ectopic canine
In impacted canine
surgical exposure of impacted tooth may be indicated
Then in order to apply traction to align the canine, an
attachment can be bonded to the tooth at the time of surgery.
A gold chain or stainless steel ligature can be attached to the
tooth and used to apply traction
1. Interceptive Treatment by
Extraction of Deciduous
Canine
Timely extraction of deciduous canine in patients aged 10-13 years with
palatally ectopic canines has been found to normalize the eruptive path
of canines within 12 months in 78% of cases (Ericson & Kurol, 1988).
will reduce the treatment complexity involved with impacted canine,
the treatment time and cost.
Arrange exposure
Commence traction
With deeply buried canine, there is danger that gingiva
will cover the tooth again. An attachment plus means of
traction ( wire ligature or gold chain) can be bonded to
the tooth at the time of exposure.
4. Transplantation
Orthodontic alignment is preferable whenever possible.
Autotransplantation can be an alternative to orthodontic treatment
and surgical removal of ectopic canines if:
a. The patient rejects orthodontic treatment because of social and aesthetics
reasons.
b. The canine is severely malpositioned and cannot be aligned orthodontically.
c. Sufficient space and bucco-palatal bone must be provided for the transplant.
orthodontic separators
Halter-man appliance
Refferences
Millett D, Welbury R, Clinical Problem Solving in Dentistry
Orthodontics and Peadiatrics Dentistry 2010 Elsevier Ltd. All rights
reserved.
Laura Mitchell, An Introduction to Orthodontics, Fourth Edition
Clinical Practice Guidelines, Management Of The Palatally Ectopic
Maxillary Canine , Ministry Of Health Malaysia September 2004
Guideline on Management of the Developing Dentition and Occlusion
in Pediatric Dentistry, American Academy Of Pediatric Dentistry,
revised 2014.
Hessa M Alkhal,Bakr Rabie,Ricky W K Wong, Orthodontic tooth
movement of total buccally blocked-out canine: a case report, Cases
Journal2009,2:7245