Orthodontic Treatment of Maxillary Incisors with Severe Root Resorption Caused by Bilateral Canine Impaction in a Class II Division 1 Patient

• Published in: The Journal of clinical pediatric dentistry Vol. 40; no. 2; pp. 161 - 168
• Main Authors: Chang, Na-Young, Park, Jae Hyun, Lee, Mi-Young, Cho, Jin-Woo, Cho, Jin-Hyoung, An, Ki-Yong, Chae, Jong-Moon
• Format: Journal Article
• Language: English
• Published: United States Journal of Clinical Pediatric Dentistry 2016
• Subjects: Bone Screws; Cephalometry - methods; Child; Crowns; Cuspid - pathology; Dentistry; Follow-Up Studies; Humans; Incisor - injuries; Incisor - pathology; Male; Malocclusion, Angle Class II - complications; Malocclusion, Angle Class II - therapy; Maxilla - pathology; Miniaturization; Orthodontic Anchorage Procedures - instrumentation; Orthodontic Appliance Design; Overbite - etiology; Overbite - therapy; Patient Care Planning; Root Resorption - etiology; Tooth Crown - injuries; Tooth Fractures - therapy; Tooth Movement Techniques - methods; Tooth, Impacted - complications; Root resorption; Canine impaction; Miniscrew; Distalization
• ISSN: 1053-4628; 1557-5268
• DOI: 10.17796/1053-4628-40.2.161

This case report shows the successful alignment of bilateral impacted maxillary canines. A 12-year-old male with the chief complaint of the protrusion of his maxillary anterior teeth happened to have bilateral maxillary canine impaction on the labial side of his maxillary incisors. Four maxillary incisors showed severe root resorption because of the impacted canines. The patient was diagnosed as skeletal Class II malocclusion with proclined maxillary incisors. The impacted canine was carefully retracted using sectional buccal arch wires to avoid further root resorption of the maxillary incisors. To distalize the maxillary dentition, two palatal miniscrews were used. After 25 months of treatment, the maxillary canines were well aligned without any additional root resorption of the maxillary incisors.