Surgical Treatment of Impacted Lower Canine Transmigration – case report

Abstract

The occurrence of impacted lower canine is not uncommon in daily clinical dental practice. Thus, several treatment modalities are proposed, with the main objective of trying to reposition the tooth to the dental arch and stabilize the occlusion, promoting an aesthetic and functional harmony. However, the orthodontic traction of teeth when present in the mandibular midline becomes difficult to be realized. The aim of this article was report the surgical treatment under local anesthesia and intra-oral access, an impacted lower canine on mentual region. Due to the horizontal position of the tooth and bone density site, orthodontic traction was discarded. With the aid of radiographic images, surgical planning was performed with great precision. It was concluded that the radiographic exams, especially the panoramic radiography, are important for planning and implementation of treatment in cases of lower canines with transmigration, is also crucial to the multidisciplinary approach involving the ortho-surgical planning.