Treatment of Maxillary Canine-Lateral Incisor Transposition Using Fixed Orthodontic Appliances: A Case Report
Keywords:
transposed tooth, crowding, permanent maxillary canine, fixed orthodontic appliancesAbstract
This case report presents the orthodontic correction of a transposed permanent maxillary left canine (tooth 23) in a 12-year-old Thai female. The patient presented with a high labial eruption of tooth 23. Extraoral examination revealed a symmetrical face, normal vertical proportions, and a slightly convex profile with competent lips. Intraoral examination showed a retained primary maxillary left canine (tooth 63), with tooth 23 erupted superior to the gingival zenith of the permanent maxillary left lateral incisor (tooth 22). Additional findings included mild mandibular anterior crowding, a 2 mm left dental midline deviation, Class I molar and right canine relationships, and a Class II left canine relationship. The treatment plan involved the extraction of tooth 63, followed by the correction of the transposed canine and overall malocclusion using comprehensive fixed orthodontic appliances. Post-treatment evaluation demonstrated ideal tooth position, alignment, and periodontal health. Follow-up examinations confirmed a stable, satisfactory occlusion.
References
Shapira Y, Kuftinec MM. Tooth transpositions a review of the literature and treatment considerations. Angle Orthod. 1989;59(4):271-276.
Sahim S, Safi-Eddine Z, El Aouame A, El Quars F. Diagnosis and orthodontic management of transposition: A review. Open Access Library J. 2022;9:e9374.
De Ridder L, Aleksieva A, Willems G, Declerck D, Cadenas de Llano-Pérula M. Prevalence of Orthodontic Malocclusions in Healthy Children and Adolescents: A Systematic Review. Int J Environ Res Public Health. 2022 Jun 17;19(12):7446.
Gerdessus A, Sahagún PM, Sánchez IN, Díaz Renovales I, Templier L, Rossi C. Prevalence of tooth transposition among orthodontic patients in Spain. Acta Stomatol Croat. 2023;57(3):256-264.
Peck L, Peck S. Maxillary canine – first premolar transposition, associated dental anomalies and genetic basis. Angle Orthod. 1993;63(2):99-109.
Amin N, Parker K, Bacon V, Stephens S, Chia M. Dental transpositions: An update for clinicians. Prim Dent J. 2024 Mar;13(1):74-79.
Dayal PK, Shodhan KH, Dave CJ. Transposition of canine with traumatic etiology. J Indian Dental Assoc. 1983 Jul;55(7):283-285.
Adam NI, Jowett A, Hodge T. Orthodontic conundrums Part 1: Transposition- an update on presentation and treatment modalities. Orthod Update. 2020;13(4):186-194.
Hameed O, Kalra A, Minhas G. Mandibular lateral incisor-canine transposition: A case series. J Orthod. 2021;48(4):373-378.
Wang HY, Lai CH. Reposition of complete transposed mandibular lateral incisor and canine: A case report. Taipei Med J. 2025;6:1-7.
Shapira Y, Kuftinec MM. Maxillary canine-lateral incisor transposition: orthodontic management. Am J Orthod Dentofacial Orthop. 1989;95(5):439-444.
Rainey BJ, Burnside G, Harrison JE. Reliability of cervical vertebral maturation staging. Am J Orthod Dentofacial Orthop. 2016 Jul;150(1):98-104.
Proffit WR, Fields HW. Contemporary Orthodontics. 7th ed. St. Louis: Mosby; 2025.
Pedalino A, Matias M, Gaziri D, Vieira B, Alves L, Ursi W. Treatment of maxillary canine transposition. Angle Orthod. 2020 Nov 1;90(6):873-880.
Lorente T, Lorente C, Murray PG, Lorente P. Surgical and orthodontic management of maxillary canine-lateral incisor transpositions. Am J Orthod Dentofacial Orthop. 2016 Nov;150(5):876-885.
Chattopadhyay A, Srinivas K. The Prevalence of Dental Anomalies among 12-18- Year- Old Patients Referred to the Orthodontics Department of Kerman Dental School. Int J Pediatr. 2023;11(6):17306-17313.
Peck S, Peck L. Classification of Maxillary Tooth Transpositions. Am J Orthod Dentofacial Orthop. 1995;107(5):505–517.
Finkelstein T, Shapira Y, Pavlidi AM, Davidovitch M, Blumer S, Schonberger S, et al. Canine Transposition - Prevalence, Distribution and Treatment Considerations among Orthodontic Patients. J Clin Pediatr Dent. 2020 Aug 1;44(4):268-273.
Melsen B. Tissue reaction to orthodontic tooth movement-a new paradigm. Eur J Orthod. 2001;23(6):671-681.
Okeson JP. Management of temporomandibular disorders and occlusion. 5th ed. St. Louis: Mosby; 2003.
Rinchuse DJ, Rinchuse DJ. Modification of the bidimensional system. Orthodontics (Chic). 2011 Spring;12(1):10-21.
Graber TM, editor. Orthodontics: Current Principles and Practice. 7th ed. St. Louis: Mosby; 2022.
Nyakale MD. Orthodontic treatment of bilateral transposition of maxillary canines and lateral incisors: Case report. Case Rep Dent. 2022;2022:1-9.
Pinho T, Amaral R. Transposed maxillary canines: Narrative review with clinical case report. Dent J. 2025;13(6):251-271.
Gebert TJ, Palma VC, Borges AH, Volpato LE. Dental transposition of canine and lateral incisor and impacted central incisor treatment: A case report. Dental Press J Orthod. 2014;19(1):106-112.
Alam AF, Erwansyah E, Pawinru AS. Orthodontic correction of transposition in teeth 22 and 23 using the edgewise technique: A clinical case study. Indonesian J Orthod. 2024;1(1):61-77.
Hsu YL, Chang CH, Roberts WE. Canine-lateral incisor transposition: controlling root resorption with a bone-anchored T-loop retraction. Am J Orthod Dentofacial Orthop. 2016;150(6):1039-1050.
Fiori A, Rotolo RP, Strangio BM, Ferati K, Palermo A, Mancini A, et al. Orthodontic management of maxillary tooth transposition: a case report. Eur J Musculoskeletal Dis. 2022;11(3):103-108.
Fattahi HR, Poursayah L. The Effect of Prestretching on Force Degradation of Synthetic Elastomeric Chains. J Dentistry. 2011;12(1):26-33.
Wu JL, Liu YF, Peng W, Dong HY, Zhang JX. A biomechanical case study on the optimal orthodontic force on the maxillary canine tooth based on finite element analysis. J Zhejiang Univ Sci B. 2018;19(7):535-546.
Chiqueto K, Janson G, de Almeida CT, Storniolo JM, Barros SE, Henriques JF. Influence of root parallelism on the stability of extraction-site closures. Am J Orthod Dentofacial Orthop. 2011 Jun;139(6):e505-e510.
Little RM. Stability and Relapse of Dental Arch Alignment. Br J Orthod. 1990;17(3):235-241.
Shafiee HA, Nahvi G, Aghdashi F, Karami S. Long term radiographic evaluation of a potentially impacted and dilacerated tooth into complete transposition. Dent 3000. 2021;9(1):138-147
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Khonkaen Public Health Provincial Office
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของสำนักงานสาธารณสุขจังหวัดขอนแก่น กระทรวงสาธารณสุข
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับสำนักงานสาธารณสุขจังหวัดขอนแก่น และบุคลากรท่านอื่นๆในสำนักงานฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใดๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
