Journal of South Asian Association of Pediatric Dentistry

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VOLUME 1 , ISSUE 1 ( January-June, 2018 ) > List of Articles

CASE REPORT

SURGICAL EXPOSURE OF A UNILATERAL IMPACTED MANDIBULAR CANINE FOLLOWED BY ORTHODONTIC EXTRUSION: A CASE REPORT.

Thakur H, Jonathan PT, Galhotra V, Neha

Keywords : Impacted canine,ectopic eruption

Citation Information : H T, PT J, V G, N. SURGICAL EXPOSURE OF A UNILATERAL IMPACTED MANDIBULAR CANINE FOLLOWED BY ORTHODONTIC EXTRUSION: A CASE REPORT.. J South Asian Assoc Pediatr Dent 2018; 1 (1):22-26.

DOI: 10.5005/jp-journals-10077-3007

License: CC BY 3.0

Published Online: 01-01-2019


Abstract

Impacted teeth are those with a delayed eruption time or that are not expected to erupt completely based on clinical and radiographic assessment. Impaction of the permanent third molar teeth is a common clinical occurrence. There are several etiologic factors for canine impactions have been proposed - primary reasons are long path of eruption and genetic influence. The maxillary canine is developing high into the palate with a tortuous course of its eruption path and the mandibular canine is also developing at the lower border of the mandible which might lead to its impaction. In the case presented here, we performed surgical exposure of the impacted canine followed by orthodontic extrusion of the same to its proper alignment in the arch. A 10 -year-old female child came to the Department of Pedodontics for routine dental check-up. On intra - oral examination, the mandibular left lateral incisor was found rotated and there was spacing between the central incisor and lateral incisor. On radiographic examination it was revealed that there was ectopic eruption of the lower left permanent canine with its crown almost overlapping the root of the lateral incisor of same side. The management of impacted canines is important in terms of aesthetics and function. Clinicians must formulate treatment plans that are in the best interest of the patient and they must be knowledgeable about the variety of treatment options.


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