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Article: Volume 15 Number 3 Page 125 - July 2022

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  Orthodontic Update 59: 125-130

Orthodontics:  Management of the Palatally Displaced Maxillary Canine. Part 1: Extract, Align or Avoid?

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Abstract: The decision-making process in the management of a patient with a palatally displaced canine can be complex, with several clinical and patient-related variables, each requiring careful consideration, both individually and in unison. In this article, we discuss these factors, along with the available treatment options and their underlying evidence base.

Clinical relevance: Alignment of palatally displaced maxillary canine represents a common and potentially challenging clinical task for all orthodontists. A detailed understanding of the factors that can potentially influence the success of this approach should help clinicians to reach an appropriate treatment decision for each individual patient as part of a risk–benefit approach.

Author notes: Tom Frawley, BDS (Hons), MFDS, MClinDent, MOrth, FDS(Orth), Consultant Orthodontist, Sheffield. Nicola Parkin, BDS, MMedSci, MOrth, FOrth, PhD (Sheff), Consultant Orthodontist, Sheffield and Barnsley. email: tom.frawley1@nhs.net

Objective: To highlight the evidence base surrounding the available treatment options, particularly that of interceptive treatment, and outline the key clinical and patient-related factors involved in the treatment planning process for the management of palatally displaced maxillary canines.

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