Case report on orthodontic treatment of a unique case of bilateral maxillary canine impaction, one buccal and another palatal

Poonam Majumder ,Abhishek Singh ,Manoj K Sharma ,Heeralal Chokotiya ,Mahasweta Das Gupta

doi:10.18231/2278-3784.2018.0010

Abstract

The maxillary permanent canine is second only to the third molar in frequency of impaction, with a prevalence of approximately 2 per cent of the population; the palatal canine impaction being 85% of the impacted canines. The orthodontist treating patients with palatally impacted canines usually strives to build a complex treatment plan, based on uncomplicated and biological orthodontic and surgical techniques. The aim of the present case report is to demonstrate the potential of the orthodontic treatment of impacted canine with fixed appliance and open surgical technique for stimulation of physiological eruption of palatally impacted canine. This is a case of 12 year old female patient with maxillary bilateral canine impaction, the right maxillary canine was impacted palatally and the left canine buccally respectively, being treated by surgical exposure and fixed orthodontic therapy. Keywords: Impacted canine, Orthodontically guided eruption.

Highlights

After mandibular third molars, the maxillary canines are the second most commonly impacted teeth,[1] with palatal impactions prevailing over buccal impactions.[2,3] Treatment approaches are aimed at the canines’ correct occlusion, as well as function and esthetics of the dentition and can be divided into preventive and surgical.The causes can be classified into 4 distinct groupings: local hard tissue obstruction, local pathology, departure from or disturbance of the normal development of the incisors, and hereditary or genetic factors.[4]
The most common treatment procedure in children and adolescents is surgical exposure followed by orthodontic appliance treatment, where, as a rule, the primary canines are left in place until the orthodontist has moved the impacted tooth to this region
Case report on orthodontic treatment of a unique case of bilateral

Summary

Case Report

Case report on orthodontic treatment of a unique case of bilateral maxillary canine impaction, one buccal and another palatal. Poonam Majumder1,*, Abhishek Singh[2], Manoj Sharma[3], Heeralal Chokotiya[4], Mahasweta Das Gupta[5]. Bhopal, Madhya Pradesh, 5Post Graduate Student, Regional Dental College, Guwahati, Assam, India

Introduction

Findings

Crowding was reported only in a minority of PDC