Abstract
Objective: To describe a conservative approach to treatment of impacted permanent maxillary canine, through orthodontic traction. Case report: Patient BJFA, 16 years old, female, treated at ABO Orthodontics clinic in Montes Claros-MG, complained of crooked teeth. Clinical examination revealed maxillary atresia, midline deviation in the upper dental arch, anteroinferior dental crowding, conoidal right upper lateral incisor, prolonged retention of right upper deciduous canine, whose permanent successor was not palpable. Imaging exams, especially computed tomography, confirmed the presence of impacted right upper permanent canine, located in the palate. The treatment was performed through a fixed orthodontic appliance, applying the superior arch transverse expansion therapy with Ricketts' Quad-Helix and orthodontic traction by attachment bonding technique associated with cantilever. Final considerations: The techniques used allowed a conservative and less expensive approach, showing positive functional and aesthetic results.