Transmigration of impacted mandibular canine with the development of dentigerous cyst: Surgical extraction or orthodontic alignment?

Transmigration of impacted mandibular canine is an uncommon clinical entity. In this condition, not only the tooth fails to erupt in its normal position, but also it crosses the midline within the mandible. The orthodontic correction of this condition is rather impossible. In case of development of dentigerous cyst associated with the impacted canine, surgical extraction along with the enucleation of the cyst is the only treatment of choice. We present a similar case managed surgically in a 13-year-old male adolescent.