Transposed Maxillary Canines: Narrative Review with Clinical Case Report

Area of Science:

• Dentistry
• Orthodontics
• Dental Anomalies

Background:

• Maxillary canines are crucial for function and aesthetics.
• Tooth transposition, an exchange of positions between permanent teeth, presents diagnostic and therapeutic challenges.
• Maxillary canine transposition requires careful management due to its complexity.

Purpose of the Study:

• To review clinical conditions influencing decisions for correcting or maintaining maxillary canine transposition.
• To synthesize current literature and present a clinical case study on managing this anomaly.

Main Methods:

• A narrative literature review adhering to PRISMA guidelines.
• Searched major databases (PubMed, ScienceDirect, etc.) from 2014 to May 2024.
• Included 19 relevant studies and one detailed clinical case.

Main Results:

• No consensus exists on definitive treatment protocols for maxillary canine transposition.
• Treatment decisions require individualization based on patient characteristics, anatomy, and clinician expertise.
• Orthodontic correction offers aesthetic benefits but demands precise planning and control.

Conclusions:

• Individualized treatment planning is essential due to the lack of consensus.
• Conservative management is suitable for early or complex cases.
• Early diagnosis, digital planning, and a multidisciplinary approach are key for successful functional and aesthetic results in managing maxillary canine transposition.