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Bilaterally impacted permanent mandibular canines: A report of two cases

Background: Impacted canines are commonly implicated in malocclusion in the anterior region of the jaws. Aim: To present the surgical and orthodontic management of two cases of bilaterally impacted mandibular canines which resulted in lower anterior segment crowding. Methods: Case report and review of the literature. Results: Two cases of bilateral mandibular canine impaction are presented in this report. The positions of the crown of the canine in both the patients were between the cervical margin and the apices of the roots of the adjacent teeth. There was also transmigration of both bilaterally impacted canines in one patient. The impacted canines were removed surgically to complement orthodontic treatment. Conclusion: The cases reported emphasize the option of surgical extraction as a treatment modality when dealing with impacted mandibular canines. Evaluation of both cases 3 years post-treatment revealed an improved, stable, functional and aesthetic outcome.