The comments

Dr Sylvain Chamberland, Orthodontiste says:

Your canine can move back if there is space behind and if the occlusion with the lower arch permits.
I recommend that you visit an orthodontist.

Dr Sylvain Chamberland, Orthodontiste says:

Myo-trainer is useless. It is fake orthodontics with no science.

It is not only the angulation that is important, but also the location. Is it palpable buccally or palatally.

It is true that making room will help the canine to self erupt. I would not use Invisalign if the canine is impacted, but Aligner therapy can move erupted teeth and open space for the missing canine.

You can send an image to my facebook.com/drsylvainchamberland

I will reply in this webpage.

tasneem says:

I am 40 yrs. My canine moved after 20 yrs of braces. My dentist fixed it. Now it crowded my front tooth and there is no space for my front tooth to move into place. There is space for the canine to move back. However my dentist says the canine cannot be moved back. Pls suggest an opinion to straighten my front tooth as one is not going into its place. Cam my canine go back just 2 mm

Jules Lemay, orthodontist says:

UNBELIEVABLE!!! :-(

Dr Sylvain Chamberland, Orthodontiste says:

Mandibular impacted canine that crossed the lower midline

It is quite impressive that after doing maxillary expansion, tongue crib, braces on upper and lower front teeth, placing upper and lower holding arch, an orthodontist do not question himself why the lower right permanent canine has erupted and the lower left primary canine was retained.

I am speechless.

At this stage, the prognosis to bring the canine in its position is poor. Many orthodontist will recommend its extraction because it may take 2 to 3 years to bring it into the mouth. If this is an extraction case, then it would be logical to extracted the impacted caine, the primary canine and 3 other premolars to obtain symmetric class I occlusion.

If it is not an extraction case, one can try to do orthodontic traction. Chances are that the canine will finish transpose with the lower left lateral incisor. This is not a bad solution and I did to one patients many years ago and I am currently doing it to another patients.

This case came in my office in february 2016. I initiated orthodontic traction and the teeth moved. However, last month, it was quite obvious that I could not get the canine into its position. So I decided to treat it transposed. I am curently opening a space between the cental and the lateral incisor.

This is better than nothing and better than an implant.

You have to know that the treatment time may be 30 to 36 months for such a case and it is costly. But the solution is defenitive and no further cost will occur during the life time like crown replacement, implant replacement, bone graft.

I don't know if you can find an orthodontist in your area that would be willing to try such treatment.

Bonne chance.

Dr Sylvain Chamberland, Orthodontiste says:

Yes, braces in both arches are necessary.

Dr Sylvain Chamberland, Orthodontiste says:

I would not take a new 3D, but I would take a new ceph, a new panoramic xray, new intraoral and extraoral photos.

Mark says:

My 13 year old daughter has an impacted canine on her upper left side. She had both primary canines removed in Dec 2016. Since then the upper right canine has appeared, but the other left hasn't.
One orthodontist recommends an incision on the gums and placement of a myo-trainer, and later use of orthodontics to correct an overbite, alignment of teeth, etc, saying that the root of the canine shows that it is in its final maturation stage.
Another orthodontist recommends beginning with Invisalign orthodontic treatment to move the teeth to allow the teeth to move out of the way, and that eruption of the canine is not age dependent.
I am unable to attach an image, but the canine is in the correct location, at an angle of 10-15%, and simply does not have enough space to erupt.
I am concerned that orthodontics may not be sufficient to allow the tooth to erupt.

Welcome your thoughts.

Rebecca Dunbar says:

She had a palatal expander and a crib and yes upper and lower braces.
he was a specialist and I wanted to be sure I had someone good to do the job. Yes the open bite was closed they looked beautiful when we took them off a year ago.
I believe he said the last panaramic was 2014 that would have been at the beginning of treatment.
there was no others just the new one taken yesterday.

Rebecca dunbar says:

Am I correct in thinking He should have been taking X-rays during the treatment making sure all was errupting correctly and filling in on target he is an orthodontist that is part of the treatment correct?

Rebecca dunbar says:

You know I don't know if they did...
I know she had X-rays for check ups but I don't know if they took progress panoramic or if they took a end of phase 1.
She was suppose to have the phase one on 17-18 months she had them a little over 2.
she only broke one bracket during the time. She was very compliant with cranking her palatal expander and with wearing her rubber bands if I remember correctly she may have had the palatal expander removed and it may have colapsed and they had to repeat that. But yes in the end her teeth looked great but we knew we would have to do the phase 2 after she got all her adult teeth.
The dr. took those off her braces last year he said: in about 1 year we would put them on again.
I am very upset because from what I see this is not something that just happened over the last year.

