PMC3304190_01
Pre-treatment extraoral photographs
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F1
The extraoral clinical examination showed a straight profile, without any gross asymmetry [Figure 1].
Pre-treatment intraoral photographs
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F2
Palatal bulge was identified in the maxillary left palatal region suggestive of the position of the impacted canine [Figures 2 and 3].
Pre-treatment OPG
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F3
Palatal bulge was identified in the maxillary left palatal region suggestive of the position of the impacted canine [Figures 2 and 3].
Leveling and aligning
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F4
The panoramic radiograph [Figure 4] showed all permanent teeth including developing third molar buds and maxillary left canine. Initially, 14, 34 and 44 were extracted and the molars were banded and all the other remaining teeth were bonded with 0.022 x 0.028 inch pre-adjusted edgewise appliance [Figure 4].
Surgical exposure of canine
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F5
The surgical exposure by creating a window had been carried out by the oral surgeon in this stage and the attachment was bonded [Figure 5].
Extrusion of impacted canine
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F6
At this stage, maxillary left first premolar had also been extracted within 1 month when canine was found to start erupting [Figure 6].
Finishing and detailing
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F7
Subsequently, finishing was done with 0.014 inch NiTi wire for both the upper and lower arches [Figure 7].
Post-treatment extraoral photographs
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F8
Midlines were coincident and in line with the face [Figures 8 and 9].
Post-treatment intraoral photographs
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F9
Midlines were coincident and in line with the face [Figures 8 and 9].
Comparison of pre-treatment and post-treatment OPG views
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F10
Post-treatment panoramic tracing on comparison with the pre-treatment showed that the roots were well angulated and aligned parallel [Figure 10].