Kissing Canines: Maxillary Impacted and Migrated Canines
Nishigandha Pawar *
Department of Oral & Maxillofacial Surgery, C.S.M.S.S Dental College and Hospital, Chhatrapati Sambhajinagar, India.
Uma Mahindra
Department of Oral & Maxillofacial Surgery, C.S.M.S.S Dental College and Hospital, Chhatrapati Sambhajinagar, India.
Deepak Motwani
Department of Oral & Maxillofacial Surgery, C.S.M.S.S Dental College and Hospital, Chhatrapati Sambhajinagar, India.
Yashashree
Department of Oral & Maxillofacial Surgery, C.S.M.S.S Dental College and Hospital, Chhatrapati Sambhajinagar, India.
Kshma Sarthak
Department of Oral & Maxillofacial Surgery, C.S.M.S.S Dental College and Hospital, Chhatrapati Sambhajinagar, India.
Simran Mahindra
Department of Oral & Maxillofacial Surgery, C.S.M.S.S Dental College and Hospital, Chhatrapati Sambhajinagar, India.
*Author to whom correspondence should be addressed.
Abstract
Aims: This case aims to present a rare clinical situation involving bilateral transmigration of maxillary canines, termed "kissing canines," and its successful surgical management.
Study Design: Case Report.
Place and Duration of Study: Department of Oral & Maxillofacial Surgery, C.S.M.S.S Dental College and Hospital, Chhatrapati Sambhajinagar, India, over a period of 6 months.
Methodology: A 18 -year-old female presented with a complaint of anterior malalignment. OPG and CBCT revealed horizontally impacted maxillary canines converging at the midline. Prophylactic RCT of anterior teeth was performed, followed by surgical removal of impacted canines under local anesthesia with PRF placement in sockets.
Results: Postoperative recovery was uneventful with excellent healing observed in follow-ups at 1 week, 1 month, 3 months, and 6 months. CBCT aided precise localization and planning. PRF enhanced healing outcomes.
Conclusion: Bilateral "kissing canines" are extremely rare. Accurate diagnosis using CBCT and a multidisciplinary surgical-orthodontic approach ensure optimal esthetic and functional outcomes.
Keywords: Canine impaction, transmigration, maxillary canine, kissing canines, orthodontics, CBCT, PRF therapy