Orthodontic traction of impacted canines: Concepts and clinical application.

Admin Dental Press

Edition V24N01 | Year 2019 | Editorial Case Report BBO | Pages 74 to 87

Ricardo Machado Cruz

Orthodontic traction of impacted canines stands as a major challenge for Orthodontics. It is a relatively frequent clinical complaint which management, more often than not, requires a multidisciplinary approach. Surgical exposure of the impacted canine, and the complex orthodontic mechanics applied to align the tooth back into the arch, may frequently lead to complications involving supporting tissues, not to mention the long treatment time and high costs imposed to patients. In face of that, it is worth highlighting the relevance of early diagnosis as to intervene efficiently and as soon as possible. This paper presents a review of the main concepts involving prevalence, etiology and classification of impacted canines, and describes the different clinical management options that would help solve the problem. It illustrates the topic by presenting a treatment delivered to a 13 year 7 months old male patient, suffering from a Class II, division 2, left subdivision, malocclusion, associated to a deep bite and a prolonged retention of a primary upper canine caused by the impaction of the permanent tooth. Corrective orthodontic therapy was associated to a rapid maxillary expansion and to the use of a high pull headgear. Impacted canine was submitted to orthodontic traction and correctly positioned back into the arch. This approach proved to be efficient in meeting both functional and aesthetic goals.

Angle Class II, Deep bite, Canine traction, Impacted canines, Corrective Orthodontics,

Cruz RM. Orthodontic traction of impacted canines: Concepts and clinical application. Dental Press J Orthod. 2019 Jan-Feb;24(1):74-87. DOI: https://doi.org/10.1590/2177-6709.24.1.074-087.bbo

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