Concluded Case

Final Diagnosis and possible Treatment

14 years old female patient with CC of differently placed teeth. OE Retained 83, Ectopic eruption of 33 43 OPG: No obstructive structures 1. Orthodontic treatment plan ? 2. And view on 83

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Concluded answer
This a beautiful case of Canine Transmigration , falls under Muparappu Type III (Mirror Image of each other and crossed the midline) Treatment: Extraction is most common practice. But if deciduous tooth for transmigrant canine is 0resent then one can go with Autotransplantation of transmigrant canine. Both equally gives good outcome.
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Extract 43 which is in opp arch n treat orthodontic to align 33.. Midline shift may b matter which can resolve after alignment by proximal stripping...
Go for a occlusal x ray and Iopa x ray then decide about orthodontic treatment
Extraction of 83 to make way for 33 and 34
Ortho + planned extraction.. Opg?
Good case doc
This a beautiful case of Canine Transmigration , falls under Muparappu Type III (Mirror Image of each other and crossed the midline) Treatment: Extraction is most common practice. But if deciduous tooth for transmigrant canine is 0resent then one can go with Autotransplantation of transmigrant canine. Both equally gives good outcome.
I feel this case can be perfectly handled with surgical osteotomies and derotating with orthodontic forces post operatively....And radiographic views please
Would prefer cbct with Ortho view along with cephalometric analysis before any treatment plan
Any iopa or occlusal radiographs please
Please post OPG also
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