Abstract

The impaction of the maxillary canines causes relevant a esthetic and functional problems. The multidisciplinary approach to the proper planning and execution of orthodontic traction of the element in question is essential. Many strategies are cited in the literature among the mis the good biomechanical control in order to avoid possible side effects. The aim of this paper is to present a case report in which a superior canines impacted by palatine was pulled out with the aid of direct traction with the help of elastics and arch wires. A 19-year-old male patient reported with a chief complaint of malaligned teeth and missing some teeth. The proposed treatment prioritized the traction of the upper right canine without changing the occlusion and aesthetics. For this, straight wire appliance with .022 slot was inserted in order to minimize unwanted side effects. The use of cantilever to the traction of the upper right canine has enabled an efficient and predictable outcome, because it is of statically determined mechanics. Comprehensive orthodontic therapy along with surgical exposure of 13, 33 and 43 helped in achieving all the treatment objectives to great satisfaction without any adverse effects on the periodontium or the dentition.

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