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Article: Volume 14 Number 3 Page 147 - July 2021

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  Orthodontic Update 55: 147-154

Orthodontics:  Misbehaving mandibular canines

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Abstract: The incidence of permanent canines failing to erupt in the mandible is not as common, and, therefore, not as well reported, as that in the maxilla. Mandibular canines have important functional and aesthetic purposes and knowledge of this uncommon condition is essential for those involved with the management of these cases. This article explores the aetiology, assessment and treatment options available to manage this condition, using examples from treated cases within our department.

Clinical relevance: An understanding of the aetiology, assessment and various treatment options available to manage impacted and transmigrated mandibular canines will inform better treatment planning.

Author notes: Othman Hameed, BDS, MFDS RCS(Ed), MSc, MOrth RCS(Eng), Senior Orthodontic Registrar, King’s College Hospital, St Thomas’ Hospital and Whipps Cross Hospital. Sukhraj S Grewal, BDS (Hons), DDS, MOrth RCS(Ed), FDS RCS, Orthodontic Consultant, Kings College Hospital and Royal Surrey County Hospital. Nigel G Taylor, MDSc, BDS, FDS RCS(Ed), FDTF (Ed), MOrth RCS(Ed), Orthodontic Consultant, Royal Surrey County Hospital. Email:

Objective: The reader should understand the clinical implications of impacted and transmigrated mandibular canines.

Christie & Co_Aug22