Maxillary Canine Impaction Case Study

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Introduction:
Maxillary canines impaction is a common condition , and dentists must be ready to manage the situation. Early detection of impaction with time interception, and well-managed orthodontic and surgical treatment, impacted maxillary canines can be guided to erupt in an appropriate location in the dental arch.(1)
Maxillary permanent canines position is very strategically important in keeping the occlusal relationship symmetrical and harmony. The upper canine are the most impacted tooth(excluding 3rd molars) with prevalence between 1% to 2%(11).
However, the management of this condition is often complex considering time and cost. Therefore, it is wise to monitor the tooth eruption and try to identify the etiological factors that may lead to maxillary canines
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Clinical Examination:
The following signs might indicate an impaction of maxillary canines(6):
1. Late eruption of permanent canines after 14-15 Y.O
2. Lacking a natural labial bulge of the canine
3. Presence of a hard exostosis-like lesionin the palatal side
4. Migration and late eruption of the laterals
Radiographic Examination:
The dentist can not count on clinical examination alone; radiograph is important for accurate diagnosis.(7) Periapical films are excellent in evaluating position of canine impaction(6)(8).
There are other types of x-ray such as the following:
1. Occlusal films
2. Panoramic films
3. CT/CBCT
4. Frontal and lateral cephalograms

Managements of Impacted Canine:
The best management for canine impaction is early evaluation and interception. In case of absence of early evaluation, orthodontic management followed by surgical exposure of impacted canine should be

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