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Featured Case Study

Bilateral Impacted Canines — Guided Into Place with Braces

Bilateral impacted canines • Severe crowding • 4 extractions • Laser exposure • Fixed braces

What is it?

When there isn’t enough room in the jaw, a canine can get stuck beneath the gum and never erupt on its own — this is called an impacted canine. Here, both upper canines (13 and 23) were impacted, on top of severe crowding in a Class I bimax bite. Four premolars were removed to create the space needed, the impacted canines were carefully uncovered with a laser, and braces gently guided them down into their correct position in the arch.

How we treat it:

  • Full records — X-rays, panoramic imaging & study models to locate the impacted canines
  • Extraction of 4 premolars (14, 24, 34, 44) to create space
  • Fixed braces placed to begin aligning the erupted teeth
  • Laser exposure of both impacted canines (13, 23) to uncover them precisely
  • Bracket bonded to each canine, gently guided into the arch
  • Retainers to maintain the final result
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BEFORE Before — frontal view showing crowding
AFTER After — frontal view, teeth fully aligned

Front View

BEFORE Before — right lateral view, impacted canine marked beneath the gum Impacted canine
AFTER After — right lateral view, canine fully erupted and aligned

Right Side

BEFORE Before — left lateral view, impacted canine marked beneath the gum Impacted canine
AFTER After — left lateral view, canine fully erupted and aligned

Left Side

BEFORE Before — upper arch occlusal view showing crowding
AFTER After — upper arch occlusal view, canines aligned with bonded retainer

Upper Arch (Occlusal View)

BEFORE Before — lower arch occlusal view
AFTER After — lower arch occlusal view, fully aligned with bonded retainer

Lower Arch (Occlusal View)

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