Surgical extraction of an impacted canine in a horizontal position of the mandible in the mental region. Clinical case

Abstract

Objectives: To present the clinical case of a female patient who underwent conservative and planned surgical extraction of the 33rd tooth included in the mandibular bone, highlighting the surgical technique, the results obtained and the importance of planning in tissue conservation. Materials and methods: This demonstrative research presents a clinical case in which the heterotopic position of the canine included in the dental arch can be identified and the early prevention therapeutic strategies that can be applied within the treatment plan, evaluating the dental pathologies and complications that can be generated by the inclusion of this tooth. In this case, surgical extraction of the 33rd tooth is performed. Results: Surgical treatment with a planned approach allows us to perform a minimally traumatic treatment, restoring dental functionality and helping to prevent dental anomalies caused by the poor position of the tooth included in the mandibular bone between the third and fourth quadrant, at the level of the apical third of the lateral incisor and the collateral canine. Conclusions: The clinical case presented demonstrated that surgical extraction was the most appropriate treatment option for the retained canine, due to its horizontal position, impaction and morphology. The careful evaluation and planning carried out allowed to minimize risks and preserve the tissues, achieving a successful extraction without complications.