Treatment of Impacted Canines Using Micro implants

Traction of impacted canines using the traditional orthodontic mechanics can provoke numerous side effects over teeth used as anchorage. To avoid this type of undesired effect, the use of micro implants is indicated for retained canines traction.

^{The author’s technique for micro implant usage, SARDAC (Skeletal Anchorage, Right direction, and Absolute Control) and the author’s CSW (Custom-made Straight Wire) technique are used to correct impacted canines.}

A 37 year old patient presented with a Class I molar malocclusion with crowding, mild rotations, an anterior deep bite and palatal impaction of the upper left canine. The cephalometric tracing shows a skeletal Class I malocclusion with mandibular retrognathia. The panoramic X-ray shows the canine in an unfavorable position due to its cusp touching the midline, and the canine’s axis angle is almost perpendicular to the incisors axis (Figs. 1 to 8). The diagnosis should be completed by a tomographic study in order to determine the exact position of the canine and its relation to the roots of neighboring teeth.