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impacted maxillary canine

(A) Labially positioned impacted maxillary canine. The tooth should be uncovered with an apically positioned flap procedure to preserve the attached gingiva. (B) The mucoperiosteal flap is outlined, allowing for repositioning of the keratinized mucosa over the exposed tooth. When the flap is reflected, the thin overlying bone is removed. (C) The tissue is retracted and bracket bonded to the tooth with an attached gold chain. The flap is apically sutured to the tooth. (D) After 6 months the exposed tooth is in the desired position with the broad zone of the attached gingiva. (Courtesy Dr. Myron Tucker.