Transposición de canino y lateral. Reporte de caso clínico.

Abstract

Dental transposition is a rare condition with several treatment possibilities. Therefore, it is a challenge for a dental practice since most cases require an interdisciplinary approach involving surgical exposure of the affected tooth and the management of complex orthodontic treatment, which commonly leads to complications of the supporting tissues. This clinical case aims to highlight the importance of the diagnosis and the correct professional management planning to include the upper left tooth impacted by a transposition of the upper left lateral incisor. The most important factors to consider are the irreversible damage of the lateral incisor due to the position of its root, in addition to the shape and size that alter the occlusion, which is not directed to preserve its original position in the arch, but by using orthodontic movements to place the impacted canine in the position of the lateral incisor so that it is tractioned and placed in the position of the lateral incisor. After a year and two months of treatment, successful results were achieved with a reduction of the initial trauma and stable and functional occlusion. Once the orthodontic treatment was completed, the esthetic conversion of the of the teeth crowns was planned.