Lingually displaced canine and overshot jaw

RE: Lingually displaced canine and overshot jaw

Norman Johnston — Tue, 07 Jul 2020 20:55:59 GMT

I agree with strategic incisor extraction. Rads might show a closed apex of the canine so no or minimal eruption left.
worth noting Rob’s comment. You can’t move a tooth where there is no place to go

RE: Lingually displaced canine and overshot jaw

Rob Davis — Tue, 07 Jul 2020 16:28:47 GMT

[quote userid="2131" url="~/001/veterinary-clinical/small-animal/dentistry/f/discussions/29200/lingually-displaced-canine-and-overshot-jaw/224121#224121"]If, after the extraction sites have healed, there's still a traumatic occlusion, a slight shortening of the 404 might be indicated[/quote]

Or, at this stage, ball therapy may be of value once you have "cleared a path"...

RE: Lingually displaced canine and overshot jaw

Evelyn Barbour-Hill — Tue, 07 Jul 2020 16:26:36 GMT

It looks to me on the photograph as if 102 should also be extracted. Frankly, you might as well, an upper 3 presenting certain challenges in extraction while a 2 is dead easy.

If, after the extraction sites have healed, there's still a traumatic occlusion, a slight shortening of the 404 might be indicated.

RE: Lingually displaced canine and overshot jaw

Steve Leonard — Tue, 07 Jul 2020 10:44:32 GMT

Thanks Rob,

I think I will get it in for those incisors to be removed (maybe one, maybe both).

RE: Lingually displaced canine and overshot jaw

Rob Davis — Tue, 07 Jul 2020 09:13:54 GMT

[quote userid="7619" url="~/001/veterinary-clinical/small-animal/dentistry/f/discussions/29200/lingually-displaced-canine-and-overshot-jaw"]The owner has already been training for ball therapy which it tolerated really well[/quote]

Ball therapy unfortunately will not resolve this case as there is nowhere currently for the canine to go. It is hard to see well from this photo (I know how hard it can be to photograph these!) but I suspect that, as you suggest, extracting 103 (and possibly 102) along with a degree of alveoplasty will probably allow 404 to occlude outside the maxilla and provide and functional and trauma-free bite.