{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:06:34Z","timestamp":1780067194078,"version":"3.54.0"},"reference-count":66,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,1]]},"abstract":"ABSTRACT<\/jats:title>\n Orthodontic technology has advanced to the point where management of cases with multiple dental anomalies should be within an orthodontist's daily armamentarium. A patient with bilateral agenesis of lower second premolars, delayed development, and transmigration of a mandibular canine was treated with the aid of hemisection, indirect\/closed exposure, application of continuous force, targeted delivery, and strict attention to keeping the roots as much in bone as possible. This was accomplished without implants or flattening the facial profile, yet with excellent periodontal status and a fully functioning occlusion.<\/jats:p>","DOI":"10.2319\/021018-115.1","type":"journal-article","created":{"date-parts":[[2018,8,6]],"date-time":"2018-08-06T09:52:16Z","timestamp":1533549136000},"page":"149-162","source":"Crossref","is-referenced-by-count":4,"title":["Orthodontic management of a dental anomaly pattern (DAP) including mandibular canine transmigration: A case report: A challenging treatment but worth it!"],"prefix":"10.2319","volume":"89","author":[{"given":"William","family":"Northway","sequence":"first","affiliation":[{"name":"Private Practice, Traverse City, MI, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-89-1-149-b01","series-title":"Angle Orthod","first-page":"99","article-title":"Maxillary canine-first premolar transposition, associated dental anomalies and genetic basis","volume":"63","author":"Peck \n L,","year":"1993","unstructured":"Peck \n L, \n \n \n Peck \n S, \n \n \n Attia \n Y. \n \n \n Maxillary canine-first premolar transposition, associated dental anomalies and genetic basis. Angle Orthod. 1993;63:99\u2013109."},{"key":"i0003-3219-89-1-149-b02","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 \n Srinivas \n K. \n \n \n Transposition of teeth and genetic etiology. Angle Orthod, 1996;66:147\u2013152."},{"key":"i0003-3219-89-1-149-b03","series-title":"Angle Orthod","first-page":"11","article-title":"Extreme distal migration of the mandibular second bicuspid","volume":"52","author":"Matteson \n SR,","year":"1982","unstructured":"Matteson \n SR, \n \n \n Kantor \n ML, \n \n \n Proffit \n WR. \n \n \n Extreme distal migration of the mandibular second bicuspid. Angle Orthod. 1982;52:11\u201318."},{"key":"i0003-3219-89-1-149-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"515","article-title":"On the phenomenon of intraosseous migration of nonerupting teeth","volume":"113","author":"Peck \n S.","year":"1998","unstructured":"Peck \n S. \n \n \n On the phenomenon of intraosseous migration of nonerupting teeth. Am J Orthod Dentofacial Orthop. 1998;113:515\u2013517."},{"key":"i0003-3219-89-1-149-b05","series-title":"Am J Orthod Dentofacial Orthop","first-page":"360","article-title":"Unusual intraosseous transmigration of a palatally impacted canine","volume":"127","author":"Shapira \n Y,","year":"2005","unstructured":"Shapira \n Y, \n \n \n Kuftinec \n MM. \n \n \n Unusual intraosseous transmigration of a palatally impacted canine. Am J Orthod Dentofacial Orthop. 2005;127:360\u2013363."},{"key":"i0003-3219-89-1-149-b06","series-title":"Int J Oorthod Ora; Surg","first-page":"1003","article-title":"Displaced and impacted canines","volume":"15","author":"Rohrer \n A.","year":"1929","unstructured":"Rohrer \n A. \n \n \n Displaced and impacted canines. Int J Oorthod Ora; Surg. 1929;15:1003\u20131020."