Multidisciplinary orthodontic management of maxillary transverse deficiency and ectopic canines

This case report describes the comprehensive orthodontic treatment of a 14-year-old female patient presenting with maxillary transverse deficiency, bilateral ectopic maxillary canines and a Class III malocclusion. The treatment protocol involved the use of rapid maxillary expansion (RME), piggyback mechanics, and ballista springs, tailored to address the unique challenges of this case. The successful integration of these methods facilitated effective space creation, guidance of one of the canines into correct position, as well as overall occlusal correction. The following report highlights the importance of multidisciplinary and individualized treatment planning required in the management of complex orthodontic cases. CPD/Clinical Relevance: It is important to adopt a multidisciplinary approach to diagnose and manage complex malocclusions involving maxillary transverse deficiencies and impacted canines to optimize functional and aesthetic outcomes.