message board Adult with Impacted Canines A Townie shares a complex case that requires many steps to correct HJS Member Since: 01/07/06 Post: 1 of 7 Introduction: This is a 40-year-old female with a chief complaint of "my canine is up." She extracted her upper right canine eight months ago with GP to allow UR3 to move down. She is Class I skeletal and dental, has impacted lower canines and protruded anterior teeth. My first treatment plan is to extract four teeth (UR3, UL4, Lower 3's). Is this extraction pattern suitable for this adult case? ■ 1/1/2018 justinudm Hygiene needs massive improvement before any treatment should be considered. ■ Member Since: 09/29/14 Post: 2 of 7 1/1/2018 HJS I referred her for scaling and OHI. ■ Member Since: 01/07/06 Post: 3 of 7 tcarlyle Member Since: 02/29/08 Post: 4 of 7 16 1/1/2018 Definitely follow up on the hygiene and caries situations. It's best that you hide the name on the panoramic image as well. Once the commitment to good oral hygiene is determined then MARCH 2018 // orthotown.comhttp://www.orthotown.com