Orthodontic Management of Impacted Mandibular Canine in a Patient with Class II Division 1 Malocclusion

Impaction of the mandibular canine is an uncommon clinical finding and poses considerable challenges in orthodontic diagnosis and management due to its rarity and variable presentation. This case report describes the orthodontic management of a 13-year-old male patient presenting with an impacted permanent mandibular canine. Clinical examination and radiographic assessment confirmed the unfavorable position of the impacted tooth within the mandibular alveolus. A combined surgical–orthodontic treatment approach was planned to preserve the impacted canine and restore it to the dental arch. Surgical exposure of the canine was performed, followed by controlled orthodontic traction using fixed appliances to guide the tooth into its proper position within the arch while maintaining periodontal health and minimizing adverse effects on adjacent structures. The impacted canine was successfully aligned into the occlusal plane with satisfactory functional occlusion, improved dental aesthetics, and healthy surrounding periodontal tissues. This case highlights the importance of early diagnosis, precise treatment planning, and interdisciplinary collaboration in managing impacted mandibular canines. It also demonstrates that conservative surgical–orthodontic intervention can be an effective and predictable treatment option in adolescent patients.