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The ectopic maxillary canine: a case report

J Kindelan¹, P Cook

¹Department of Orthodontics, Leeds Dental Institute, UK.

British Journal of Orthodontics

|November 4, 1998

Summary

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Severely ectopic maxillary canines may improve spontaneously. Extraction of the primary canine can lead to satisfactory eruption, cautioning against premature surgical intervention for impacted teeth.

Area of Science:

Dentistry
Oral Surgery
Orthodontics

Background:

Ectopic eruption of maxillary canines is a common dental anomaly.
Early intervention is often recommended, but treatment strategies vary.
The management of severely ectopic canines requires careful consideration.

Observation:

A case of a severely ectopic maxillary canine is presented.
The canine initially showed spontaneous improvement in its position.
Extraction of the overlying deciduous canine was performed.

Findings:

Following deciduous canine extraction, the permanent maxillary canine erupted satisfactorily without further intervention.
This outcome suggests a potential for spontaneous resolution in some ectopic canine cases.

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The spontaneous eruption occurred after the removal of the primary tooth's obstruction.

Implications:

This case highlights the importance of conservative management before surgical removal of ectopic canines.
It suggests that extraction of the deciduous predecessor may be a viable first step.
Clinicians should consider the potential for spontaneous eruption and avoid unnecessary surgical procedures.