{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T17:57:41Z","timestamp":1793901461345,"version":"4.8.0"},"reference-count":28,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Permanent maxillary canines are key teeth from both functional and aesthetic perspectives. Tooth transposition, a rare anomaly where two permanent teeth exchange positions within the same quadrant, poses significant diagnostic and therapeutic challenges. This study aimed to identify the clinical conditions guiding the decision to correct or maintain maxillary canine transposition through a narrative review of the literature, complemented by a detailed clinical case. Following PRISMA guidelines, a search of PubMed, ScienceDirect, Cochrane Library, EBSCO, and Scopus databases (2014\u2013May 2024) yielded 19 relevant studies. This review found no consensus on treatment protocols, reinforcing the need for individualized decision-making based on patient characteristics, anatomical constraints, and clinician expertise. While orthodontic correction can yield favorable aesthetic outcomes, it requires meticulous planning and biomechanical control. Conservative approaches are often indicated in early-diagnosed or anatomically complex cases. The clinical case illustrates the complexity of managing the transposition, specifically of the maxillary canine into the central incisor position, emphasizing the importance of early diagnosis, digital planning, and a multidisciplinary approach for functional and aesthetic success.<\/jats:p>","DOI":"10.3390\/dj13060251","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T08:34:32Z","timestamp":1749112472000},"page":"251","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Transposed Maxillary Canines: Narrative Review with Clinical Case Report"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0012-6626","authenticated-orcid":false,"given":"Teresa","family":"Pinho","sequence":"first","affiliation":[{"name":"UNIPRO\u2014Oral Pathology and Rehabilitation Research Unit, University Institute of Health Science (IUCS), 4585-116 Gandra, Portugal"},{"name":"UMIB\u2014Multidisciplinary Biomedical Research Unit, Abel Salazar Institute of Biomedical Sciences (ICBAS), University of Porto, 4050-313 Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2569-5941","authenticated-orcid":false,"given":"Rui","family":"Amaral","sequence":"additional","affiliation":[{"name":"UNIPRO\u2014Oral Pathology and Rehabilitation Research Unit, University Institute of Health Science (IUCS), 4585-116 Gandra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"ref_1","unstructured":"Thilander, B., Bjerklin, K., and Bondemark, L. (2017). Essential Orthodontics, Wiley-Blackwell. [1st ed.]."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Dawson, P.E. (2006). Functional Occlusion: From TMJ to Smile Design, Mosby. [1st ed.].","DOI":"10.4103\/0972-4052.32520"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"209","DOI":"10.5005\/jp-journals-10024-1516","article-title":"Prevalence of Impacted Teeth in a Brazilian Subpopulation","volume":"15","author":"Borges","year":"2014","journal-title":"J. Contemp. Dent. Pract."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/S0889-5406(95)70118-4","article-title":"Classification of Maxillary Tooth Transpositions","volume":"107","author":"Peck","year":"1995","journal-title":"Am. J. Orthod. Dentofacial Orthop."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1016\/j.ajodo.2016.06.051","article-title":"Forced Eruption of a Palatally Impacted and Transposed Canine with a Temporary Skeletal Anchorage Device","volume":"151","author":"Lee","year":"2017","journal-title":"Am. J. Orthod. Dentofacial Orthop."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"457","DOI":"10.2319\/080218-561.1","article-title":"Orthodontic Management of a Complete and an Incomplete Maxillary Canine-First Premolar Transposition","volume":"90","author":"Lorente","year":"2020","journal-title":"Angle Orthod."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1590\/2177-6709.25.3.054-064.oar","article-title":"Orthodontic Treatment of Unilateral Cleft Lip and Palate Associated with Maxillary Canine\/Premolar Transposition: Case Report","volume":"25","author":"Souza","year":"2020","journal-title":"Dent. Press J. Orthod."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"509","DOI":"10.2319\/060215-371.1","article-title":"Maxillary Canine\u2013First Premolar Bilateral Transposition in a Class III Patient: A Case Report","volume":"86","author":"Potrubacz","year":"2016","journal-title":"Angle Orthod."},{"key":"ref_9","first-page":"134","article-title":"Effect of Rapid Palatal Expansion in Early Tratment and Spontaneous Correction of Maxillary Canine-First Premolar Transposition","volume":"65","author":"Maspero","year":"2016","journal-title":"Minerva Stomatol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"268","DOI":"10.17796\/1053-4625-44.4.9","article-title":"Canine Transposition\u2014Prevalence, Distribution and Treatment Considerations among Orthodontic Patients","volume":"44","author":"Finkelstein","year":"2020","journal-title":"J. Clin. Pediatr. Dent."