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Objective: Impacted teeth, which are unable to emerge from the alveolar bone or are obstructed by gingiva, often lead to malocclusion. Canine teeth play vital roles in masticatory function, aesthetics, and the correction of malocclusion. A combination of surgery and fixed orthodontic appliances can be employed to retrieve impacted canines, restoring normal arch alignment and positioning.
Case report: A 16-year-old female patient at Bhojia Dental College and Hospital in Baddi was referred by the orthodontics department due to an impacted maxillary right canine located in the buccal region. The tooth’s position was assessed using radiography and occlusal projections. The treatment involved performing periodontal full thickness flap surgery, opening the flap to access the crown of the impacted canine, inserting an orthodontic button, placing ligature wire, and finally repositioning and suturing the flap.
Management: The combination of periodontal surgical techniques and the application of orthodontic appliances effectively repositioned the impacted canines into their normal arches and suitable occlusal positions. Surgical exposure, alongside fixed orthodontic treatment for the impacted maxillary right canine, was successfully carried out.
Conclusion: The integration of surgical exposure and fixed orthodontic treatment for the impacted maxillary right canine yielded excellent results, particularly in achieving the proper positioning of the canines within the normal arch and enhancing aesthetic appearance.
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