Retained maxillary canines. Surgical and orthodontic treatment

Vol. 1 – Number 1 – 2008 Case report Pages 7-17 Retained maxillary canines. Surgical and orthodontic treatment Paulo Roberto dos Santos-Pinto * Cristiane Celli Matheus dos Santos-Pinto** Ary dos Santos-Pinto *** Lídia Parsekian Martins **** Jorge Henrique Stefanelli Marques ***** Ricardo Fabris Paulin ****** SANTOS-PINTO PR dos, SANTOS-PINTO CCM dos, SANTOS-PINTO A dos, MARTINS LP, MARQUES JHS, PAULIN RF. Retained maxillary canines. Surgical and orthodontic treatment. 2008; 1(1); 7-17. Developing upper permanent canines could be retained due to factors as the complexity of its eruption trajectory and to the fact that they are the last teeth to erupt in the dental arch. Several pathological conditions as odontomas, supernumerary teeth, dental cists and morphological dental anomalies could be other etiological factor of its impaction. The ectopic position of the canines and the lack of the space for them in the dental arch could result in malocclusion. Retained canines can be positioned correctly in the dental arch after surgical interventions followed by orthodontic traction procedures in an Orthodontic and Bucomaxilofacial Surgery integration. In the clinical case presented, the steps for the surgical exposure of the retained canine crown after the recovery of its space in the dental arch and the orthodontic traction were planned and executed following the biological principles resulting in the success of the treatment. KEYWORDS: Retained canine. Corrective orthodontic. Tooth traction. Orthodontic and surgical treatment. * MSc in Orthodontics, FOB-USP- Bauru and Professor at FEB and PhD student in Orthodontics at Araraquara Dental School – UNESP. ** MSc in Orthodontics, FOB-USP- Bauru and Professor, UNAERP *** Adjunct Professor, Children’s Clinic Department, Araraquara Dental School – UNESP. **** Assistant Professor, Children’s Clinic Department, Araraquara School of Dentistry – UNESP. ***** MSc in Oral and Maxillofacial Surgery, Specialist in Orthodontics, FEB-Barretos and Professor of Surgery at FEB ****** MSc in Orthodontics, UNESP- Araraquara and PhD candidate in Orthodontics, School of Dentistry, Araraquara – UNESP.