Extract the impacted canine

If there is a good contact between the lateral incisor and the first premolar then it has to be carefully considered whether this should be accepted. The purists of occlusion will argue that the premolar is not capable of providing good canine guidance. Aesthetically there are problems since the palatal cusp hangs down. This can be disguised by grinding or rotating the tooth orthodontically so that the palatal cusp is positioned more distally. The placement of a veneer on the premolar is another way of improving the appearance.

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