Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 541–553
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MANAGEMENT OF A PALATALLY IMPACTED MAXILLARY CANINE ASSOCIATED WITH ROOT RESORPTION OF ADJACENT TEETH USING TEMPORARY ANCHORAGE DEVICES (CASE REPORT)

Brwa Mahdi Khoshnaw*

Received: 2025-12-25 · Published: 2025-12-17

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
MANAGEMENT OF A PALATALLY IMPACTED MAXILLARY CANINE ASSOCIATED WITH ROOT RESORPTION OF ADJACENT TEETH USING TEMPORARY ANCHORAGE DEVICES (CASE REPORT)
Author
Brwa Mahdi Khoshnaw
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-12-17
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.10-541

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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