Treatment alternatives to buried canine in dentistry.

Each patient with an impacted canine must undergo a comprehensive evaluation of the malocclusion. The clinician should then consider the various treatment options available for the patient, including the following:

No treatment if the patient does not desire it. In such a case, the clinician should periodically evaluate the impacted tooth for any pathologic changes. It should be remembered that the long-term prognosis for retaining the deciduous canine is poor, regardless of its present root length and the aesthetic acceptability of its crown. This is because, in most cases, the root will eventually resorb and the deciduous canine will have to be extracted.

Autotransplantation of the canine.

Extraction of the impacted canine and movement of a first premolar in its position.

Extraction of the canine and posterior segmental osteotomy to move the buccal segment mesially to close the residual space.

Prosthetic ie denture/bridge/implant replacement of the canine.

Surgical exposure of the canine and orthodontic treatment to bring the tooth into the line of occlusion. Unfortunately , when I inherited this case , the lateral #22 was moved to #23 area and case was referred to bring down #23 to #23 .

WE @drkamsiah decided to place the teeth to where they are supposed to be. This is obviously the most desirable approach but not the easiest.

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