Orthodontic Management of a Rare Incidence Bilateral Maxillary Canine-First Premolar Transposition Using Fixed Appliance

Objective. A change in the location of two permanent teeth within the same quadrant of the dental arch is known as tooth transposition. This article illustrates the nonextraction treatment of a bilaterally complete transposition between maxillary canines and first premolars, using fixed mechanics. M...

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Main Authors: Samer Mereani, Amjad Alotaibi, Ahmed Bokhari
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2022/9973333
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author Samer Mereani
Amjad Alotaibi
Ahmed Bokhari
author_facet Samer Mereani
Amjad Alotaibi
Ahmed Bokhari
author_sort Samer Mereani
collection DOAJ
description Objective. A change in the location of two permanent teeth within the same quadrant of the dental arch is known as tooth transposition. This article illustrates the nonextraction treatment of a bilaterally complete transposition between maxillary canines and first premolars, using fixed mechanics. Material and Method. Upper and lower preadjusted, edgewise, fixed appliances with MBT prescription (0.022″×0.028″ slot size brackets) were used for the treatment. After providing room for the canine teeth, the piggyback technique was used to bring the right canine to the arch in the position of the first premolar. In the final phase of treatment, both the upper and lower arches had 0.019×0.025 stainless steel wire with Class II elastic 4 oz on the right and left sides. Result. It showed that the maxillary first premolars and canines were favorably aligned into transposed position. The upper right and left premolars occluded with the lower canines in Class I relationship and good intercuspation as well as skeletal and molar Class I relationships were maintained with a pleasant facial profile. Conclusion. The early diagnosis plays a significant role as much as considering esthetics and function factors in deciding which treatment strategy should be followed. The key to a successful and stable result is substantial treatment planning and careful orthodontic management.
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spelling doaj-art-a2db4574624f4aaf9eb98d2c4c2c4f982025-08-20T03:38:19ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/9973333Orthodontic Management of a Rare Incidence Bilateral Maxillary Canine-First Premolar Transposition Using Fixed ApplianceSamer Mereani0Amjad Alotaibi1Ahmed Bokhari2King Faisal HospitalMinistry of HealthKing Fahad HospitalObjective. A change in the location of two permanent teeth within the same quadrant of the dental arch is known as tooth transposition. This article illustrates the nonextraction treatment of a bilaterally complete transposition between maxillary canines and first premolars, using fixed mechanics. Material and Method. Upper and lower preadjusted, edgewise, fixed appliances with MBT prescription (0.022″×0.028″ slot size brackets) were used for the treatment. After providing room for the canine teeth, the piggyback technique was used to bring the right canine to the arch in the position of the first premolar. In the final phase of treatment, both the upper and lower arches had 0.019×0.025 stainless steel wire with Class II elastic 4 oz on the right and left sides. Result. It showed that the maxillary first premolars and canines were favorably aligned into transposed position. The upper right and left premolars occluded with the lower canines in Class I relationship and good intercuspation as well as skeletal and molar Class I relationships were maintained with a pleasant facial profile. Conclusion. The early diagnosis plays a significant role as much as considering esthetics and function factors in deciding which treatment strategy should be followed. The key to a successful and stable result is substantial treatment planning and careful orthodontic management.http://dx.doi.org/10.1155/2022/9973333
spellingShingle Samer Mereani
Amjad Alotaibi
Ahmed Bokhari
Orthodontic Management of a Rare Incidence Bilateral Maxillary Canine-First Premolar Transposition Using Fixed Appliance
Case Reports in Dentistry
title Orthodontic Management of a Rare Incidence Bilateral Maxillary Canine-First Premolar Transposition Using Fixed Appliance
title_full Orthodontic Management of a Rare Incidence Bilateral Maxillary Canine-First Premolar Transposition Using Fixed Appliance
title_fullStr Orthodontic Management of a Rare Incidence Bilateral Maxillary Canine-First Premolar Transposition Using Fixed Appliance
title_full_unstemmed Orthodontic Management of a Rare Incidence Bilateral Maxillary Canine-First Premolar Transposition Using Fixed Appliance
title_short Orthodontic Management of a Rare Incidence Bilateral Maxillary Canine-First Premolar Transposition Using Fixed Appliance
title_sort orthodontic management of a rare incidence bilateral maxillary canine first premolar transposition using fixed appliance
url http://dx.doi.org/10.1155/2022/9973333
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AT ahmedbokhari orthodonticmanagementofarareincidencebilateralmaxillarycaninefirstpremolartranspositionusingfixedappliance