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Case Reports in Dentistry
Volume 2016, Article ID 3045865, 6 pages
Case Report

Interdisciplinary Management of Maxillary Canine Buccal Ectopia Associated with Peg Shaped Lateral Incisor

1Department of Orthodontics and Dentofacial Orthopedics, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India
2Department of Conservative and Endodontic Dentistry, Rama Dental College, Hospital and Research Centre, Kanpur, Uttar Pradesh, India

Received 23 April 2016; Revised 13 August 2016; Accepted 22 August 2016

Academic Editor: Hüsamettin Oktay

Copyright © 2016 Karuna Singh Sawhny and Asheesh Sawhny. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aligning a displaced maxillary canine into the dental arch is one of the most complicated problems in orthodontics. In cases of extremely high displacement, the tooth is frequently removed surgically. Because of the upper canines’ significance to dental esthetics and functional occlusion, such a decision is a very serious one. The purpose of this report is to illustrate an interdisciplinary approach involving both orthodontic management and conservative tooth restoration. The case was treated through an orthodontic nonextraction fixed appliance mechanotherapy for successful alignment of buccally ectopic upper left canine followed by a conservative direct composite tooth buildup of peg lateral incisor associated with the upper left ectopic canine in a 16-year-old adolescent North Indian female. Posttreatment records demonstrated good alignment of the displaced tooth and restoration of normal anatomy of the peg shaped lateral incisor.