%0 Journal Article %T Innovative Use of 3D-Printed Metal Appliances for Orthodontic Treatment of Palatally Impacted Maxillary Canines %A Anna Nikolaev Stoev %A Zhanina Pavlova %A Ivanka Mihaylova Vasileva %J Asian Journal of Periodontics and Orthodontics %@ 3062-3499 %D 2023 %V 3 %N 1 %R 10.51847/T0fTuJw29g %P 44-52 %X This study describes the creation and application of a digitally designed and 3D-printed metallic appliance used for the surgical exposure and orthodontic alignment of maxillary palatally impacted canines. Two patients with palatally impacted canines underwent Cone-Beam Computed Tomography (CBCT) and intraoral scanning to accurately determine the tooth position. Using the digital data, a custom guide supported by teeth and mucosa was designed to assist the surgeon in uncovering the canine crown and to provide the orthodontist with a reliable direction for traction. The appliance was 3D-printed using a biocompatible dental alloy and fitted in the oral cavity. Following exposure, a gold chain was bonded to each canine crown and connected to the device’s metallic projection via an elastic chain. After 3 months of traction, the crowns of the impacted canines emerged on the palate at the expected positions. A digitally planned and 3D-fabricated metallic guide, constructed from CBCT and intraoral scan data, can thus be effectively utilized for both exposure and traction of palatally impacted canines. %U https://tsdp.net/article/innovative-use-of-3d-printed-metal-appliances-for-orthodontic-treatment-of-palatally-impacted-maxill-w2y3gurbxckmq6i