Transmigrant impacted mandibular canine: a case report

Transmigration of canines across mandibular midline is a rare and elusive phenomenon described in the dental literature. Etiology of this phenomenon is obscure, but in some cases supernumerary teeth may be one of the causes. Surgical extraction is indicated due to pathologic lesions, infection, tra...

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Main Authors: Tila Fortuna, Deyvid da Silva Rebouças, Wilton Costa Neto, Lucas Souza Cerqueira, Lívia Prates Soares Zerbinati, Adriano Freitas de Assis
Format: Article
Language:English
Published: Universidade Estadual Paulista 2017-06-01
Series:Brazilian Dental Science
Online Access:https://ojs.ict.unesp.br/index.php/cob/article/view/1272
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author Tila Fortuna
Deyvid da Silva Rebouças
Wilton Costa Neto
Lucas Souza Cerqueira
Lívia Prates Soares Zerbinati
Adriano Freitas de Assis
author_facet Tila Fortuna
Deyvid da Silva Rebouças
Wilton Costa Neto
Lucas Souza Cerqueira
Lívia Prates Soares Zerbinati
Adriano Freitas de Assis
author_sort Tila Fortuna
collection DOAJ
description Transmigration of canines across mandibular midline is a rare and elusive phenomenon described in the dental literature. Etiology of this phenomenon is obscure, but in some cases supernumerary teeth may be one of the causes. Surgical extraction is indicated due to pathologic lesions, infection, trauma to the adjacent teeth, pain, ectopic eruption, and interference with prosthesis. The aim of this case report is to describe the treatment of transmigrant impacted mandibular canine near to the mandibular symphysis and to review the literature about its incidence, prevalence, and treatment options. In the anterior mandible, labial access was performed followed by osteotomy and odontosection, for tooth removal. Canine impaction is more prevalent in the maxilla than in the mandible, but canine transmigration is more frequent in the mandible. Females seem to be more affected than males, and the left side is more prevalent than the right. Although the literature is controversial about treatment protocol for transmigrant teeth, several authors indicate its extraction to prevent lesions that are associated with impacted teeth, especially when orthodontic traction is contraindicated due to the position of those teeth.
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issn 2178-6011
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publisher Universidade Estadual Paulista
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series Brazilian Dental Science
spelling doaj-art-fffc34dfc2994589bbc88bd790e0d1502025-08-22T18:11:50ZengUniversidade Estadual PaulistaBrazilian Dental Science2178-60112017-06-0120210.14295/bds.2017.v20i2.1272Transmigrant impacted mandibular canine: a case reportTila Fortuna0Deyvid da Silva Rebouças1Wilton Costa Neto2Lucas Souza Cerqueira3Lívia Prates Soares Zerbinati4Adriano Freitas de Assis5Specialist in Oral and Maxillofacial Surgery from Bahiana School of Medicine and Public Health (EBMSP), Salvador, Bahia, Brazil.Specialist in Oral and Maxillofacial Surgery from Bahiana School of Medicine and Public Health (EBMSP), Salvador, Bahia, Brazil.Specialist in Oral and Maxillofacial Surgery from Bahiana School of Medicine and Public Health (EBMSP), Salvador, Bahia, Brazil.Oral and Maxillofacial Surgery resident from Bahiana School of Medicine and Public Health (EBMSP), Salvador, Bahia, Brazil.PhD in Oral and Maxillofacial Surgery from Pontifical Catholic University of Rio Grande do Sul, Brazil.PhD in Oral and Maxillofacial Surgery from Piracicaba School of Dentistry, São Paulo, Brazil. Transmigration of canines across mandibular midline is a rare and elusive phenomenon described in the dental literature. Etiology of this phenomenon is obscure, but in some cases supernumerary teeth may be one of the causes. Surgical extraction is indicated due to pathologic lesions, infection, trauma to the adjacent teeth, pain, ectopic eruption, and interference with prosthesis. The aim of this case report is to describe the treatment of transmigrant impacted mandibular canine near to the mandibular symphysis and to review the literature about its incidence, prevalence, and treatment options. In the anterior mandible, labial access was performed followed by osteotomy and odontosection, for tooth removal. Canine impaction is more prevalent in the maxilla than in the mandible, but canine transmigration is more frequent in the mandible. Females seem to be more affected than males, and the left side is more prevalent than the right. Although the literature is controversial about treatment protocol for transmigrant teeth, several authors indicate its extraction to prevent lesions that are associated with impacted teeth, especially when orthodontic traction is contraindicated due to the position of those teeth. https://ojs.ict.unesp.br/index.php/cob/article/view/1272
spellingShingle Tila Fortuna
Deyvid da Silva Rebouças
Wilton Costa Neto
Lucas Souza Cerqueira
Lívia Prates Soares Zerbinati
Adriano Freitas de Assis
Transmigrant impacted mandibular canine: a case report
Brazilian Dental Science
title Transmigrant impacted mandibular canine: a case report
title_full Transmigrant impacted mandibular canine: a case report
title_fullStr Transmigrant impacted mandibular canine: a case report
title_full_unstemmed Transmigrant impacted mandibular canine: a case report
title_short Transmigrant impacted mandibular canine: a case report
title_sort transmigrant impacted mandibular canine a case report
url https://ojs.ict.unesp.br/index.php/cob/article/view/1272
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AT deyviddasilvareboucas transmigrantimpactedmandibularcanineacasereport
AT wiltoncostaneto transmigrantimpactedmandibularcanineacasereport
AT lucassouzacerqueira transmigrantimpactedmandibularcanineacasereport
AT liviapratessoareszerbinati transmigrantimpactedmandibularcanineacasereport
AT adrianofreitasdeassis transmigrantimpactedmandibularcanineacasereport