Vital Autotransplantation and Orthodontic Treatment of Ectopic Maxillary Canines.

The purpose of this article was to present the case of a 13-year-old patient with impacted, ectopic, permanent maxillary canines that were repositioned into their natural positions via autotransplantation without endodontic treatment and aligned into ideal occlusion via orthodontic treatment. The autotransplanted canines demonstrated normal masticatory function, physiologic mobility, and long-term tooth vitality. Clinical considerations, clinical procedures, and the rationale behind this alternative approach in managing this common growth and developmental dental anomaly are also discussed.

Conservative Management of Fused and Geminated Permanent Anterior Teeth.

The purpose of this case report is to present an eight-year-old patient with a permanent right central incisor that was fused with a supernumerary tooth as well as a geminated permanent left central incisor, and to describe the surgical-orthodontic-restorative management of the resultant malocclusion in the developing dentition. The fused teeth were split, mesiodistal widths of both central incisors were reduced, and the incisors were orthodontically aligned into an ideal occlusion. Both maxillary central incisors maintained vitality and normal masticatory function. We also discuss the physiological basis of the treatment plan, the clinical considerations, and how problems associated with double teeth can be managed conservatively with minimally invasive treatments for an esthetically pleasing result. (J Dent Child 2019;86(3):164-8).