{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T17:02:30Z","timestamp":1780074150440,"version":"3.54.0"},"reference-count":40,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Concurrent impaction and transposition of maxillary anterior teeth is uncommon and poses a challenge for dentists. Early diagnosis and management of eruption disturbances benefits esthetic and functional outcomes. This article describes the treatment of a teenager who had impactions of the left maxillary central incisor and canine as well as ipsilateral canine-lateral incisor transposition. Treatment alternatives and effective orthodontic techniques are delineated. To optimize the treatment results, the impacted maxillary canine was surgically exposed and orthodontically distalized with an innovative cantilever. Subsequently, the deeply impacted maxillary central incisor was uncovered and orthodontically mesialized into the arch. Finally, the displaced maxillary lateral incisor was brought into its normal position. The combined surgical-orthodontic approach resolved a difficult clinical issue and avoided additional restorations. An esthetic, functional outcome was achieved and satisfied the patient.<\/jats:p>","DOI":"10.2319\/010213-5.1","type":"journal-article","created":{"date-parts":[[2013,4,5]],"date-time":"2013-04-05T13:01:47Z","timestamp":1365166907000},"page":"920-926","source":"Crossref","is-referenced-by-count":7,"title":["Unilaterally impacted maxillary central incisor and canine with ipsilateral transposed canine-lateral incisor"],"prefix":"10.2319","volume":"83","author":[{"given":"Po-Sung","family":"Fu","sequence":"first","affiliation":[{"name":"Visiting staff, Department of Family Dentistry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jen-Chyan","family":"Wang","sequence":"additional","affiliation":[{"name":"Associate Professor, School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Min","family":"Wu","sequence":"additional","affiliation":[{"name":"Associate Professor, School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ta-Ko","family":"Huang","sequence":"additional","affiliation":[{"name":"Assistant Professor, School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Cheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Fiber and Composite Materials, Feng Chia University, Taichung, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Chuan","family":"Tseng","sequence":"additional","affiliation":[{"name":"Assistant Professor, School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chin-Huang","family":"Tseng","sequence":"additional","affiliation":[{"name":"Private practice, Kaohsiung, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Cheng","family":"Hung","sequence":"additional","affiliation":[{"name":"Professor, School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-83-5-920-b01","series-title":"Dent Clin North Am","first-page":"181","article-title":"Surgical and orthodontic management of impacted teeth","volume":"37","author":"Kokich\n              VG,","year":"1993","unstructured":"Kokich\n              VG, \n            \n              Mathews\n              DP. \n          \n          Surgical and orthodontic management of impacted teeth. Dent Clin North Am. 1993;37:181\u2013204."},{"key":"i0003-3219-83-5-920-b02","series-title":"Am J Orthod Dentofacial Orthop","first-page":"418","article-title":"Three-dimensional localization of maxillary canines with cone-beam computed tomography","volume":"128","author":"Walker\n              L,","year":"2005","unstructured":"Walker\n              L, \n            \n              Enciso\n              R, \n            \n              Mah\n              J. \n          \n          Three-dimensional localization of maxillary canines with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2005;128:418\u2013423."},{"key":"i0003-3219-83-5-920-b03","series-title":"Oral Surg Oral Med Oral Pathol","first-page":"420","article-title":"The incidence of unerupted permanent teeth and related clinical cases","volume":"59","author":"Grover\n              PS,","year":"1985","unstructured":"Grover\n              PS, \n            \n              Lorton\n              L. \n          \n          The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pathol. 1985;59:420\u2013425."},{"key":"i0003-3219-83-5-920-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"159","article-title":"Impacted maxillary canines: a review","volume":"101","author":"Bishara\n              SE.","year":"1992","unstructured":"Bishara\n              SE. \n          \n          Impacted maxillary canines: a review. Am J Orthod Dentofacial Orthop. 