{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T05:55:58Z","timestamp":1768542958924,"version":"3.49.0"},"reference-count":33,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>An impacted or missing permanent tooth can add significant complications to an otherwise straightforward case. When multiple impacted teeth are present, the case complexity increases further. Developing a treatment sequence, determining appropriate anchorage, and planning and executing sound biomechanics can be a challenge. The following case report illustrates a patient reportedly diagnosed with mild scleroderma as an adolescent. He presented for orthodontic treatment as an adult with multiple retained primary teeth and multiple impacted teeth. Diagnosis, treatment planning, and various methods of managing guided eruption of impacted teeth will be discussed. Following orthodontic treatment that required extraction of multiple primary and permanent teeth as well as exposure and ligation of multiple permanent teeth by an oral surgeon, the patient finished with a significantly improved functional and esthetic result.<\/jats:p>","DOI":"10.2319\/081006-328","type":"journal-article","created":{"date-parts":[[2007,5,9]],"date-time":"2007-05-09T17:31:48Z","timestamp":1178731908000},"page":"735-741","source":"Crossref","is-referenced-by-count":15,"title":["Treatment of a Patient with Multiple Impacted Teeth"],"prefix":"10.2319","volume":"77","author":[{"given":"Richard Scott","family":"Conley","sequence":"first","affiliation":[{"name":"a\u2009Clinical Assistant Professor, Department of Orthodontics and Pediatric Dentistry, University of Michigan School of Dentistry, Ann Arbor, Mich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott B.","family":"Boyd","sequence":"first","affiliation":[{"name":"b\u2009Professor, Department of Oral and Maxillofacial Surgery, Vanderbilt University Medical Center, Nashville, Tenn"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harry L.","family":"Legan","sequence":"first","affiliation":[{"name":"c\u2009Professor, Division of Orthodontics, Vanderbilt University Medical Center, Nashville, Tenn"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher C.","family":"Jernigan","sequence":"first","affiliation":[{"name":"d\u2009Private Practice, Columbia, SC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Starling","sequence":"first","affiliation":[{"name":"e\u2009Private Practice, Brentwood, Tenn"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Potts","sequence":"first","affiliation":[{"name":"f\u2009Private Practice, Goldsboro, NC"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1164","reference":[{"key":"2020042120402582900_i0003-3219-077-04-0735-b1","first-page":"207","article-title":"Oral health care: more than caries and periodontal disease. A survey of epidemiological studies on oral disease.","volume":"36","author":"Andreasen","year":"1986","journal-title":"Int Dent J"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b2","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/S1073-8746(98)80006-6","article-title":"Clinical management of impacted maxillary canines.","volume":"4","author":"Bishara","year":"1998","journal-title":"Semin Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b3","first-page":"249","article-title":"The palatally displaced canine as a dental anomaly of genetic origin.","volume":"64","author":"Peck","year":"1994","journal-title":"Angle Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b4","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1007\/s00056-003-0222-x","article-title":"Dental anomalies as micro symptom of palatal canine displacement.","volume":"64","author":"Leifert","year":"2003","journal-title":"J Orofac Orthop"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b5","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/S1073-8746(98)80005-4","article-title":"Eruptive abnormalities in orthodontic treatment.","volume":"4","author":"Taylor","year":"1998","journal-title":"Semin Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b6","first-page":"913","article-title":"Etiological study of relationship between impacted permanent teeth and malocclusion [in Japanese].","volume":"27","author":"Nagahara","year":"1989","journal-title":"Aichi Gakuin Daigaku Shigakkai Shi"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b7","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1093\/ejo\/24.3.313","article-title":"Maxillary tooth size variation in dentitions with palatal canine displacement.","volume":"24","author":"Becker","year":"2002","journal-title":"Eur J Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b8","first-page":"95","article-title":"In defense of the guidance theory of palatal canine displacement.","volume":"65","author":"Becker","year":"1995","journal-title":"Angle Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b9","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1067\/mod.2000.104819","article-title":"Adequacy of maxillary dental arch width in patients with palatally displaced canines.","volume":"118","author":"Langberg","year":"2000","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b10","first-page":"190","article-title":"Maxillary canine impaction in patients with transverse maxillary deficiency.","volume":"63","author":"McConnell","year":"1996","journal-title":"ASDC J Dent Child"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b11","article-title":"Canine impaction: diagnosis, treatment planning, and clinical management.","author":"Shroff"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b12","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/S1073-8746(98)80006-6","article-title":"Clinical management of impacted maxillary canines.","volume":"4","author":"Bishara","year":"1998","journal-title":"Semin Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b13","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1067\/mod.2001.110989","article-title":"Factors that relate to treatment duration for patients with palatally impacted