Orthodontic management of maxillary canine first premolar transposition - a conservative approach

Among dentitional anomalies, tooth transposition is considered the most difficult to manage clinically. Unilateral maxillary canine-first premolar (Mx. C.P1) transpositions are found more often than bilateral transpositions, and the left side is more frequently involved than the right. A case of maxillary canine -first premolar (Mx. C.P1) complete transposition is presented in which transposition was maintained during the treatment. Aligning the teeth in the transposed order would probably require less treatment time than correcting the transposition. Management of transposition must be assessed on a case to case basis. Dental transposition can be corrected orthodontically, but the mechanics are complex, treatment time is long, and damage is possible to the supporting dental tissue.