},{"key":"i0003-3219-89-1-149-b07","series-title":"J Nihon Univ Sch Dent","first-page":"66","article-title":"Transmigration process of the impacted mandibular cuspid","volume":"6","author":"Ando \n S,","year":"1964","unstructured":"Ando \n S, \n \n \n Aizawa \n K, \n \n \n Nakashima \n T, \n \n \n Sanka \n Y, \n \n \n Shimbo \n K, \n \n \n Kiyokawa \n K. \n \n \n Transmigration process of the impacted mandibular cuspid. J Nihon Univ Sch Dent. 1964;6:66\u201371."},{"key":"i0003-3219-89-1-149-b08","series-title":"Dentomaxillaofac Radiol","first-page":"164","article-title":"Incidence of canine impaction and transmigration in a patient population","volume":"33","author":"Aydin \n U,","year":"2004","unstructured":"Aydin \n U, \n \n \n Yilmaz \n HH, \n \n \n Yilirim \n D. \n \n \n Incidence of canine impaction and transmigration in a patient population. Dentomaxillaofac Radiol. 2004;33:164\u2013169."},{"key":"i0003-3219-89-1-149-b09","series-title":"Med Oral Patol Oral Cir Bucal","first-page":"335","article-title":"Analysis of different type of transmigrant mandibular teeth","volume":"16","author":"Kara \n M,","year":"2011","unstructured":"Kara \n M, \n \n \n Ay \n S, \n \n \n Aktan \n A, \n \n et al. \n Analysis of different type of transmigrant mandibular teeth. Med Oral Patol Oral Cir Bucal. 2011;16:335\u2013440."},{"key":"i0003-3219-89-1-149-b10","series-title":"Clin Oral Invest","first-page":"625","article-title":"Transmigration of impacted canines: prevalence, management and implications on tooth structure and pulp vitality of adjacent teeth","volume":"16","author":"Mazinis \n E,","year":"2012","unstructured":"Mazinis \n E, \n \n \n Zafeiriadis \n A, \n \n \n Karathanasis \n A, \n \n \n Lambrianidis \n T. \n \n \n Transmigration of impacted canines: prevalence, management and implications on tooth structure and pulp vitality of adjacent teeth. Clin Oral Invest. 2012;16:625\u2013632."},{"key":"i0003-3219-89-1-149-b11","series-title":"Eur J Dent","first-page":"122","article-title":"Unusual cases of the transmigrated mandibular canines: report of 4 cases","volume":"2","author":"Aktan \n AM,","year":"2008","unstructured":"Aktan \n AM, \n \n \n Kara \n S, \n \n \n Akgunla \n F, \n \n \n Isman \n E, \n \n \n Malkoc \n S. \n \n \n Unusual cases of the transmigrated mandibular canines: report of 4 cases. Eur J Dent. 2008;2:122\u2013126."},{"key":"i0003-3219-89-1-149-b12","series-title":"Eur J Dent","first-page":"143","article-title":"The genetic basis of dental anomalies and its relation to orthodontics","volume":"7","author":"Cakan \n DG,","year":"2013","unstructured":"Cakan \n DG, \n \n \n Ulkur \n F, \n \n \n Taner \n T. \n \n \n The genetic basis of dental anomalies and its relation to orthodontics. Eur J Dent. 2013;7:143\u2013147."},{"key":"i0003-3219-89-1-149-b13","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 \n Srinivas \n K. \n \n \n Transposition of teeth and genetic etiology. Angle Orthod. 1996;66:147\u2013152."},{"key":"i0003-3219-89-1-149-b14","series-title":"Nat Genet","first-page":"417","article-title":"A human MSX1 homeodomain missense mutation causes selective tooth agenesis","volume":"13","author":"Vastadaris \n H,","year":"1996","unstructured":"Vastadaris \n H, \n \n \n Karimbux \n N, \n \n \n Guthua \n SW, \n \n \n Seidman \n JG, \n \n \n Seidman \n CE. \n \n \n A human MSX1 homeodomain missense mutation causes selective tooth agenesis. Nat Genet. 1996;13:417\u2013421."