maxillary canines.","volume":"119","author":"Stewart","year":"2001","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b14","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/S0889-5406(03)00578-X","article-title":"Success rate and duration of orthodontic treatment for adult patients with palatally impacted maxillary canines.","volume":"124","author":"Becker","year":"2003","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b15","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/0030-4220(92)90324-J","article-title":"Hypodontia, impacted permanent teeth, spinal defects, and cardiomegaly in a previously diagnosed case of the Yunis-Varon syndrome.","volume":"73","author":"Lapeer","year":"1992","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b16","first-page":"32","article-title":"Multiple osteomas, impacted teeth and odontomas\u2014a case report of Gardner's Syndrome.","volume":"48","author":"Bradley","year":"1977","journal-title":"J NJ Dent Assoc"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b17","article-title":"Syndromes of the Head and Neck. 3rd ed.","author":"Gorlin"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b18","first-page":"61","article-title":"Dental conditions in cleidocranial dysostosis.","volume":"29","author":"Winter","year":"1943","journal-title":"Am J Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b19","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/0030-4220(76)90118-3","article-title":"Idiopathic failure of eruption of permanent teeth.","volume":"42","author":"Kaban","year":"1976","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b20","first-page":"269","article-title":"Cephalometrics for orthognathic surgery.","volume":"36","author":"Burstone","year":"1978","journal-title":"J Oral Surg"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b21","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/0002-9416(81)90217-7","article-title":"Primary failure of eruption: a possible cause of posterior open-bite.","volume":"80","author":"Proffit","year":"1981","journal-title":"Am J Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b22","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/0002-9416(84)90187-8","article-title":"Mechanics of tooth movement.","volume":"85","author":"Smith","year":"1984","journal-title":"Am J Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b23","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/S0002-9416(76)80024-3","article-title":"Prediction of orthodontic tooth movement.","volume":"69","author":"Marcotte","year":"1976","journal-title":"Am J Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b24","first-page":"481","article-title":"Common sense mechanics.","volume":"14","author":"Mulligan","year":"1980","journal-title":"J Clin Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b25","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1067\/mod.2002.120755","article-title":"Correction of a bilateral maxillary canine-first premolar transposition in the late mixed dentition.","volume":"121","author":"Bocchieri","year":"2002","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b26","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/j.ajodo.2003.10.039","article-title":"Treatment of a class I malocclusion with severe bimaxillary protrusion.","volume":"126","author":"Langberg","year":"2004","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0002-9416(81)90192-5","article-title":"Variable-modulus orthodontics.","volume":"80","author":"Burstone","year":"1981","journal-title":"Am J Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b28","first-page":"219","article-title":"Variable modulus orthodontics advanced through an auxiliary archwire attachment.","volume":"67","author":"Braun","year":"1997","journal-title":"Angle Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b29","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1177\/00220345830620072201","article-title":"The flexure modulus of elasticity of orthodontic wires.","volume":"62","author":"Goldberg","year":"1983","journal-title":"J Dent Res"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b30","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/0889-5406(91)70013-M","article-title":"Bending properties of superelastic and nonsuperelastic nickel-titanium orthodontic wires.","volume":"99","author":"Khier","year":"1991","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b31","first-page":"82","article-title":"Alignment of impacted canines with cantilevers and box loops.","volume":"33","author":"Patel","year":"1999","journal-title":"J Clin Orthod"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b32","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/ocr.1999.2.1.3","article-title":"Force systems developed by six different cantilever configurations.","volume":"2","author":"Dalstra","year":"1999","journal-title":"Clin Orthod Res"},{"key":"2020042120402582900_i0003-3219-077-04-0735-b33","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/S0002-9416(74)90332-7","article-title":"Force systems from an ideal arch.","volume":"65","author":"Burstone","year":"1974","journal-title":"Am J Orthod"}],"container-title":["The Angle Orthodontist"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/meridian.allenpress.com\/angle-orthodontist\/article-pdf\/77\/4\/735\/1377690\/081006-328.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/meridian.allenpress.com\/angle-orthodontist\/article-pdf\/77\/4\/735\/1377690\/081006-328.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T16:03:59Z","timestamp":1746633839000},"score":1,"resource":{"primary":{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/77\/4\/article-p735.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,7,1]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,7,1]]}},"URL":"https:\/\/doi.org\/10.2319\/081006-328","relation":{},"ISSN":["0003-3219","1945-7103"],"issn-type":[{"value":"0003-3219","type":"print"},{"value":"1945-7103","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,7,1]]}}}