Abstract
Objective: To describe and discuss a case study of upper right canine impaction (unit 13) in which surgical access was performed for later orthodontic traction and restoration of occlusion. Case details: A 19-year-old female patient undergoing orthodontic treatment was referred by the orthodontist due to the presence of a space between dental unit 14 and unit 12. Clinically, the absence of element 13 was noted, and on periapical radiography it was found dental impaction. The tomography showed impaction with gyroversion and trajectory of element 13 located in the palatal region, without root laceration. Permanent canines, fundamental elements to the functional and aesthetic balance of the stomatognathic system, represent the second highest frequency of impaction, which can result in complications such as: migration of adjacent teeth, root resorption, dentigerous cysts, loss of arch length, greater susceptibility to infections and referred pain. After aligning the teeth using a self-ligating orthodontic appliance, surgical access was suggested for traction and disimpaction of the referred unit. Final considerations: The surgery for traction of the impacted units is safe, functional and inexpensive. Having imaging tests, such as computed tomography, is extremely important for correct planning and better prognosis.