},{"key":"i0003-3219-89-1-149-b15","series-title":"Angle Orthod","first-page":"455","article-title":"Mandibular lateral incisor-canine transposition, concomitant dental anomalies and genetic control","volume":"68","author":"Peck \n S,","year":"1998","unstructured":"Peck \n S, \n \n \n Peck \n L, \n \n \n Kataja \n M. \n \n \n Mandibular lateral incisor-canine transposition, concomitant dental anomalies and genetic control. Angle Orthod. 1998;68:455\u2013466."},{"key":"i0003-3219-89-1-149-b16","series-title":"Angle Orthod","first-page":"1015","article-title":"Dental anomaly patterns (DAP)\u2014 a new way to look at malocclusion","volume":"79","author":"Peck \n S.","year":"2009","unstructured":"Peck \n S. \n \n \n Dental anomaly patterns (DAP)\u2014 a new way to look at malocclusion. Angle Orthod. 2009;79:1015\u20131016."},{"key":"i0003-3219-89-1-149-b17","series-title":"Br J Orthod","first-page":"117","article-title":"The anomalous mandibular canine","volume":"3","author":"Howard \n RD.","year":"1976","unstructured":"Howard \n RD. \n \n \n The anomalous mandibular canine. Br J Orthod. 1976;3:117\u2013119."},{"key":"i0003-3219-89-1-149-b18","series-title":"Am J Orthod Dentofacial Orthop","first-page":"91","article-title":"Unusual mandibular canine transposition: a case report","volume":"104","author":"Brezniak \n N,","year":"1993","unstructured":"Brezniak \n N, \n \n \n Ben-Yehuda \n A, \n \n \n Shapira \n Y. \n \n \n Unusual mandibular canine transposition: a case report. Am J Orthod Dentofacial Orthop. 1993;104:91\u201394."},{"key":"i0003-3219-89-1-149-b19","series-title":"Am J Orthod Dentofacial Orthop","first-page":"419","article-title":"Treatment of transmigrated mandibular canines","volume":"106","author":"Wertz \n RA.","year":"1994","unstructured":"Wertz \n RA. \n \n \n Treatment of transmigrated mandibular canines. Am J Orthod Dentofacial Orthop. 1994;106:419\u2013427."},{"key":"i0003-3219-89-1-149-b20","series-title":"Clin Oral Invest","first-page":"625","article-title":"Transmigration of impacted canines: prevalence, management and implications on tooth structure and pulp vitality of adjacent teeth","volume":"16","author":"Mazinis \n E,","year":"2012","unstructured":"Mazinis \n E, \n \n \n Zafeiriadis \n A, \n \n \n Karathanasis \n A, \n \n \n Lambrianidis \n T. \n \n \n Transmigration of impacted canines: prevalence, management and implications on tooth structure and pulp vitality of adjacent teeth. Clin Oral Invest. 2012;16:625\u2013632."},{"key":"i0003-3219-89-1-149-b21","series-title":"J Orthod Sci","first-page":"23","article-title":"Management of a transmigrated mandibular canine","volume":"1","author":"Verma \n SL,","year":"2012","unstructured":"Verma \n SL, \n \n \n Sharma \n VP, \n \n \n Singh \n GP. \n \n \n Management of a transmigrated mandibular canine. J Orthod Sci. 2012;1:23\u201328."},{"key":"i0003-3219-89-1-149-b22","series-title":"Angle Orthod","first-page":"681","article-title":"Combined orthodontic-surgical management of a transmigrated mandibular canine","volume":"86","author":"Cavuoti \n S,","year":"2016","unstructured":"Cavuoti \n S, \n \n \n Matarese \n G, \n \n \n Isola \n G, \n \n \n Abdolreza \n J, \n \n \n Femiano \n F, \n \n \n Perillo \n L. \n \n \n Combined orthodontic-surgical management of a transmigrated mandibular canine. 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Angle Orthod. 1961;31:1\u201314."},{"key":"i0003-3219-89-1-149-b29","series-title":"Aust J Dent","first-page":"11","article-title":"Force in orthodontics and its relation to tooth movement","volume":"56","author":"Storey \n E,","year":"1952","unstructured":"Storey \n E, \n \n \n Smith \n R. \n \n \n Force in orthodontics and its relation to tooth movement. Aust J Dent. 1952;56:11\u201318, 291\u2013304."