined surgical and orthodontic traction approach. There is a debate among clinicians whether the open or the closed surgical exposure is the favorable treatment of choice for palatally impacted canines. There is some evidence that there is no difference between the two techniques in terms of periodontal health, and that the open exposure technique constitutes a shorter surgical procedure.
Following the surgical exposure, an orthodontic button is bonded on the crown and a wire chain is fixed on the button. Orthodontic traction is applied to the impacted canine and the force is directed according to the site and direction of impaction, taken care of possible resorption of the adjacent teeth. Many biomechanical strategies have been proposed with the aim to avoid possible side effects. Whenever the impacted canine erupts in the alveolar ridge any rotations and/or torque movements are considered. A number of clinical cases and various treatment protocols will be presented.