International Journal of Research and Reports in Dentistry

Surgical Removal of Transmigrated Mandibular Canine: A Case Report

Uma Mahindra

Department of Oral and Maxillofacial Surgery, CSMSS Dental College, Chhatrapati Sambhaji Nagar (Aurangabad), India.

Zehra Nahri *

Department of Oral and Maxillofacial Surgery, CSMSS Dental College, Chhatrapati Sambhaji Nagar (Aurangabad), India.

*Author to whom correspondence should be addressed.

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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.

Keywords: Transmigration, mandibular canine, surgical extraction, Platelet Rich Fibrin (PRF)

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References

Camilleri S, Scerri E. Transmigration of mandibular canines—a review of the literature and a report of five cases. The Angle Orthodontist. 2003;73(6):753-62.

Joshi MR. Transmigrant mandibular canines: a record of 28 cases and a retrospective review of the literature. The Angle Orthodontist. 2001;71(1):12-22.

Mihir Dani, Mohan Baliga, Ananya Mishra Transmigrated mandibular canine and its surgical management, Guident; 2021.

Aydin U, Yilmaz HH, Yildirim D. Incidence of canine impaction and transmigration in a patient population. Dentomaxillofacial Radiology. 2004;33(3):164-9

Miranti R, Levbarg M. Extraction of a horizontally transmigrated impacted mandibular canine: report of case. The Journal of the American Dental Association. 1974 ;88(3):607-10.

Bhullar MK, Aggarwal I, Verma R, Uppal AS. Mandibular canine transmigration: Report of three cases and literature review. Journal of International Society of Preventive & Community Dentistry. 2017;7(1):8

Laffranchi L, Dalessandri D, Fontana P, Visconti L, Sapelli P. Cone beam computed tomography role in diagnosis and treatment of impacted canine patient’s: A case report. Minerva Stomatologica. 2010;59(6):363-76

Mupparapu M, Auluck A, Suhas S, Pai KM, Nagpal A. Patterns of intraosseous transmigration and ectopic eruption of bilaterally transmigrating mandibular canines: radiographic study and proposed classification. Quintessence International. 2007;38(10).

Rebellato J, Schabel B. Treatment of a patient with an impacted transmigrant mandibular canine and a palatally impacted maxillary canine. The Angle Orthodontist. 2003;73(3):328-36

Díaz-Sánchez RM, Castillo-de-Oyagüe R, Serrera-Figallo MÁ, Hita-Iglesias P, Gutiérrez-Pérez JL, Torres-Lagares D. Transmigration of mandibular cuspids: review of published reports and description of nine new cases. British Journal of Oral and Maxillofacial Surgery. 2016;54(3):241-7.

González-Sánchez MA, Berini-Aytés L, Gay-Escoda C. Transmigrant impacted mandibular canines: a retrospective study of 15 cases. The Journal of the American Dental Association. 2007;138(11):1450-5

Wagre RB, Mahindra U, Motwani D, Salve R. Kissing mandibular canines: An uncommon case of bilaterally transmigrated impacted mandibular canines being treated surgically: A case report. Int J Med Dent Case Rep. 2021;12:1-4

Joshi, Harshil, Jatti Deepa, Taluja Rameshwar, Taluja Swetha, Kaur Manjot, Mann Shireen; 2021.

Anshul, & ., Suman & Sood, Bhargavi & Nagpal, Archana & Grover, Seema & Dogra, Namrata. Kissing transmigrated mandibular canines sharing a Dentigerous cyst; 2022.

Martínez-Rodríguez César, Martínez-Rodríguez Natalia, Alamán Jose, Ruiz Pedro, Santos-Marino Juan, Martínez-González José, Barona Cristina; 2022.

Bayramoglu Zeynep, Miloglu Ozkan, Ilbaş Fatmanur; 2023.