},{"key":"i0003-3219-89-1-149-b30","series-title":"Am J Orthod","first-page":"32","article-title":"Some factors determining the evaluation of forces in orthodontics","volume":"43","author":"Reitan, \n K.","year":"1957","unstructured":"Reitan, \n K. \n \n \n Some factors determining the evaluation of forces in orthodontics. 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Angle Orthod. 1993;63:99\u2013109."},{"key":"i0003-3219-89-1-149-b02","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 \n Srinivas \n K. \n \n \n Transposition of teeth and genetic etiology. Angle Orthod, 1996;66:147\u2013152."},{"key":"i0003-3219-89-1-149-b03","series-title":"Angle Orthod","first-page":"11","article-title":"Extreme distal migration of the mandibular second bicuspid","volume":"52","author":"Matteson \n SR,","year":"1982","unstructured":"Matteson \n SR, \n \n \n Kantor \n ML, \n \n \n Proffit \n WR. \n \n \n Extreme distal migration of the mandibular second bicuspid. Angle Orthod. 1982;52:11\u201318."},{"key":"i0003-3219-89-1-149-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"515","article-title":"On the phenomenon of intraosseous migration of nonerupting teeth","volume":"113","author":"Peck \n S.","year":"1998","unstructured":"Peck \n S. \n \n \n On the phenomenon of intraosseous migration of nonerupting teeth. Am J Orthod Dentofacial Orthop. 1998;113:515\u2013517."},{"key":"i0003-3219-89-1-149-b05","series-title":"Am J Orthod Dentofacial Orthop","first-page":"360","article-title":"Unusual intraosseous transmigration of a palatally impacted canine","volume":"127","author":"Shapira \n Y,","year":"2005","unstructured":"Shapira \n Y, \n \n \n Kuftinec \n MM. \n \n \n Unusual intraosseous transmigration of a palatally impacted canine. Am J Orthod Dentofacial Orthop. 2005;127:360\u2013363."},{"key":"i0003-3219-89-1-149-b06","series-title":"Int J Oorthod Ora; Surg","first-page":"1003","article-title":"Displaced and impacted canines","volume":"15","author":"Rohrer \n A.","year":"1929","unstructured":"Rohrer \n A. \n \n \n Displaced and impacted canines. Int J Oorthod Ora; Surg. 1929;15:1003\u20131020."},{"key":"i0003-3219-89-1-149-b07","series-title":"J Nihon Univ Sch Dent","first-page":"66","article-title":"Transmigration process of the impacted mandibular cuspid","volume":"6","author":"Ando \n S,","year":"1964","unstructured":"Ando \n S, \n \n \n Aizawa \n K, \n \n \n Nakashima \n T, \n \n \n Sanka \n Y, \n \n \n Shimbo \n K, \n \n \n Kiyokawa \n K. \n \n \n Transmigration process of the impacted mandibular cuspid. J Nihon Univ Sch Dent. 1964;6:66\u201371."},{"key":"i0003-3219-89-1-149-b08","series-title":"Dentomaxillaofac Radiol","first-page":"164","article-title":"Incidence of canine impaction and transmigration in a patient population","volume":"33","author":"Aydin \n U,","year":"2004","unstructured":"Aydin \n U, \n \n \n Yilmaz \n HH, \n \n \n Yilirim \n D. \n \n \n Incidence of canine impaction and transmigration in a patient population. Dentomaxillaofac Radiol. 2004;33:164\u2013169."},{"key":"i0003-3219-89-1-149-b09","series-title":"Med Oral Patol Oral Cir Bucal","first-page":"335","article-title":"Analysis of different type of transmigrant mandibular teeth","volume":"16","author":"Kara \n M,","year":"2011","unstructured":"Kara \n M, \n \n \n Ay \n S, \n \n \n Aktan \n A, \n \n et al. \n Analysis of different type of transmigrant mandibular teeth. Med Oral Patol Oral Cir Bucal. 2011;16:335\u2013440."