Sveta says:

I forgot to ask you if braces on the maxilla are necessary. The orthodontist who wanted to extract lower premolars said that the braces were obviously necessary on the mandibula but absolutely not on the upper part as the traction will damage an already touched lateral incisor. Thank you. Sveta.

Sveta says:

Thank you very much for such a fast reply. My dentist shares his studio with an orthodontist, they usually work together. The decision to extract a lateral incisor was actually hers. Another orthodontist offered your type of approach and honestly I feel more comfortable with it. Do I need to make a new X-ray and 3D? Thank you. Sveta.

Dr Sylvain Chamberland, Orthodontiste says:

The impacted canine may have developped during phase 1 therapy.

I have a few concerns. 1- The phase 1 treatment was quite long. 2- What was the type of treatment that she received? 3-Did she had braces on her upper front teeth? 4-Did they took progress pranogram during phase 1? 5- Were they able to close the open bite?

I don't understand how they could have missed an impacted canine over 2 year period.

The image did not upload. Try to send it to my professional facebook page facebook.com/drsylvainchamberland

I will try to help.

Dr Sylvain Chamberland, Orthodontiste says:

Hi Sveta

This post will cover the question at 16 h23 and 19h57. Thank you for sending me the picture to my professional facebook page.

The ceph show a class I relationshipm normal overjet and overbite. The 3D view shows the lateral incisors buccaly overlayed on the roots of the lateral incisors. The pan and the significant lack of space. I can see crowding of the lower right canine.

On september 24, my recommendation #1 was extracting both upper canines and 2 first lower premolars.

Since the canine are extracted, it is a little bit too late to discuss a non extraction apporach.

I am not confortable with extraction of 1 lower lateral incisor. It may be difficult to obtain a nice functional occlusion.

I would prefer the option #1 as suggested in september.

I would not worry that much about further root resorption as the cause has been removed and if the orthodontist let it healed 6-8 weeks.

By the way, you mentionned dentist being the care provider. I strongly recommend that you visit a certified orthodontist for the treatment of your daughter.

I hope that help.

Best regards.

Dr Sylvain Chamberland.

 

 

Dr Sylvain Chamberland, Orthodontiste says:

Hi Sveta

I will try to cover you 3 questions.

When the canine were extracted, the surgeon is supposed to recover the root of the remaining incisors. The roots should not be exposed.

In term of root canal therapy, I would absolutely not recommend it. Let the roots of teeth healed and the surronding bone regenerate.

I would wait 6-8 weeks before moving the teeth with brackets and wire.

Sveta says:

I would like to attach a few images to clear the situation. The maxillar canines were extracted with success.
Now my dentist wants to extract a lower lateral incisor, put on the braces and also use the braces on an upper arch.
Will it damage even more the lateral incisor with reabsorption?
Another dentist had an idea to extract two lower premolars, use braces and do not use them on the mandibular arch.
What do you think about that?
Thank you very much in advance.
Sveta.

Rebecca Dunbar says:

Hello dr, my daughter is 11 she was diagnosed with an open bite in 2014.
When she was 7 or 8 she has first phase braces problem t on her teeth she had those removed last year 2016.
she is getting ready to get phase 2 braces and she was having her regular dental work done and the dentist found an impacted canine.
now I feel like how could this be missed she has been under regular dental care forever with ortho I have a picture to show you as I believe most of her adult teeth are I.
Except this impacted tooth it is completely horizontal past the midline to the opposite side that it not suppose to be on first off I feel this should have been caught earlier way earlier being she has been under care since she was 7 or 8
but now what is going to happen with this I am so concerned that she is not going to be able to keep the canine and she will have an unsemetrical lower denture
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Sveta says:

I made a huge mistake above. My daughter is class 3.
Almost 2 months after surgery her upper incisors are doing very well and seem to be in a good position, much straighter than before. Our dentist thinks that extracting one lower lateral incisor and outing on the brackets could save the situation. It seems quite weird to me.
Actually my daughter chews more like an old person without teeth.
Her mandibula is rather forehead. What do you think about this situation?
Thank you very much in advance.

Pratima sht says:

Hello dr . I have had braces few years back without teeth extraction . But after getting out my braces i realized upper jaw protusion and the consultant said i had deep bite grade 2 . So can you please mention treatment options for the mentioned problem.