1992;101:159\u2013171."},{"key":"i0003-3219-83-5-920-b05","series-title":"Am J Orthod Dentofacial Orthop","first-page":"390","article-title":"Impacted maxillary central incisor, canine, and second molar with 2 supernumerary teeth and an odontoma","volume":"135","author":"Nagaraj\n              K,","year":"2009","unstructured":"Nagaraj\n              K, \n            \n              Upadhyay\n              M, \n            \n              Yadav\n              S. \n          \n          Impacted maxillary central incisor, canine, and second molar with 2 supernumerary teeth and an odontoma. Am J Orthod Dentofacial Orthop. 2009;135:390\u2013399."},{"key":"i0003-3219-83-5-920-b06","series-title":"Am J Orthod Dentofacial Orthop","first-page":"374","article-title":"Impaction of both maxillary central incisors and a canine","volume":"142","author":"Pinho\n              T.","year":"2012","unstructured":"Pinho\n              T. \n          \n          Impaction of both maxillary central incisors and a canine. Am J Orthod Dentofacial Orthop. 2012;142:374\u2013383."},{"key":"i0003-3219-83-5-920-b07","series-title":"Am J Orthod Dentofacial Orthop","first-page":"666","article-title":"Titanium screw anchorage for traction of many impacted teeth in a patient with cleidocranial dysplasia","volume":"131","author":"Kuroda\n              S,","year":"2007","unstructured":"Kuroda\n              S, \n            \n              Yanagita\n              T, \n            \n              Kyung\n              HM, \n            \n              Takano-Yamamoto\n              T. \n          \n          Titanium screw anchorage for traction of many impacted teeth in a patient with cleidocranial dysplasia. Am J Orthod Dentofacial Orthop. 2007;131:666\u2013669."},{"key":"i0003-3219-83-5-920-b08","series-title":"Am J Orthod Dentofacial Orthop","first-page":"160.e1","article-title":"Primary failure of eruption and PTH1R: the importance of a genetic diagnosis for orthodontic treatment planning","volume":"137","author":"Frazier-Bowers\n              SA,","year":"2010","unstructured":"Frazier-Bowers\n              SA, \n            \n              Simmons\n              D, \n            \n              Wright\n              JT, \n            \n              Proffit\n              WR, \n            \n              Ackerman\n              JL. \n          \n          Primary failure of eruption and PTH1R: the importance of a genetic diagnosis for orthodontic treatment planning. Am J Orthod Dentofacial Orthop. 2010;137:160.e1\u2013e7."},{"key":"i0003-3219-83-5-920-b09","series-title":"Angle Orthod","first-page":"271","article-title":"Tooth transpositions\u2014a review of the literature and treatment considerations","volume":"59","author":"Shapira\n              Y,","year":"1989","unstructured":"Shapira\n              Y, \n            \n              Kuftinec\n              MM. \n          \n          Tooth transpositions\u2014a review of the literature and treatment considerations. Angle Orthod. 1989;59:271\u2013276."},{"key":"i0003-3219-83-5-920-b10","series-title":"Am J Orthod Dentofacial Orthop","first-page":"505","article-title":"Classification of maxillary tooth transpositions","volume":"107","author":"Peck\n              S,","year":"1995","unstructured":"Peck\n              S, \n            \n              Peck\n              L. \n          \n          Classification of maxillary tooth transpositions. Am J Orthod Dentofacial Orthop. 1995;107:505\u2013517."},{"key":"i0003-3219-83-5-920-b11","series-title":"Angle Orthod","first-page":"147","article-title":"Transposition of teeth and genetic etiology","volume":"66","author":"Chattopadhyay\n              A,","year":"1996","unstructured":"Chattopadhyay\n              A, \n            \n              Srinivas\n              K. \n          \n          Transposition of teeth and genetic etiology. Angle Orthod. 1996;66:147\u2013152."},{"key":"i0003-3219-83-5-920-b12","series-title":"Angle Orthod","first-page":"275","article-title":"Prevalence of tooth transposition. A meta-analysis","volume":"80","author":"Papadopoulos\n              MA,","year":"2010","unstructured":"Papadopoulos\n              MA, \n            \n              Chatzoudi\n              M, \n            \n              Kaklamanos\n              EG. \n          \n          Prevalence of tooth transposition. A meta-analysis. Angle Orthod. 2010;80:275\u2013285."