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      Orthodontic management of buccally erupted ectopic canine with two case reports

      case-report

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          Abstract

          Ectopic canine teeth develop displaced from their normal position. Any permanent tooth can be ectopic, and the cause may be both genetic and environmental. Orthodontic treatment is justified because ectopic canine teeth can migrate in the jaw bone and may damage the adjacent teeth roots and bone. Orthodontic treatment is also justifiable for aesthetic reasons. Diagnosis and treatment of ectopically erupting permanent maxillary canines requires timely management by the orthodontist. Internal or external root resorption of teeth adjacent to the ectopic canine is the most common sequel. Malocclusion with severe crowding is difficult to treat without extraction. Non-extraction treatment of ectopic canines can compromise the patient's profile. This article represents two cases of extraction treatment approach for buccally displaced or ectopic canine in a patient with severe crowding in the mandibular arch.

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          Most cited references30

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          Impacted maxillary canines: a review.

          An overview of the incidence and sequelae, as well as the surgical, periodontal, and orthodontic considerations in the management, of impacted canines is presented. The clinician needs to be familiar with the differences in the surgical management of the labially and palatally impacted canines, the best method of attachment to the canine for orthodontic force application, the advantages of one-arch versus two-arch treatment, and the implications of canine extraction. The various factors that influence all these decisions are discussed.
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            Early treatment of palatally erupting maxillary canines by extraction of the primary canines.

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              The palatally displaced canine as a dental anomaly of genetic origin.

              Palatal displacement of the maxillary canine tooth is a positional variation thought generally to develop as a result of local factors, such as retained deciduous canines, anomalous permanent lateral incisors, or dental crowding. This article contributes biologic evidence pointing to genetic factors as the primary origin of most palatal displacements and subsequent impactions of maxillary canine teeth. Data gathered from multiple sources are integrated to support a genetic etiology for the palatally displaced canine (PDC) on the basis of five evidential categories: 1. Occurrence of other dental anomalies concomitant with PDC; 2. Bilateral occurrence of PDC; 3. Sex differences in PDC occurrence; 4. Familial occurrence of PDC; 5. Population differences in PDC occurrence. From analysis of available evidence, the PDC positional anomaly appears to be a product of polygenic, multifactorial inheritance.
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                Author and article information

                Journal
                Contemp Clin Dent
                Contemp Clin Dent
                CCD
                Contemporary Clinical Dentistry
                Medknow Publications & Media Pvt Ltd (India )
                0976-237X
                0976-2361
                Jan-Mar 2012
                : 3
                : 1
                : 123-128
                Affiliations
                [1] Department of Orthodontics, Faculty of Dental Sciences, IMS, Banaras Hindu University, Varanasi, Uttar Pradesh, India .
                Author notes
                Correspondence: Dr. Avesh Sachan, Department of Orthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi – 221 005, Uttar Pradesh, India. E-mail: dr.aveshsachan@ 123456gmail.com
                Article
                CCD-3-123
                10.4103/0976-237X.94563
                3341749
                22557914
                fce9bfc1-534b-4f23-acbd-365dbb037488
                Copyright: © Contemporary Clinical Dentistry

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Dentistry
                orthodontic treatment,ectopic eruption,maxillary canines
                Dentistry
                orthodontic treatment, ectopic eruption, maxillary canines

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