Combined orthodontic-surgical management of a transmigrated mandibular canine.
The presence of an impacted mandibular canine is one of the most difficult challenges that an orthodontist will meet. Orthodontic treatment is planned on an individual basis after thoroughly considering the patient's overall facial and dentoskeletal characteristics; the duration, risks, and costs of treatment; patient preferences; and the orthodontist's experience. This article reports an orthodontic treatment of a boy, age 12.9 years, with an impacted mandibular canine in the permanent dentition that was successfully managed. Radiographic analysis indicated a transmigration of the mandibular right canine. The orthodontic treatment plan included extraction of the deciduous right canine followed by surgical exposure and ligation of the permanent canine. Eruption was properly guided, and the correct position of the tooth was achieved. This challenging treatment approach is described in detail, including the mechanics used to align the impacted canine.
a   Postgraduate Orthodontic Student, Postgraduate Orthodontic Program, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.
Serena
S
Cavuoti
b   Associate Professor, Department of Biomedical, Odontostomatological Sciences and of Morphological and Functional Images, Section of Orthodontics, University of Messina, Messina, Italy.
Giovanni
G
Matarese
c   Research Assistant, Department of Biomedical, Odontostomatological Sciences and of Morphological and Functional Images, Section of Orthodontics, University of Messina, Messina, Italy.
Gaetano
G
Isola
d   Professor, Department of Orthodontics, Tehran Dental Branch, Islamic Azad University, Tehran, Iran.
Jamilian
J
Abdolreza
e   Associate Professor, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.
Felice
F
Femiano
f   Associate Professor, Chairman of Post Graduate Orthodontic Program, and Head of Unit of Orthodontics, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Second University of Naples, Naples, Italy.
Letizia
L
Perillo
D003481:Cuspid; D006801:Humans; D008297:Male; D008334:Mandible; D008437:Maxilla; D009967:Orthodontic Appliances; D014095:Tooth, Impacted / Q000628:therapy*
Canine; Impaction; Mandible; Transmigration