{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:34:39Z","timestamp":1787841279349,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>Impaction of canine is frequently encountered clinical problem in orthodontics. Canine usually erupts when two third of the root development is complete. It is considered as impacted if the root development is completed, but unaided eruption is not expected to occur. Surgical exposure of impacted canine and orthodontic traction to align the tooth is a major challenge in which the management requires a multidisciplinary approach. This article presents a case of impacted canine in a 20-year-old female patient. Impacted canine was aligned by orthodontic traction using a modified eyelet attachment and guided eruption without repeated surgical intervention or tissue damage. In the clinical case discussed, the bonding attachment used was a low-profile Begg bracket containing multiple eyelets for varying the force of traction and also to apply force along the long axis of the tooth. An ideal traction force was applied for the adequate period of time thus minimizing the side effects. This method proved to be efficient in maintaining good periodontal and mucogingival health and thus satisfying both esthetic and function goals.<\/jats:p>","DOI":"10.4103\/ccd.ccd_52_20","type":"journal-article","created":{"date-parts":[[2020,12,20]],"date-time":"2020-12-20T02:48:38Z","timestamp":1608432518000},"page":"403-407","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Unveiling the Impacted Canine \u2013 Eyelet Chain Guide: Concepts and Clinical Application"],"prefix":"10.4103","volume":"11","author":[{"given":"Sunil Chandy","family":"Varghese","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Tagore Dental College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Preethi","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Tagore Dental College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Balaji","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Tagore Dental College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Job Jacob","family":"Anison","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Tagore Dental College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Rajesh","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Tagore Dental College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Mahalakshmi","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Tagore Dental College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,12,20]]},"reference":[{"key":"R2-20250920","first-page":"25","article-title":"Observations on the misplaced upper canine tooth","volume":"18","author":"Bass","year":"1967","journal-title":"Dent Pract Dent Rec"},{"key":"R3-20250920","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/0002-9416(83)90176-8","article-title":"The etiology of maxillary canine impactions","volume":"84","author":"Jacoby","year":"1983","journal-title":"Am J Orthod"},{"key":"R4-20250920","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/S0889-5406(99)70335-5","article-title":"Localization of the unerupted maxillary canine: How to and when to","volume":"115","author":"Jacobs","year":"1999","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R5-20250920","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":"R6-20250920","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/j.ajodo.2004.06.009","article-title":"Surgical and orthodontic management of impacted maxillary canines","volume":"126","author":"Kokich","year":"2004","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R7-20250920","doi-asserted-by":"crossref","first-page":"101","DOI":"10.5005\/johcd-8-2-101","article-title":"Orthodontic guidance of an impacted maxillary Canine: A review","volume":"8","author":"Datana","year":"2014","journal-title":"J Oral Health and Comm Dent May"},{"key":"R8-20250920","first-page":"170","article-title":"Management of impacted canine using different attachments and auxilia.ries \u2013 A review?","volume":"6","author":"Shailaja","year":"2017","journal-title":"Glob J Res Analy"},{"key":"R9-20250920","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1093\/ejo\/18.1.457","article-title":"Attachment bonding to impacted teeth at the time of surgical exposure","volume":"18","author":"Becker","year":"1996","journal-title":"Eur J Orthod"},{"key":"R10-20250920","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1093\/ortho\/27.2.169","article-title":"Radiographic factors affecting the management of impacted canines","volume":"27","author":"Stivaros","year":"2000","journal-title":"J Orthod"},{"key":"R11-20250920","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/0002-9416(82)90056-2","article-title":"Orthodontic considerations in the treatment of maxillary impacted canines","volume":"81","author":"Fournier","year":"1982","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R12-20250920","first-page":"23","article-title":"Uncovering labially impacted teeth: Apically positioned flap enclosed-eruption techniques","volume":"65","author":"Vermette","year":"1995","journal-title":"Angle Orthod"},{"key":"R13-20250920","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/0002-9416(77)90124-5","article-title":"Soft-tissue management of labially positioned unerupted teeth","volume":"72","author":"Vanarsdall","year":"1977","journal-title":"Am J Orthod Dentofacial Orthop"}],"container-title":["Contemporary Clinical Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_52_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:48:29Z","timestamp":1787838509000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ccd.ccd_52_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.4103\/ccd.ccd_52_20","relation":{},"ISSN":["0976-237X","0976-2361"],"issn-type":[{"value":"0976-237X","type":"print"},{"value":"0976-2361","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10]]},"assertion":[{"value":"2020-01-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}