Clinical pearls for the management of maxillary impacted canines: Lessons learned from 14 patients

Despite its low prevalence, maxillary permanent canine impaction can complicate and prolong an orthodontic treatment. It also sometimes represents a root resorption risk for adjacent teeth. It is a multifactorial alteration of the dental eruption, and its causes are divided into general and local. Palatal and buccal maxillary canine impactions have different origins. Early measures can avoid their impactions in some cases. They range from deciduous canine extraction to space opening when possible. When early intervention does not provide a resolution, these cases require an interdisciplinary approach. In these situations, the orthodontist must work as a team with the periodontist or oral surgeon to uncover the impacted canine and bring it to the dental arch. This fourteen-case series will present different scenarios- ranging from early intervention to the surgical-orthodontic management of palatally and buccally impacted maxillary permanent canines.