},{"key":"i0003-3219-83-5-920-b13","series-title":"Angle Orthod","first-page":"339","article-title":"Orthodontic correction of a transposed maxillary canine and lateral incisor","volume":"70","author":"Maia\n              FA.","year":"2000","unstructured":"Maia\n              FA. \n          \n          Orthodontic correction of a transposed maxillary canine and lateral incisor. Angle Orthod. 2000;70:339\u2013348."},{"key":"i0003-3219-83-5-920-b14","series-title":"Am J Orthod Dentofacial Orthop","first-page":"127","article-title":"Maxillary tooth transpositions: characteristic features and accompanying dental anomalies","volume":"119","author":"Shapira\n              Y,","year":"2001","unstructured":"Shapira\n              Y, \n            \n              Kuftinec\n              MM. \n          \n          Maxillary tooth transpositions: characteristic features and accompanying dental anomalies. Am J Orthod Dentofacial Orthop. 2001;119:127\u2013134."},{"key":"i0003-3219-83-5-920-b15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"834","article-title":"Transposition of a maxillary canine and a lateral incisor and use of cone-beam computed tomography for treatment planning","volume":"139","author":"Pair\n              J.","year":"2011","unstructured":"Pair\n              J. \n          \n          Transposition of a maxillary canine and a lateral incisor and use of cone-beam computed tomography for treatment planning. Am J Orthod Dentofacial Orthop. 2011;139:834\u2013844."},{"key":"i0003-3219-83-5-920-b16","series-title":"Am J Orthod Dentofacial Orthop","first-page":"657","article-title":"Concomitant occurrence of canine malposition and tooth agenesis: evidence of orofacial genetic fields","volume":"122","author":"Peck\n              S,","year":"2002","unstructured":"Peck\n              S, \n            \n              Peck\n              L, \n            \n              Kataja\n              M. \n          \n          Concomitant occurrence of canine malposition and tooth agenesis: evidence of orofacial genetic fields. Am J Orthod Dentofacial Orthop. 2002;122:657\u2013660."},{"key":"i0003-3219-83-5-920-b17","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol","first-page":"260","article-title":"Three-dimensional assessment of impacted canines and root resorption using cone beam computed tomography","volume":"113","author":"Oberoi\n              S,","year":"2012","unstructured":"Oberoi\n              S, \n            \n              Knueppel\n              S. \n          \n          Three-dimensional assessment of impacted canines and root resorption using cone beam computed tomography. 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Am J Orthod Dentofacial Orthop. 2012;142:750\u2013757."},{"key":"i0003-3219-83-5-920-b19","series-title":"Int J Oral Maxillofac Implants","first-page":"867","article-title":"Facial development, continuous tooth eruption, and mesial drift as compromising factors for implant placement","volume":"21","author":"Heij\n              DG,","year":"2006","unstructured":"Heij\n              DG, \n            \n              Opdebeeck\n              H, \n            \n              van Steenberghe\n              D, \n            \n              Kokich\n              VG, \n            \n              Belser\n              U, \n            \n              Quirynen\n              M. \n          \n          Facial development, continuous tooth eruption, and mesial drift as compromising factors for implant placement. Int J Oral Maxillofac Implants. 2006;21:867\u2013878."},{"key":"i0003-3219-83-5-920-b20","series-title":"Am J Orthod Dentofacial Orthop","first-page":"59","article-title":"Determining the cessation of vertical growth of the craniofacial structures to facilitate placement of single-tooth implants","volume":"131","author":"Fudalej\n              P,","year":"2007","unstructured":"Fudalej\n              P, \n            \n              Kokich\n              VG, \n            \n              Leroux\n              B. \n          \n          Determining the cessation of vertical growth of the craniofacial structures to facilitate placement of single-tooth implants. Am J Orthod Dentofacial Orthop. 2007;131:59\u201367."},{"key":"i0003-3219-83-5-920-b01","series-title":"Dent Clin North Am","first-page":"181","article-title":"Surgical and orthodontic management of impacted teeth","volume":"37","author":"Kokich\n              VG,","year":"1993","unstructured":"Kokich\n              VG, \n            \n              Mathews\n              DP. \n          \n          Surgical and orthodontic management of impacted teeth. 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Am J Orthod Dentofacial Orthop. 2009;135:390\u2013399."