Orthotown June 2019 - 18

message board

Impacted Mandibular Canine
Townies share their thoughts on how to treat this 11-year-old patient

zxzxzx
Member Since: 02/28/03
Post: 1 of 15

So here is an 11.5-year-old male who has an impacted mandibular left canine. I plan to bring
it in as a first phase of treatment. Any thoughts or comments on things to be aware of, things I
should or should not do? Thanks. ■

12/20/2016

justinudm
Member Since: 09/29/14
Post: 2 of 15

I just saw one of these today that I was able to get in place. I would definitely warn that
a connective tissue graft by the periodontist may be needed in the future if there is too little
keratinized tissue. Also would not bond LL2 so that it is free to move as the canine is uprighted/
erupted. Also, tell the surgeon to get the chain bonded near the cusp tip to give you mechanical
advantage when erupting the tooth. Good luck. ■
12/20/2016

JamesBonding
Member Since: 09/29/11
Post: 3 of 15

Would you plan to bond primary teeth for anchorage? What about a LLHA for anchorage? I
inherited a case very similar to this and there was a lower lingual arch placed and it had proclined
the mandibular anteriors into anterior crossbite. ■
12/20/2016

justinudm
Member Since: 09/29/14
Post: 4 of 15

I would use the LLD and LLE with bands on them. LLD premolar band with a regular bracket
on it. LLE with LL6 band. Bond LL1-LR2. Band LRD and LRE the same. Arch wire LLE-LRE
steel base aw, with 14 NiTi piggybacked to most gingival loop on gold chain. If I wanted distal
traction, I would run power chain lopped through the gold chain back to the LLD/LLE. ■
12/20/2016

