Autotransplantation of impacted maxillary canines: A conservative surgical-orthodontic strategy – A case report

Abstract

Impaction of maxillary canines is a common dental anomaly. Its management is multidisciplinary and requires both surgical and orthodontic expertise, along with a well-reasoned and appropriate treatment plan. The aim of this study is to report the management of an impacted canine treated within the Department of Oral Surgery at the Center for Dental Consultations and Treatments in Casablanca, Morocco.

Case report

This paper presents the surgical and orthodontic management of a 17-year-old Moroccan female patient with a complete impaction and transposition of tooth 23, associated with the impaction of tooth 21. Several treatment options were considered, among which autotransplantation of tooth 23 was deemed the most appropriate, with the goal of improving facial aesthetics and restoring functional occlusion.

Discussion

Ortho-surgical repositioning of the impacted tooth is the most commonly desired and performed treatment. However, alternative approaches such as autotransplantation can be a valuable solution in certain clinical situations. Given the complexity of the case and the patient's socioeconomic background, autotransplantation represented the most effective option to restore both aesthetics and function.

Conclusion

A thorough assessment of all aspects of the anomaly at the outset of treatment serves as a crucial guide in choosing the most suitable therapeutic approach. Autotransplantation techniques aim to preserve as much alveolar bone volume as possible, thereby optimizing future conditions for implant placement if needed.