Abstract
Background: The maxillary canines most frequently to be involved in eruption problem and become impacted following maxillary and mandibular thirdmolars. When impacted maxillary canines have unfavorable position or they are not susceptible to orthodontic traction or reimplantation, surgical extraction isthe most appropriate treatment. Objective: Report a surgical removal of impacted maxillary canine which accessed both labially and palatally. Case: A 19-years-old woman came to the oral and maxillofacial clinic complained her left upper anterior tooth missing and reported mild pain around the area since twoyears ago. There was a fluctuation on the labial mucosa. Panoramic radiograph confirmed the horizontal impaction of the maxillary left canine. Conclusion:The maxillary canine was removed by surgery under under local anesthesia.
Highlights
Aswe knowthatcanineshave a vital role in facial appearance, dental esthetic, arch development and functional occlusion.The permanent maxillarycanines are developed deep within the jaws, complete their development, and erupt into dental arch after the adjacent teeth
The incidence ofmaxillaryimpactedcanineamonggeneral population is approximately 1,7%, the other study reported prevalence of maxillary impactedcaninesranges0.9-2.5%,and ithas been reported that females are two times more affected to the maxillary impacted canines than males
Impacted maxillary canines can be guided by surgical exposure to erupt spontaneouslyor byusingorthodontic traction.The impacted tooth can sometimes be used as donor tooth forautotransplantation.When impacted maxillary canines are not susceptible to those treatment, surgical extractionisthe reasonablechoice.Managementofimpacted teeth can be challenging
Summary
Aswe knowthatcanineshave a vital role in facial appearance, dental esthetic, arch development and functional occlusion.The permanent maxillarycanines are developed deep within the jaws, complete their development, and erupt into dental arch after the adjacent teeth. From the anatomic viewpointimpactedcaninesarelocatedpalatally in 85% of cases, while some literatures reported approximately one-third are locatedlabially,and twothirds are located palatally.[5,6,7] According to Daniela et al,maxillarypermanentcaninesarethe mostcommonly impacted teeth, second only to third molars. The maxillary canines most frequently to be involved in eruption problem and become impacted following maxillaryandmandibularthirdmolars.Whenimpactedmaxillarycanineshaveunfavorable position or they are not susceptible to orthodontic traction or reimplantation, surgical extraction is the most appropriate treatment. Objective: Report a surgical removal of impacted maxillary canine which accessed both labially and palatally. Conclusion: The maxillary canine was removed by surgery under under local anesthesia.
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