18

JUNE 2019 // orthotown.com


http://www.orthotown.com

Orthotown June 2019

Table of Contents for the Digital Edition of Orthotown June 2019

Orthotown June 2019 - Cover1
Orthotown June 2019 - Cover2
Orthotown June 2019 - 1
Orthotown June 2019 - 2
Orthotown June 2019 - 3
Orthotown June 2019 - 4
Orthotown June 2019 - 5
Orthotown June 2019 - 6
Orthotown June 2019 - 7
Orthotown June 2019 - 8
Orthotown June 2019 - 9
Orthotown June 2019 - 10
Orthotown June 2019 - 11
Orthotown June 2019 - 12
Orthotown June 2019 - 13
Orthotown June 2019 - 14
Orthotown June 2019 - 15
Orthotown June 2019 - 16
Orthotown June 2019 - 17
Orthotown June 2019 - 18
Orthotown June 2019 - 19
Orthotown June 2019 - 20
Orthotown June 2019 - 21
Orthotown June 2019 - 22
Orthotown June 2019 - 23
Orthotown June 2019 - 24
Orthotown June 2019 - 25
Orthotown June 2019 - 26
Orthotown June 2019 - 27
Orthotown June 2019 - 28
Orthotown June 2019 - 29
Orthotown June 2019 - 30
Orthotown June 2019 - 31
Orthotown June 2019 - 32
Orthotown June 2019 - 33
Orthotown June 2019 - 34
Orthotown June 2019 - 35
Orthotown June 2019 - 36
Orthotown June 2019 - 37
Orthotown June 2019 - 38
Orthotown June 2019 - 39
Orthotown June 2019 - 40
Orthotown June 2019 - 41
Orthotown June 2019 - 42
Orthotown June 2019 - 43
Orthotown June 2019 - 44
Orthotown June 2019 - 45
Orthotown June 2019 - 46
Orthotown June 2019 - 47
Orthotown June 2019 - 48
Orthotown June 2019 - 49
Orthotown June 2019 - 50
Orthotown June 2019 - 51
Orthotown June 2019 - 52
Orthotown June 2019 - 53
Orthotown June 2019 - 54
Orthotown June 2019 - 55
Orthotown June 2019 - 56
Orthotown June 2019 - Cover3
Orthotown June 2019 - Cover4
https://www.nxtbook.com/farran/orthotown/2020November
https://www.nxtbook.com/farran/orthotown/2020October
https://www.nxtbook.com/farran/orthotown/2020September
https://www.nxtbook.com/farran/orthotown/2020JulyAugust
https://www.nxtbook.com/farran/orthotown/2020June
https://www.nxtbook.com/farran/orthotown/2020May
https://www.nxtbook.com/farran/orthotown/2020April
https://www.nxtbook.com/farran/orthotown/2020March
https://www.nxtbook.com/farran/orthotown/2020JanuaryFebruary
https://www.nxtbook.com/farran/orthotown/2019December
https://www.nxtbook.com/farran/orthotown/2019November
https://www.nxtbook.com/farran/orthotown/2019October
https://www.nxtbook.com/farran/orthotown/2019September
https://www.nxtbook.com/farran/orthotown/2019JulyAugust
https://www.nxtbook.com/farran/orthotown/2019June
https://www.nxtbook.com/farran/orthotown/2019May
https://www.nxtbook.com/farran/orthotown/2019April
https://www.nxtbook.com/farran/orthotown/2019March
https://www.nxtbook.com/farran/orthotown/2019JanFeb
https://www.nxtbook.com/farran/orthotown/2018December
https://www.nxtbook.com/farran/orthotown/2018November
https://www.nxtbook.com/farran/orthotown/2018October
https://www.nxtbook.com/farran/orthotown/2018September
https://www.nxtbook.com/farran/orthotown/2018August
https://www.nxtbook.com/farran/orthotown/2018June
https://www.nxtbook.com/farran/orthotown/2018May
https://www.nxtbook.com/farran/orthotown/2018April
https://www.nxtbook.com/farran/orthotown/2018March
https://www.nxtbook.com/farran/orthotown/2018February
https://www.nxtbook.com/farran/orthotown/2017December
https://www.nxtbook.com/farran/orthotown/2017November
https://www.nxtbook.com/farran/orthotown/2017October
https://www.nxtbook.com/farran/orthotown/2017September
https://www.nxtbook.com/farran/orthotown/August_2017
https://www.nxtbook.com/farran/orthotown/2017June
https://www.nxtbook.com/farran/orthotown/2017May
https://www.nxtbook.com/farran/orthotown/2017April
https://www.nxtbook.com/farran/orthotown/March2017
https://www.nxtbook.com/farran/orthotown/2017JanFeb
https://www.nxtbook.com/farran/orthotown/2016_December_Orthotown
https://www.nxtbook.com/farran/orthotown/2016November
https://www.nxtbook.com/farran/orthotown/2016October
https://www.nxtbook.com/farran/orthotown/2016september
https://www.nxtbook.com/farran/orthotown/2016august
https://www.nxtbook.com/farran/orthotown/2016june
https://www.nxtbook.com/farran/orthotown/2016may
https://www.nxtbook.com/farran/orthotown/2016april
https://www.nxtbook.com/farran/orthotown/2016march
https://www.nxtbook.com/farran/orthotown/2016february
https://www.nxtbook.com/farran/orthotown/2015december
https://www.nxtbook.com/farran/orthotown/2015november
https://www.nxtbook.com/farran/orthotown/2015october
https://www.nxtbook.com/farran/orthotown/2015september
https://www.nxtbook.com/farran/orthotown/2015august
https://www.nxtbook.com/farran/orthotown/2015june
https://www.nxtbook.com/farran/orthotown/2015may
https://www.nxtbook.com/farran/orthotown/2015april
https://www.nxtbook.com/farran/orthotown/2015march
https://www.nxtbook.com/farran/orthotown/2015february
https://www.nxtbook.com/farran/orthotown/2014december
https://www.nxtbook.com/farran/orthotown/2014november
https://www.nxtbook.com/farran/orthotown/2014october
https://www.nxtbook.com/farran/orthotown/2014september
https://www.nxtbook.com/farran/orthotown/2014august
https://www.nxtbook.com/farran/orthotown/2014june
https://www.nxtbook.com/farran/orthotown/2014may
https://www.nxtbook.com/farran/orthotown/2014april
https://www.nxtbook.com/farran/orthotown/march2014
https://www.nxtbook.com/farran/orthotown/2014february
https://www.nxtbook.com/farran/orthotown/2013december
https://www.nxtbook.com/farran/orthotown/2013november
https://www.nxtbook.com/farran/orthotown/2013october
https://www.nxtbook.com/farran/orthotown/2013september
https://www.nxtbook.com/farran/orthotown/2013august
https://www.nxtbook.com/farran/orthotown/2013june
https://www.nxtbook.com/farran/orthotown/2013may
https://www.nxtbook.com/farran/orthotown/2013april
https://www.nxtbook.com/farran/orthotown/2013march
https://www.nxtbook.com/farran/orthotown/2013janfeb
https://www.nxtbook.com/farran/orthotown/2012december
https://www.nxtbook.com/farran/orthotown/2012november
https://www.nxtbook.com/farran/orthotown/2012october
https://www.nxtbookmedia.com