Surgical Removal of Transmigrated Mandibular Canine: A Case Report

Abstract

Introduction: Mandibular canine transmigration is a rare occurrence and is an occasional diagnosis. The majority of patients have no symptoms, and these canines are frequently discovered during a radiological examination prior to orthodontic treatment. The exact aetiology is unknown, and treatment of impacted transmigrated canine can be challenging for a practitioner if it is diagnosed at later stages. Early detection of impacted canines and prompt treatment is utmost important to ensure facial harmony and improved function. Aims: To determine the management of rare case of an impacted mandibular canine that had transmigrated to the opposite side. Place of Study: Department of Oral and Maxillofacial Surgery, CSMSS Dental College and Hospital, Chhtrapati Sambhaji Nagar (Aurangabad). Methodology: A patient with transmigrated mandibular canine with crowding in mandibular anterior teeth where orthodontic repositioning of tooth was not possible, was surgically removed by an intraoral approach followed by placement of Platelet Rich Fibrin (PRF) in the defect and that was followed by orthodontic treatment. Results: PRF placed in the defect enhanced the healing process as PRF is rich in growth factors that promotes early healing and bone formation. Conclusion: The rare phenomenon of transmigration of the mandibular canine crossing the mandibular midline should be carefully evaluated and proper treatment modality according to the case should be considered for the management. Early detection and treatment is necessary to preserve adjoining tissues, and dentition, resulting in improved aesthetic and function. Surgical removal of the transmigrated canine under local anaesthesia appears to be the best form of treatment.