Orthodontic treatment with functional and esthetic substitution of canines by first premolars. Case report

Abstract

Diagnosis and treatment of ectopic teeth is necessary in order to avoid complications that compromise dental function, stability and esthetics. The canine is the tooth that presents greater percentage of problems of space in the dental arch and its eruption in a high zone is frequent. For that purpose, a multidisciplinary approach is suggested, which will serve to achieve the goals that orthodontics itself may not fully achieve. This article presents a skeletal class I patient with an ectopic upper left canine with gingival recession, retained lower left canine with dilacerated root, bilateral molar class I, right canine class III and left non-assessable canine class, deviated midline, horizontal growth and retrusive lips. The results showed bilateral molar class I, right canine class I and left premolar class I, alignment and leveling of the dental arches, normal overjet and overbite and centered midline.