Management of Transmigrated and Transposed Mandibular Canines- A Case Report

Transmigration is a rare intraosseous migratory phenomenon related almost exclusively to mandibular canine. Transposition is a rare condition present in mandible but commonly encountered in maxillary arch. There are number of treatment options for these ectopic situations depend upon variety of case presentations, severity and presence of related pathologies. In this case report a 16 year old male patient presented with transmigrated 43 and transposed 33 along with retained 73 and 83. Arches were in class I molar relation. There was absence of any other related pathology. Fixed orthodontics treatment mechanics was considered as a treatment option. There was utilization of preadjusted edgewise appliance (MBT 0.022X0.028") for fixed orthodontic treatment. A well planned treatment biomechanics was followed for traction of ectopic canines to their respective positions. After around 22 months of full treatment, appliance was debonded and retainers were delivered. Patient kept on follow-ups and shows good prognosis.