I present this case of a young 25 years old patient who needed to recover the impacted upper left canine.
This girl did not want to wear the classic brackets teraphy and was terrified by the possibility of seeing empty space after the extraction of the deciduous canine.
Therefore I chose to treat her with a bracketless fixed lingual orthodontics, with an initial face of two mouths with an active retainer to close space 11-21 and increasing the space for 23.
Subsequently a 16-16 stainless steel sectional was modeled both as an anchor for the disimpaction of 23 and to fix a temporary resin crown after the extraction of the deciduous tooth.
The impacted canine was hooked the same day of the deciduous canine extraction and put into traction.
When 23 moved almost to touch the temporary crown, after quite 6 mouths, I decided to eliminate this crown.
So to achieve an immediate acceptable aesthetic, I performed a gingivectomy and temporarily enlarged the tooth with composite.
From this moment the lingual system consisting of the stainless steel sectional was replaced by an active retainer which, in addition to continuing the extrusion and alignment of the canine, also improved the position of the adjacent teeth.
The composite was progressively reduced until it was completely removed as the canine moved. I recommend the use of specific cutters for the composite removal as well as the light that highlights it (Wood torch) in order to never damage the teeth.
From the beginning of the therapy to the present state, about 12 months have passed, checking the patient every 4 weeks.
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