Preorthodontic Uncovering and Autonomous Eruption of Palatally Impacted Maxillary Canines

Palatally impacted maxillary canines are a challenge for any orthodontist. Often the surgeon will perform an incorrect uncovering technique, the orthodontic mechanics to erupt the tooth could be inappropriate, and as a result the periodontal and esthetic outcome could be disastrous. However, in the adolescent patient, the management of palatally impacted maxillary canines can be predictable, stable, and esthetic. However, to accomplish these results, the orthodontist and surgeon must select the appropriate method of surgical uncovering. This article discusses the advantages of preorthodontic uncovering and autonomous eruption of palatally impacted maxillary canines. The surgical technique will be described and illustrated, and consecutively treated cases will be displayed. An evidence-based discussion will feature the benefits of preorthodontic uncovering and autonomous eruption of palatally impacted maxillary canines. (Semin Orthod 2010;