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Transmigration of mandibular canine: review of treatment options and report of 13 cases

From Volume 7, Issue 1, January 2014 | Pages 23-29

Authors

Vadiraj Udupa

MDS

Professor, Department of Orthodontics, Sri Siddhartha Dental College, Sri Siddhartha University, Tumkur, India

Articles by Vadiraj Udupa

TR Prasanna

MDS

Assistant Professor, Department of Orthodontics, Sri Siddhartha Dental College, Sri Siddhartha University, Tumkur, India

Articles by TR Prasanna

Chetak Shetty

MDS

Assistant Professor, Department of Orthodontics, Sri Siddhartha Dental College, Sri Siddhartha University, Tumkur, India

Articles by Chetak Shetty

Suhas Setty

MDS

Professor and Head Department of Oral Medicine and Radiology, Sri Siddhartha Dental College, Sri Siddhartha University, Tumkur, India

Articles by Suhas Setty

Sathish R

MDS

Professor, Department of Oral and Maxillofacial Surgery, Sri Siddhartha Dental College, Sri Siddhartha University, Tumkur, India

Articles by Sathish R

Abstract

Intra-osseous migration of a non-erupted mandibular canine is a rare phenomenon. The purpose of this article is to report 13 such cases of transmigration. The article reviews various aetiological hypotheses involved in transmigration, outlines diagnostic pathways for a patient presenting with missing permanent canines with or without over-retained deciduous teeth and discusses various treatment options for transmigration.

Clinical Relevance: The article proposes a difficulty assessing for the orthodontic traction of a transmigrated canine which may help the clinician in treatment planning.

Article

Intra-osseous migration of non-erupting teeth is a rare natural condition of horizontal tooth movement within the bone and is termed as transmigration if the tooth crosses the midline.1,2 Management of such impacted and transmigrated teeth includes extraction or orthodontic alignment into the arch. We report 13 cases of transmigrated canines and also discuss a diagnostic sequence, as well as treatment considerations.

A 13-year-old female patient reported with a complaint of irregularly-placed upper front teeth. Clinical presentation was an increased overjet. A panoramic radiograph revealed transmigrated LR3 below the apices of LL1, 2, 3 (Figure 1).

An 18-year-old female patient reported with a complaint of proclined upper anterior teeth. Clinical presentation was an increased overjet. A panoramic radiograph revealed transmigrated LL3 below the apices of LR3, 2, 1; retained LLC and missing LL2 were noticed (Figure 2).

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