340 - Management of an Impacted Canine with Autotransplantation and Clear Aligners

Abstract: This case report describes a pediatric female patient who presented with a deeply horizontally impacted maxillary right canine, in whom autotransplantation was planned and insufficient arch space was obtained using clear aligner therapy. CBCT analysis was used to fabricate a three-dimensional model corresponding to the size and morphology of the maxillary right canine prior to surgery. Based on this model, a recipient socket was prepared under general anesthesia, followed by autotransplantation of the impacted canine. The use of clear aligners, compared with fixed orthodontic appliances, facilitates postoperative oral hygiene care, which is advantageous for healing and maintenance of the gingival and periodontal tissues at the transplant site. In addition, the removability of clear aligners allows protection of the surgical site and controlled, gradual loading, thereby providing biological advantages during the healing phase.

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