Canine Impaction: Digital Orthodontic Planning in Conjunction with TADs (Temporary Anchorage Devices) and Aligners

This paper aims to represent the orthodontic treatment of two young patients with skeletal Class I relationship and unilateral impacted canines (case 1 with palatally displaced canine and case 2 with buccally displaced canine). Before starting full-mouth alignment, canines are moved away from the roots of the neighbouring teeth. The protocol involved a surgical phase carried out in order to expose the canine and traction it with TADs (temporary anchorage devices) and an orthodontic phase performed to finalize the alignment. The canines were moved through vertical and distal force vectors by using TADs as well as a cantilever spring. As soon as the crown of the canine was fully visible, digital impressions were taken to start the digital planning of the orthodontic phase. At the end of the treatment, results show a control of the facial aesthetics both from the frontal and lateral perspectives with a harmonious profile. The molar and canine Class I relationship was achieved with the recovery of the impacted canines and the overbite and overjet were normalized.