Diagnosis, sequencing, and management of bilateral horizontally positioned, palatally impacted maxillary canines with closed surgical exposure and immediate continuous light orthodontic traction

The diagnosis, sequencing, and management of bilateral horizontally positioned, palatally impacted maxillary canines with closed surgical exposure are presented. An adult female patient presented with bilateral horizontal impactions of the canines, which were situated below the floor of the nose. The sequence and timing of the movements from the initial diagnosis of horizontal canine position are documented, along with the corresponding durations of the horizontal, vertical, and labial movements. Photographic and radiographic timeline documentation is presented, and the stages of movements are displayed, with the corresponding mechanics taking place to produce an ideal occlusion. The patient was treated to an ideal Class I occlusion with ideal facial results, without premolar extractions.