Multiple compound odontoma with maxillary canine impaction: combined orthodontic and surgical management


Department of Child Oral Health, College of Medicine,
University of Ibadan, Ibadan, Nigeria
A case of bilaterally impacted maxillary permanent canines with associated left maxillary compound odontoma
with cortical bone swelling obstructing the path of eruption of the left permanent maxillary canine and retention
of primary canine on the right maxillary anterior segment. Management was by extraction of the right maxillary
primary canine, surgical excision of the compound odontoma on the left maxillary anterior segment and surgical
exposure of both maxillary permanent canines with subsequent orthodontic traction in order to move the impacted
canines to their normal anatomic positions.
Keywords: Odontoma, impacted maxillary canine, orthodontic traction
Un cas de canines permanentes maxillaires impactées bilatéralement avec odontome composé maxillaire gauche
associé avec gonflement de l’os cortical obstruant le chemin d’éruption de la canine maxillaire permanente
gauche et rétention de la canine primaire sur le segment antérieur maxillaire droit. La prise en charge était par
extraction de la canine primaire maxillaire droite, excision chirurgicale de l’odontome composé sur le segment
antérieur maxillaire gauche et exposition chirurgicale des deux canines permanentes maxillaires avec traction
orthodontique ultérieure afin de déplacer les canines incluses dans leurs positions anatomiques normales.
Mots clés: Odontome, canine maxillaire incluse, traction orthodontique
Correspondence: Dr. O.T. Temisanren, Department of Child Oral Health, College of Medicine, University of Ibadan,
Ibadan, Nigeria.



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