Impacted and transposed canine

I appreciate the efforts of Lee et al, who wrote a fantastic case report on an impacted and transposed canine in the June 2017 issue. Treatment planning as well as execution in such a case is difficult. The authors were able to achieve a good occlusion at the end of treatment. They mentioned in the Discussion section that length of orthodontic treatment in such cases depends on several variables and suggested micro-osteoperforations to hasten tooth movement. I, however, would wish to add that the direction of pull of the canine could have been slightly modified, and the canine could have been pulled palatally as well as distally; once the overlap was overcome, the tooth could have been moved buccally. This movement could be achieved with a modified transpalatal arch appliance. Could this type of movement help to reduce the treatment time? Views are greatly appreciated.

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Dec 19, 2018 | Posted by in Orthodontics | Comments Off on Impacted and transposed canine
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