Transmigrated Mandibular Canine Guided into its Normal Position

Abstract

Transmigrated mandibular canines increase treatment complexity in terms of both anchorage and biomechanical planning, posing challenges for both Orthodontists and Oral Surgeons. This case report presents the orthodontic treatment in a 12-year-old girl patient, with transmigrated and impacted mandibular right canine positioned horizontally below the apices of the mandibular incisors. The mandibular deciduous right canine was extracted followed by the traction of the transmigrated permanent canine. Eruption was properly guided, and the correct position of the tooth was orthodontically guided into its normal position in the arch. The patient’s occlusion was significantly improved with good aesthetic outcome, functional occlusion, and a stable result after 1.5 years of follow-up.

Orthodontic Surgical Treatment of Impacted Mandibular Canines: Systematic Review and Case Report

“…The treatment of IMCs requires a multidisciplinary approach [27]. Just as spontaneous eruption occurs harmoniously and leads to tooth alignment in the presence of healthy periodontal tissues, the combined surgical-orthodontic treatment of an included element should simulate physiological eruption [28].…”

“…In the cases selected in this review, one case with gingival recession was found [28]. In all cases there was periodontal success of the treated IMCs [19][20][21][22][23][24][25][26][27]39].…”

“…The review selection included a total of 19 cases of IMC. Seven articles described unilateral cases (TMC or IMC) [17][18][19][20][21][22][23] and four described bilateral cases (TMC and IMC) [24][25][26][27]. The mean age of the patients ranged from 11 to 18 years.…”

Pronóstico de caninos impactados según su posición en el maxilar superior mediante diferentes análisis radiográficos

“…En caso clínico realizado en un adolescente de 12 años que se sometió a una tracción del canino izquierdo para una erupción guiada se obtuvo como resultado una oclusión funcional, mejoró la estética y se mantuvo estable luego de 1,5 años de seguimiento 23 . Su presencia resulta importante en la eficacia masticatoria, dado que da estabilidad a la arcada dentaria, mantiene la estética y una expresión facial armoniosa.…”