Bilateral transposed and impacted upper canines: case report

The aim of the study was to report, through a clinical case, the treatment of bilaterally impacted upper canines. A 9-year-old patient presented with prolonged retention of deciduous canines. Radiographic analysis revealed bilateral and horizontally impacted canines. After extraction of the deciduous teeth and access to the impacted canines, a transpalatal bar associated with a cantilever was used for traction without compromising neighboring teeth. Due to the location and complexity of the case, the upper canines underwent transposition with the first premolars. The lower arch was aligned and exhibited diastemas, which were treated with elastomeric chains and bull loops for space closure. The treatment goals were achieved with excellence in aesthetics, function, and healthy periodontal conditions