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Case Reports in Dentistry
Volume 2017 (2017), Article ID 4105713, 6 pages
Case Report

Orthodontic Intervention to Impacted and Transposed Lower Canines

1Department of Orthodontics, Faculty of Dentistry, Atatürk University, Erzurum, Turkey
2Department of Orthodontics, School of Dentistry, Istanbul Medipol University, Istanbul, Turkey

Correspondence should be addressed to Hüsamettin Oktay

Received 17 March 2017; Revised 3 April 2017; Accepted 12 April 2017; Published 30 April 2017

Academic Editor: Andrea Scribante

Copyright © 2017 Nihat Kılıç and Hüsamettin Oktay. 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.


Impacted and transposed teeth cause serious difficulties in tooth eruption and movement as well as esthetic and functional outcomes. Proper treatment planning including good biomechanical control is essential in order to avoid side effects during traction and aligning of the impacted and/or transposed teeth. The purpose of the present study was to present a successfully treated female patient having transposed and impacted lower canines by means of a modified lingual arch and fixed orthodontic appliance. A female patient aged 13 years and 9 months presented to the orthodontic department with a chief compliant of bilateral spacing and missing teeth in mandibular dentition. After leveling and creating sufficient space in the mandibular arch for the canines, a modified lingual arch was cemented to the mandibular first molars. The lingual arch had two hooks extending to the distobuccal areas of the canine spaces. Elastic chains were applied between the hooks on the lingual arch and the ligatures tied to the attachments on the canine crowns. The light forces generated by elastic materials caused impacted canines to erupt and tend towards their own spaces in the dental arch. As a result, impacted and transposed lower canines were properly positioned in their spaces, and the treatment results were stable during the retention period.