Classical Case of Palatally Impacted Canine Treated With Modified Ballista Spring: A Case Report

Abstract Maxillary canine is the second most commonly impacted teeth, following third molars 1. Impacted canines can lead to functional, aesthetic, and periodontal complications which necessitates its timely diagnosis and intervention. The management of impacted canines requires a multidisciplinary approach involving precise localization, surgical exposure, and orthodontic traction to achieve proper alignment in the dental arch. This case report describes the orthodontic management of a unilateral impacted maxillary canine in an adolescent patient. The impaction was identified through clinical and radiographic evaluation, including panoramic radiography and cone-beam computed tomography (CBCT), which confirmed the exact position and angulation of the impacted tooth. A combination of surgical exposure and orthodontic traction was employed with the help of modified ballista spring to facilitate proper alignment. The treatment plan was tailored to minimize complications and ensure a favourable functional and aesthetic outcome. Although patient reported late, successful and stable result has been achieved after 30 months of treatment.