},{"key":"i0003-3219-89-1-149-b10","series-title":"Clin Oral Invest","first-page":"625","article-title":"Transmigration of impacted canines: prevalence, management and implications on tooth structure and pulp vitality of adjacent teeth","volume":"16","author":"Mazinis \n E,","year":"2012","unstructured":"Mazinis \n E, \n \n \n Zafeiriadis \n A, \n \n \n Karathanasis \n A, \n \n \n Lambrianidis \n T. \n \n \n Transmigration of impacted canines: prevalence, management and implications on tooth structure and pulp vitality of adjacent teeth. Clin Oral Invest. 2012;16:625\u2013632."},{"key":"i0003-3219-89-1-149-b11","series-title":"Eur J Dent","first-page":"122","article-title":"Unusual cases of the transmigrated mandibular canines: report of 4 cases","volume":"2","author":"Aktan \n AM,","year":"2008","unstructured":"Aktan \n AM, \n \n \n Kara \n S, \n \n \n Akgunla \n F, \n \n \n Isman \n E, \n \n \n Malkoc \n S. \n \n \n Unusual cases of the transmigrated mandibular canines: report of 4 cases. Eur J Dent. 2008;2:122\u2013126."},{"key":"i0003-3219-89-1-149-b12","series-title":"Eur J Dent","first-page":"143","article-title":"The genetic basis of dental anomalies and its relation to orthodontics","volume":"7","author":"Cakan \n DG,","year":"2013","unstructured":"Cakan \n DG, \n \n \n Ulkur \n F, \n \n \n Taner \n T. \n \n \n The genetic basis of dental anomalies and its relation to orthodontics. Eur J Dent. 2013;7:143\u2013147."},{"key":"i0003-3219-89-1-149-b13","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 \n Srinivas \n K. \n \n \n Transposition of teeth and genetic etiology. Angle Orthod. 1996;66:147\u2013152."},{"key":"i0003-3219-89-1-149-b14","series-title":"Nat Genet","first-page":"417","article-title":"A human MSX1 homeodomain missense mutation causes selective tooth agenesis","volume":"13","author":"Vastadaris \n H,","year":"1996","unstructured":"Vastadaris \n H, \n \n \n Karimbux \n N, \n \n \n Guthua \n SW, \n \n \n Seidman \n JG, \n \n \n Seidman \n CE. \n \n \n A human MSX1 homeodomain missense mutation causes selective tooth agenesis. Nat Genet. 1996;13:417\u2013421."},{"key":"i0003-3219-89-1-149-b15","series-title":"Angle Orthod","first-page":"455","article-title":"Mandibular lateral incisor-canine transposition, concomitant dental anomalies and genetic control","volume":"68","author":"Peck \n S,","year":"1998","unstructured":"Peck \n S, \n \n \n Peck \n L, \n \n \n Kataja \n M. \n \n \n Mandibular lateral incisor-canine transposition, concomitant dental anomalies and genetic control. Angle Orthod. 1998;68:455\u2013466."},{"key":"i0003-3219-89-1-149-b16","series-title":"Angle Orthod","first-page":"1015","article-title":"Dental anomaly patterns (DAP)\u2014 a new way to look at malocclusion","volume":"79","author":"Peck \n S.","year":"2009","unstructured":"Peck \n S. \n \n \n Dental anomaly patterns (DAP)\u2014 a new way to look at malocclusion. Angle Orthod. 2009;79:1015\u20131016."},{"key":"i0003-3219-89-1-149-b17","series-title":"Br J Orthod","first-page":"117","article-title":"The anomalous mandibular canine","volume":"3","author":"Howard \n RD.","year":"1976","unstructured":"Howard \n RD. \n \n \n The anomalous mandibular canine. Br J Orthod. 1976;3:117\u2013119."},{"key":"i0003-3219-89-1-149-b18","series-title":"Am J Orthod Dentofacial Orthop","first-page":"91","article-title":"Unusual mandibular canine transposition: a case report","volume":"104","author":"Brezniak \n N,","year":"1993","unstructured":"Brezniak \n N, \n \n \n Ben-Yehuda \n A, \n \n \n Shapira \n Y. \n \n \n Unusual mandibular canine transposition: a case report. 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