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MANAGEMENT OF A PALATALLY IMPACTED MAXILLARY CANINE ASSOCIATED WITH ROOT RESORPTION OF ADJACENT TEETH USING TEMPORARY ANCHORAGE DEVICES (CASE REPORT)

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.

Submitted: 2025-12-24; Published: 2025-12-17
CC BY-NC 4.0 This work is licensed under Creative Commons Attribution–NonCommercial International License (CC BY-NC 4.0).

Abstract

Palatal impaction of the maxillary canine presents a frequent challenge in orthodontics, particularly when
associated with root resorption of adjacent teeth. Early identification and carefully controlled traction are essential
to minimize further damage and achieve successful alignment. This report outlines the clinical management of a
severely palatally impacted maxillary canine in a 13-year-old patient, complicated by advanced root resorption. A
Temporary Anchorage Device (TAD) was used to deliver controlled forces, ensuring effective alignment while
safeguarding the adjacent dentition. Cone-beam computed tomography (CBCT) revealed a mesially angulated
impacted canine with resorption of the upper right central and lateral incisors. Following surgical exposure, a TAD
was inserted into the palatal alveolar bone to provide stable anchorage for orthodontic traction. This allowed for
precise, controlled movement of the impacted tooth. The application of TAD-assisted biomechanics facilitated
successful canine alignment without exacerbating root damage to neighboring teeth. Post-treatment radiographs
confirmed stabilization, with no progression of resorption. The patient achieved satisfactory occlusion and
improved dental aesthetics. Temporary Anchorage Devices offer a reliable solution for complex cases of canine
impaction, particularly those complicated by root resorption. Their ability to provide controlled, targeted force
makes them superior to conventional methods in preserving dental structures and achieving efficient outcomes.

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