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1590\/2176-9451.19.1.106-112.oar","article-title":"Dental Transposition of Canine and Lateral Incisor and Impacted Central Incisor Treatment: A Case Report","volume":"19","author":"Gebert","year":"2014","journal-title":"Dent. Press J. Orthod."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1590\/2176-9451.20.2.100-109.oar","article-title":"Orthodontic Management of Bilateral Maxillary Canine-First Premolar Transposition and Bilateral Agenesis of Maxillary Lateral Incisors: A Case Report","volume":"20","author":"Palma","year":"2015","journal-title":"Dent. Press J. Orthod."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/s13256-015-0521-z","article-title":"Orthodontic Treatment of the Transposition of a Maxillary Canine and a First Premolar: A Case Report","volume":"9","author":"Teresa","year":"2015","journal-title":"J. Med. Case Rep."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1016\/j.ajodo.2015.10.036","article-title":"Canine-Lateral Incisor Transposition: Controlling Root Resorption with a Bone-Anchored T-Loop Retraction","volume":"150","author":"Hsu","year":"2016","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1016\/j.ajodo.2016.04.026","article-title":"Surgical and Orthodontic Management of Maxillary Canine-Lateral Incisor Transpositions","volume":"150","author":"Lorente","year":"2016","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_16","first-page":"467","article-title":"Maxillary Tooth Transposition: A Report of Two Cases","volume":"15","author":"Nabbout","year":"2017","journal-title":"Int. Orthod."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1590\/2177-6709.23.4.055-063.oar","article-title":"Canine Transposition as an Alternative to Trauma of the Maxillary Incisors: Case Report","volume":"23","author":"Lara","year":"2018","journal-title":"Dent. Press J. Orthod."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1590\/2177-6709.23.1.097-107.bbo","article-title":"Tooth Transposition: A Multidisciplinary Approach","volume":"23","author":"Matsumoto","year":"2018","journal-title":"Dent. Press J. Orthod."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"873","DOI":"10.2319\/121719-808.1","article-title":"Treatment of Maxillary Canine Transposition","volume":"90","author":"Pedalino","year":"2020","journal-title":"Angle Orthod."},{"key":"ref_20","first-page":"9973333","article-title":"Orthodontic Management of a Rare Incidence Bilateral Maxillary Canine-First Premolar Transposition Using Fixed Appliance","volume":"2022","author":"Mereani","year":"2022","journal-title":"Case Rep. Dent."},{"key":"ref_21","first-page":"1","article-title":"Root Resorption of the Permanent Central Incisor through Ectopic Eruption of the Maxillary Canine","volume":"2023","author":"Moreira","year":"2023","journal-title":"Case Rep. Dent."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.xaor.2022.07.005","article-title":"Orthodontic Management of Bilateral Ectopic and Transposed Canines Using Mini-Implant Assisted Rapid Palatal Expander and an Implant-Borne Distalizer","volume":"3","author":"Venugopal","year":"2023","journal-title":"AJO-Clin. Companion"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.xaor.2023.10.001","article-title":"Treatment of Bilateral Maxillary Canine Transposition with the Use of Temporary Skeletal Anchorage Devices","volume":"3","author":"Pithon","year":"2023","journal-title":"AJO-Clin. Companion"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.xaor.2023.01.006","article-title":"Orthodontic Correction of Maxillary Canine-Lateral Incisor Transposition and Traction of the Impacted Central Incisor: A Case Report","volume":"3","author":"Andrade","year":"2023","journal-title":"AJO-Clin. Companion"},{"key":"ref_25","first-page":"114","article-title":"JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses (Product Review)","volume":"45","author":"Hilton","year":"2024","journal-title":"J. Can. Health Libr. Assoc. J. Assoc. Bibl. Sant\u00e9 Can."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"i4919","DOI":"10.1136\/bmj.i4919","article-title":"ROBINS-I: A Tool for Assessing Risk of Bias in Non-Randomised Studies of Interventions","volume":"355","author":"Sterne","year":"2016","journal-title":"BMJ"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1093\/ejo\/10.1.283","article-title":"Early Treatment of Palatally Erupting Maxillary Canines by Extraction of the Primary Canines","volume":"10","author":"Ericson","year":"1988","journal-title":"Eur. J. Orthod."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"161","DOI":"10.4103\/jispcd.jispcd_4_24","article-title":"Shear Bond Strength between Conventional Composite Resin and Alkasite-Based Restoration Used in Sandwich Technique: An in Vitro Study","volume":"14","author":"Dawood","year":"2024","journal-title":"J. Int. Soc. Prev. Community Dent."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/6\/251\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:47:03Z","timestamp":1760032023000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/6\/251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,5]]},"references-count":28,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["dj13060251"],"URL":"https:\/\/doi.org\/10.3390\/dj13060251","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,5]]}}}