},{"key":"i0003-3219-83-5-920-b06","series-title":"Am J Orthod Dentofacial Orthop","first-page":"374","article-title":"Impaction of both maxillary central incisors and a canine","volume":"142","author":"Pinho\n              T.","year":"2012","unstructured":"Pinho\n              T. \n          \n          Impaction of both maxillary central incisors and a canine. 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Am J Orthod Dentofacial Orthop. 2010;137:160.e1\u2013e7."},{"key":"i0003-3219-83-5-920-b09","series-title":"Angle Orthod","first-page":"271","article-title":"Tooth transpositions\u2014a review of the literature and treatment considerations","volume":"59","author":"Shapira\n              Y,","year":"1989","unstructured":"Shapira\n              Y, \n            \n              Kuftinec\n              MM. \n          \n          Tooth transpositions\u2014a review of the literature and treatment considerations. Angle Orthod. 1989;59:271\u2013276."},{"key":"i0003-3219-83-5-920-b10","series-title":"Am J Orthod Dentofacial Orthop","first-page":"505","article-title":"Classification of maxillary tooth transpositions","volume":"107","author":"Peck\n              S,","year":"1995","unstructured":"Peck\n              S, \n            \n              Peck\n              L. \n          \n          Classification of maxillary tooth transpositions. 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Am J Orthod Dentofacial Orthop. 2001;119:127\u2013134."},{"key":"i0003-3219-83-5-920-b15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"834","article-title":"Transposition of a maxillary canine and a lateral incisor and use of cone-beam computed tomography for treatment planning","volume":"139","author":"Pair\n              J.","year":"2011","unstructured":"Pair\n              J. \n          \n          Transposition of a maxillary canine and a lateral incisor and use of cone-beam computed tomography for treatment planning. Am J Orthod Dentofacial Orthop. 2011;139:834\u2013844."},{"key":"i0003-3219-83-5-920-b16","series-title":"Am J Orthod Dentofacial Orthop","first-page":"657","article-title":"Concomitant occurrence of canine malposition and tooth agenesis: evidence of orofacial genetic fields","volume":"122","author":"Peck\n              S,","year":"2002","unstructured":"Peck\n              S, \n            \n              Peck\n              L, \n            \n              Kataja\n              M. \n          \n          Concomitant occurrence of canine malposition and tooth agenesis: evidence of orofacial genetic fields. Am J Orthod Dentofacial Orthop. 2002;122:657\u2013660."},{"key":"i0003-3219-83-5-920-b17","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol","first-page":"260","article-title":"Three-dimensional assessment of impacted canines and root resorption using cone beam computed tomography","volume":"113","author":"Oberoi\n              S,","year":"2012","unstructured":"Oberoi\n              S, \n            \n              Knueppel\n              S. \n          \n          Three-dimensional assessment of impacted canines and root resorption using cone beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012;113:260\u2013267."},{"key":"i0003-3219-83-5-920-b18","series-title":"Am J Orthod Dentofacial Orthop","first-page":"750","article-title":"Maxillary canine impaction increases root resorption risk of adjacent teeth","volume":"142","author":"Yan\n              B,","year":"2012","unstructured":"Yan\n              B, \n            \n              Sun\n              Z, \n            \n              Fields\n              H, \n            \n              Wang\n              L. \n          \n          Maxillary canine impaction increases root resorption risk of adjacent teeth. Am J Orthod Dentofacial Orthop. 2012;142:750\u2013757."},{"key":"i0003-3219-83-5-920-b19","series-title":"Int J Oral Maxillofac Implants","first-page":"867","article-title":"Facial development, continuous tooth eruption, and mesial drift as compromising factors for implant placement","volume":"21","author":"Heij\n              DG,","year":"2006","unstructured":"Heij\n              DG, \n            \n              Opdebeeck\n              H, \n            \n              van Steenberghe\n              D, \n            \n              Kokich\n              VG, \n            \n              Belser\n              U, \n            \n              Quirynen\n              M. \n          \n          Facial development, continuous tooth eruption, and mesial drift as compromising factors for implant placement. 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