Bilaterally impacted maxillary canines and multiple missing teeth: a challenging adult case.

UNLABELLED: AUTHORS: Mesotten K, Naert I, van Steenberghe D, Willems G.

OBJECTIVES

Orthodontic correction of bilateral maxillary canine impaction with agenesis of the lower second premolars and extraction of the lower first molars in an adult patient.

METHODS

After surgical exposure, the canines were relocated in the arch by means of immediate orthodontic traction. Endosseous Branemark system implants were inserted in the lower jaw with a double purpose: stabilization of orthodontic anchorage and prosthetic tooth replacement.

RESULTS

Closure of the edentulous space in the lower arch was accomplished by a multidisciplinary approach while orthodontic correction of the initial malocclusion was achieved.

CONCLUSION

Implants provided anchorage control for tooth movement and created the possibility of prosthetic rehabilitation through a multidisciplinary treatment approach.