Included canine in the palate, a surgical challenge: Case report




Tooth, impacted; Surgery, oral; Tooth extraction; Platelet-Rich Fibrin; Bone transplantation.


Introduction: The impaction of maxillary canines is a frequent occurrence, especially in the palatal region, even when there is sufficient space for their alignment in the dental arch. It can be caused by general or local factors, and its diagnosis should be made through clinical, radiographic and tomographic examinations. Aim: The aim of this study was to describe a clinical case of an impacted canine that had previously been unsuccessfully attempted to be orthodontically pulled. Clinical case report: A 19-year-old female patient was referred for extraction of an impacted element 13 on the palate, after attempted traction for two years, carried out as a prophylactic measure against resorption of adjacent dental elements. Careful removal was carried out with the aid of blood products for a better post-operative prognosis. Conclusion: Early diagnosis of dental inclusions is important to enable traction and prevent loss of units. However, when the inclusion does not allow the tooth to be used, it is important to remove it in a less invasive way and with the better possible post-operative outcome for the patient.


Afonso, Á. de O., Silva, A. M. S., Araújo, F. R. da C., Costa, E. P., Silva, E. da, Araujo, J. G. de, Galisse, S. S., Dourado, Y. M., Silva, P. R. L., & Müller, I. (2023). Exposição cirúrgica de dentes impactados: uma revisão da literatura. Research, Society and Development, 12(1), e13012139628–e13012139628.

Alberto, P. L. (2020). Surgical Exposure of Impacted Teeth. Oral and Maxillofacial Surgery Clinics of North America, 32(4), 561–570.

Almeida, Rocha, A. T. M. da, Barboza, A. D., Fialho, P. V., & Vieira, T. S. L. S. (2021). Tratamento de dentes inclusos em proximidade a cavidade nasal e seio maxilar: relato de caso. Rev. Odontol. Araçatuba (Impr.), 33–37.

Amaral Valladão, C. A., Freitas Monteiro, M., & Joly, J. C. (2020). Guided bone regeneration in staged vertical and horizontal bone augmentation using platelet-rich fibrin associated with bone grafts: a retrospective clinical study. International Journal of Implant Dentistry, 6(1).

Baidas, L., Alshihah, N., Rwan Alabdulaly, & Mutaieb, S. (2022). Severity and Treatment Difficulty of Impacted Maxillary Canine among Orthodontic Patients in Riyadh, Saudi Arabia. International Journal of Environmental Research and Public Health, 19(17), 10680–10680.

Balasuppramaniem, M. T., Anitha, A., Manovijay, B., & Ravi, S. (2023). Various surgical methods of impacted maxillary canine exposure: A case series. Journal of Indian Society of Periodontology, 27(2), 212–215.

Barbosa, I. M. G., Albuquerque, G. G., & Amorim, J. S. (2020). L-PRF como tratamento de pacientes com osteonecrose: Revista Cathedral, 2(1).

Bedoya, M. M., & Park, J. H. (2009). A Review of the Diagnosis and Management of Impacted Maxillary Canines. The Journal of the American Dental Association, 140(12), 1485–1493.

Cappellette, M., Cappellette Jr. , M., Fernandes, L. C. M., Oliveira, A. P. de, Yamamoto, L. H., Shido, F. T., & Oliveira, W. C. de. (2008). Caninos permanentes retidos por palatino: diagnóstico e terapêutica: uma sugestão técnica de tratamento. Revista Dental Press de Ortodontia E Ortopedia Facial, 13, 60–73.

Cruz, R. M. (2019). Orthodontic traction of impacted canines: Concepts and clinical application. Dental Press Journal of Orthodontics, 24(1), 74–87.

Damsaz, M., Castagnoli, C. Z., Eshghpour, M., Alamdari, D. H., Alamdari, A. H., Noujeim, Z. E. F., & Haidar, Z. S. (2020). Evidence-Based Clinical Efficacy of Leukocyte and Platelet-Rich Fibrin in Maxillary Sinus Floor Lift, Graft and Surgical Augmentation Procedures. Frontiers in Surgery, 7.

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. In Google Books. Artes Medicas.

Grisar, K., Luyten, J., Preda, F., Martin, C., Hoppenreijs, T., Politis, C., & Jacobs, R. (2021). Interventions for impacted maxillary canines: A systematic review of the relationship between initial canine position and treatment outcome. Orthodontics & Craniofacial Research, 24(2), 180–193.

Grybienė, V., Juozėnaitė, D., & Kubiliūtė, K. (2019). Diagnostic methods and treatment strategies of impacted maxillary canines: A literature review. Stomatologija, 21(1), 3–12.

Lee, J.-W., Kim, S.-G., Kim, J.-Y., Lee, Y.-C., Choi, J.-Y., Dragos, R., & Rotaru, H. (2012). Restoration of a peri-implant defect by platelet-rich fibrin. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 113(4), 459–463.

Liu, Y., Sun, X., Yu, J., Wang, J., Zhai, P., Chen, S., Liu, M., & Zhou, Y. (2019). Platelet-Rich Fibrin as a Bone Graft Material in Oral and Maxillofacial Bone Regeneration: Classification and Summary for Better Application. BioMed Research International, 2019, 1–16.

Manzi, F. R., Ferreira, E. de F., Rosa, T. Z. e S., Valerio, C. S., & Peyneau, P. D. (2011). Uso da Tomografia Computadorizada para Diagnóstico de Caninos Inclusos. Revista Odontológica Do Brasil Central, 20(53).

Melo-Ferraz, A., Coelho, C., Miller, P., Criado, M. B., & Monteiro, M. C. (2021). Platelet activation and antimicrobial activity of L-PRF: a preliminary study. Molecular Biology Reports.

Moreno-Rodríguez, J. A., Guerrero-Gironés, J., Rodríguez-Lozano, F. J., & Pecci-Lloret, M. R. (2021). Immediate Post-Extraction Short Implant Placement with Immediate Loading and without Extraction of an Impacted Maxillary Canine: Two Case Reports. Materials, 14(11), 2757.

Niklas Schwefer, Freitag‐Wolf, S., Meyer, G., & Kern, M. (2022). Investigation of the esthetic perception of different canine parameters. Clinical Oral Investigations, 26(12), 6973–6983.

Pant, B. D., Rajbhandari, A., Pradhan, R., Bajracharya, M., Manandhar, P., Maharjan, S., Pun, D. B., & Sah, B. K. (2021). Impacted Canine in Orthodontic Patients of a Tertiary Care Hospital: A Descriptive Cross-sectional Study. JNMA: Journal of the Nepal Medical Association, 59(244), 1215–1218.




How to Cite

MARTINS, A. F. .; SOARES, L. P. .; LIRA, M. R. de .; SILVA, A. B. .; SILVA, D. de M. .; GUIMARÃES, C. L. A. D. .; BARBOSA, M. L. G. . Included canine in the palate, a surgical challenge: Case report. Research, Society and Development, [S. l.], v. 13, n. 3, p. e4513345275, 2024. DOI: 10.33448/rsd-v13i3.45275. Disponível em: Acesso em: 22 jul. 2024.



Health Sciences