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

Structured Abstract 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 Brånemark 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.