Removal of an impacted canine is
one approach that is rarely used but
might need to be considered if the
impacted canine is ankylosed, has
internal or external root resorption,
severe dilaceration, or the position is
undesirable and it is impossible to
bring it to the occlusion.2,5 Wriedt et
al30 suggested that if the inclination of
impacted canines in panoramic radiographs
is more than 45°, they will
more likely require surgical removal.
If this is the final decision, the orthodontist
must consider alternative
treatments to substitute for the missing
canine. The options can be premolar
substitution, autotransplantation,
or prosthetic substitution by working
together with other specialties. The
patient should be informed of all these
treatment outcome possibilities be -
fore beginning the treatment