Treatment of transmigrated mandibular canines

Bilateral Transmigration of Mandibular Canines: A Rare Occurrence

“…Stafne [9] found that the greatest amount of tooth migration occurred before the root is completely formed, which emphasizes the importance of early diagnosis to resolve this problem before the tooth migrates far from its ideal location. Surgical exposure with orthodontic realignment can also be done for labially impacted transmigrated canine [10]. If the mandibular incisors are in a normal position and space for the transmigrated canine is sufficient, transplantation may be undertaken [8].…”

Treatment and Long Term Follow-Up of a Patient with an Impacted Transmigrant Canine

“…This would reduce the orthodontic treatment time and also the hazardous orthodontic tooth movement. Wertz (1994) advocated that, if a nonextraction method of orthodontic treatment is indicated, a surgical repositioning should probably be attempted just before extracting the transmigrated canine. However, if the diagnosis indicates an extraction mode of treatment in the lower arch, then the transmigrated canine should be extracted instead of the usual premolar, eliminating excessive treatment time.…”

“…In published reports, tranmigrant canines were treated mostly by surgical extraction (Gonzalez-Sanchez, 2007). Only Wertz (1994) reported three transmigrant canines corrected successfully by surgical exposure and orthodontic treatment. Wertz (1994) reported that, if the tip of the crown has migrated past the opposite incisor area or if the apex has migrated past the apex of the adjacent lateral incisor root apex, it might be mechanically impossible to bring the aberrant canine into its normal place.…”

Transmigration of Mandibular Canines - Clinical Implications

“…The treatment options include preventive and interceptive treatment, surgical exposure and orthodontic treatment, autotransplantation, surgical removal and radiographic monitoring. [10][11][12][13][14] The unpredictably unique manifestation of these canines renders the treatment difficult if not impossible. Each treatment possibility presents with its own merits and demerits.…”