Abstract
INTRODUCTION: Impacted canines pose a significant challenge in orthodontic treatment, often requiring surgical exposure and orthodontic traction to achieve proper alignment. Various techniques, including open and closed methods, are employed, each having distinct advantages and complications. This study aims to compare these techniques using clinical and radiographic evaluations to determine their effectiveness in canine exposure and alignment. METHODS: A prospective analysis was conducted on 50 patients with impacted canines. Two techniques, the closed flap and open window, were compared across key parameters, including treatment duration, patient discomfort, and periodontal health. Postoperative radiographs were evaluated for root resorption, and success was measured by the time taken for the canine's eruption and alignment. RESULTS: The closed technique showed a statistically significant reduction in treatment duration (P < 0.05) compared to the open method. However, there was no significant difference in periodontal health outcomes. Radiographic analysis indicated no substantial difference in root resorption between the two techniques. CONCLUSION: The closed technique is more efficient in reducing treatment time, with comparable outcomes in terms of periodontal health and root resorption. It may be considered the preferred method for impacted canine exposure.