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J Orthod Sci. 2012 Jan;1(1):23-8. doi: 10.4103/2278-0203.94778.

Management of a transmigrated mandibular canine.

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Department of Orthodontics, Chandra Dental College & Hospital, Barabanki, India.
Faculty of Dental Sciences, Chhatrapati Shahuji Maharaj Medical University, Lucknow, (Erstwhile King George's Medical College), Uttar Pradesh, India.


The purpose of this article is to report the management of a transmigrated mandibular canine with emphasis on saving the tooth as natural part rather than surgical removal of the transmigrated tooth. There are several treatment options proposed for impacted mandibular canines including surgical removal, exposure and orthodontic alignment, intra-alveolar tooth transplantation (surgical repositioning of a tooth in its alveolar socket) and observation. The technique, surgical repositioning of a tooth involves the surgical extraction of impacted tooth and fixation in the correct position in the dental arch after surgical preparation (correction) of the alveolar socket. It is especially valuable in cases of difficult-to-treat impaction. A repositioned tooth is better substitute than fixed or removable prostheses, and the technique is more cost effective than other methods. Patients with excellent oral hygiene should be considered as preferred candidates for surgical repositioning of tooth. Disadvantages include the invasiveness of surgery, the difficulty of projecting long term stability due to chances of root resorption and loss of gingival attachment.


Mandibular canine impaction; surgical repositioning; transmigration of mandibular canine

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