 Corresponding author: Agung Krismariono Department of Periodontology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia. Copyright © 2022 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0. Surgical exposure and fix orthondontic combination for maxilla canine impacted treatment Dinny Hutriani, Wildhan Septhianda and Agung Krismariono * Department of Periodontology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia. World Journal of Advanced Research and Reviews, 2022, 14(03), 597–601 Publication history: Received on 20 May 2022; revised on 23 June 2022; accepted on 25 June 2022 Article DOI: https://doi.org/10.30574/wjarr.2022.14.3.0620 Abstract Objective: Teeth that are buried in the jawbone or obstructed by gum tissue and fail to emerge from the typical occlusive surface, causing malocclusion, are known as impacted teeth. Canine teeth are kept for masticatory function strength, aesthetics, and malocclusion repair. Impacted canines can be retrieved using a combination of surgery and fixed orthodontic equipment to restore a normal arch and position Methods: An impacted maxillary left canine caused edema in the palatal area in a 22-year-old female patient at RSKGM- P UNAIR who was referred by orthodontics. The impacted tooth's position was determined using radiography, occlusal projection, and CBCT. The procedures included flap surgery with a full thickness incision, flap opening, orthodontic button insertion on the crown of the buried canine, ligature wire implantation, and flap repositioning and suturing. Results: Combined surgical technique and orthodontic appliance placement on impacted canines can place canines in normal arches and in the space available and in the occlusive position of the teeth, Surgical exposure combined with fixed orthodontic treatment of the affected maxillary surgery on the left maxillary canine was performed. Conclusion: In terms of the ultimate position of the canines in the normal arch and aesthetic appearance, a combination of surgical exposure and fixed orthodontic treatment of the impacted maxillary left canine produced good results. Keywords: Impacted Tooth; Surgical Exposure; Fixed Orthodontics; Perio Surgery 1. Introduction In the phases of primary and permanent teeth, the eruption of teeth in the oral cavity will occur physiologically. Eruptive diseases, such as impacted teeth, can occur during tooth eruption. A tooth is impacted by neighboring teeth, thick soft tissue and dense bone layers. Impacted teeth can also be caused in eruption space is smaller than the complete length of the dental arch and hence the tooth is not in the jaw arch [1,2]. Impacted canines are the second teeth after third molars to impact, with a frequency of 0-28 percent. 85 percent of impacted canines are in the palatal part of the dental arch, whereas 15% are on the labial or buccal side [3,4]. According to Bishara et al., primary and secondary causes might cause the etiology of impacted canines. Trauma to the primary tooth germ, the rate of primary tooth root resorption, seed rotation, disturbance of the tooth eruption sequence, lack of room in the arch of the jaw, early root closure, and cleft palate tooth eruption are all primary contributors. Secondary reasons include aberrant muscular pressure, endocrine problems, and vitamin D insufficiency, to name a few [4,5]. Preservation of the case patients with impacted canines, on the whole, have no symptoms and are unaware that they have an impaction until they visit the dentist. Impacted canines can press against nearby teeth, creating irritation and inflammation over time, as well as resorption