05/01/2026
By • A 38-year-old female patient presented with a chief complaint of grade 3 mobility of tooth 63 (a retained deciduous canine), with an impacted permanent canine positioned horizontally.
Together with the patient, we decided not to follow the conventional/classical approach, but rather to place an implant through the impacted canine.
The clinical literature on this topic is relatively limited; however, the published studies show implant survival rates comparable to those of conventional implant placement.
The main factors to consider when making this decision are: complete absence of pathology around the tooth; sufficient depth of impaction, ensuring adequate bone both coronally and apically to allow proper osseointegration of the implant;
Technical tip for the procedure—use sharp drills and maximal irrigation, as dentin is very hard and heats up quickly. And of course, avoid underdrilling.
Enjoy.
