References

Peck S, Peck L. Classification of maxillary tooth transpositions. Am J Orthod Dentofacial Orthop. 1995; 107:505-517
Papadopoulos MA, Chatzoudi M, Kaklamanos EG. Prevalence of tooth transposition. A meta-analysis. Angle Orthod. 2010; 80:275-285
Favot P, Attia Y, Garcias D. [The transposed canine: etiology-pathogenesis]. Orthod Fr. 1986; 57:605-613
Peck L, Peck S, Attia Y. Maxillary canine-first premolar transposition, associated dental anomalies and genetic basis. Angle Orthod. 1993; 63:99-109
Ely NJ, Sherriff M, Cobourne MT. Dental transposition as a disorder of genetic origin. Eur J Orthod. 2006; 28:145-151
Shapira Y, Kuftinec MM. Maxillary tooth transpositions: characteristic features and accompanying dental anomalies. Am J Orthod Dentofacial Orthop. 2001; 119:127-134
Peck S, Peck L, Kataja M. Mandibular lateral incisor-canine transposition, concomitant dental anomalies, and genetic control. Angle Orthod. 1998; 68:455-466
Plunkett DJ, Dysart PS, Kardos TB, Herbison GP. A study of transposed canines in a sample of orthodontic patients. Br J Orthod. 1998; 25:203-208
Weeks EC, Power SM. The presentations and management of transposed teeth. Br Dent J. 1996; 181:421-424
Shapira Y, Kuftinec MM. A unique treatment approach for maxillary canine-lateral incisor transposition. Am J Orthod Dentofacial Orthop. 2001; 119:540-545
Maia FA. Orthodontic correction of a transposed maxillary canine and lateral incisor. Angle Orthod. 2000; 70:339-348
Nestel E, Walsh JS. Substitution of a transposed premolar for a congenitally absent lateral incisor. Am J Orthod Dentofacial Orthop. 1988; 93:395-399
Filho LC, Cardoso MA, An TL, Bertoz FA. Maxillary canine – first premolar transposition. Angle Orthod. 2007; 77:167-175
Shapira Y, Kuftinec MM. Tooth transpositions – a review of the literature and treatment considerations. Angle Orthod. 1989; 59:271-276
Göyenç Y, Karaman AI, Gökalp A. Unusual ectopic eruption of maxillary canines. J Clin Orthod. 1995; 29:580-582
Lewis BR, Gahan MJ, Hodge TM, Moore D. The orthodontic-restorative interface: 2. Compensating for variations in tooth number and shape. Dent Update. 2010; 37:138-148
Shapira Y, Kuftinec MM, Stom D. Maxillary canine-lateral incisor transposition – orthodontic management. Am J Orthod Dentofacial Orthop. 1989; 95:439-444
Pair J. Transposition of a maxillary canine and a lateral incisor and use of cone-beam computed tomography for treatment planning. Am J Orthod Dentofacial Orthop. 2011; 139:834-844
Geary E. Transposition of canine. Br Dent J. 1966; 121
Vuchkova J, Farah CS. Canine transmigration: comprehensive literature review and report of 4 new Australian cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109:e46-e53
Peck S. On the phenomenon of intraosseous migration of nonerupting teeth. Am J Orthod Dentofacial Orthop. 1998; 13:515-517
Camilleri S, Scerri E. Transmigration of mandibular canines – a review of the literature and a report of five cases. Angle Orthod. 2003; 73:753-762
Javid BR. Transmigration of impacted mandibular cuspids. Int J Oral Surg. 1985; 14:547-549
Shapira Y, Finkelstein T, Kadry R, Schonberger S, Shpack N. Mandibular symmetrical bilateral canine-lateral incisors transposition: its early diagnosis and treatment considerations. Case Rep Dent. 2016; 2016
Di Venere D, Nardi GM, Lacarbonara V, Laforgia A, Stefanachi G, Corsalini M Early mandibular canine-lateral incisor transposition: case report. Oral Implantol (Rome). 2017; 10:181-189

Orthodontic Conundrums Part 1: Transposition – an Update on Presentation and Treatment Modalities

From Volume 13, Issue 4, October 2020 | Pages 188-198

Authors

Naeem I Adam

BDS (Hons), PgCert MedEd, MSc, MOrth, FDS (Orth),

Consultant Orthodontist, Leeds Dental Institute, Chesterfield Royal Hospital, St Luke’s Hospital, Bradford

Articles by Naeem I Adam

Email Naeem I Adam

Adam Jowett

BDS(Hons)

Specialty Registrar in Orthodontics, Leeds Dental Institute

Articles by Adam Jowett

Abstract

This is the first article in a three-part series considering uncommon dental anomalies and treatment approaches. Dental transpositions are rare anomalies which may present to the general dental practitioner or orthodontist. The management of transpositions is dependent on several factors, including the sub-type, severity and the other salient features of the malocclusion. Transposition may either be accepted or orthodontically corrected and the adoption of either approach must be preceded by thorough assessment of the patient.

CPD/Clinical Relevance: The presentation and management of transposition is variable. The general dental practitioner must be aware of the clinical features of a developing transposition as certain treatment options are only possible before the transposition is fully established. In addition, the orthodontist must be mindful of the potential for iatrogenic harm if these dental anomalies are managed injudiciously.

Article

Uncommon occlusal problems or unusual treatment options present challenges by virtue of their rarity; they are orthodontic ‘conundrums’. In this series, transposition, finishing cases to Class III molar relationship, and the slightly unusual extraction pattern of a single lower incisor, will be covered, beginning with an update on dental transposition, its common forms and its orthodontic management illustrated through photographs from clinical cases. Transposition may be defined as the positional interchange of two adjacent teeth, or the development or eruption of a tooth into a position ordinarily occupied by a non-adjacent tooth.1 Transpositions can be complete or incomplete (also termed pseudo-transposition). In the former, both crown and root are transposed, whereas in the latter form, the crowns appear transposed with the roots being in their normal positions.1 Transposition is a form of ectopic eruption and by definition requires teeth to erupt into, or develop in, aberrant positions.2

Register now to continue reading

Thank you for visiting Orthodontic Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available