Vol. 4, Issue 4, Part A (2018)

Abstract: Transmigration is a rare phenomenon seen almost exclusively in the mandibular canines. Canine is one of the most commonly impacted teeth in the dental arch. An unerupted permanent canine crossing the midline is called transmigration and is an unusual event. We report nine cases of impacted canine transmigration. Maxillary canine transmigration, bilateral transmigration, and transmigration associated with odontoma are rare presentations. Mandibular canines are “cornerstone” of dental arch; their importance is manifested by their efficiency in masticatory function, stability of dental arch, and aid in maintaining natural facial expression. Early detection of this anomaly can help preserving these canines by orthodontic intervention or by surgical transplantation. This developmental anomaly is properly diagnosed by radiographic evaluation, which is primarily based on the panoramic radiograph. In patients with over retained deciduous canines or missing permanent canines, an intraoral radiograph should be supplemented with panoramic radiograph. This case report discusses about the impacted and migrated canines in a kissing position and also shows a case of impacted canines if untreated forms a lesion.