Background: Maxillary canine impaction becomes the second most often tooth impaction case, most of them caused by the inhibitory feature such as compound odontoma. Compound odontoma is a benign tumor emerging inside the periodontal tissue which may inhibit the growth of anterior permanent teeth across the dentition, such as maxillary canine, so the teeth become impacted. Surgical exposure and orthodontic traction usually are being used as treatment of tooth impaction, but as a separate procedure. Aim: To observe and evaluate the potency of orthodontic traction after compound odontoma surgical exposure to improve the eruption process of maxillary canine. Discussion: Many past studies revealed that surgical exposure by minimally–invasive method using piezosurgery could be applied to remove compound odontomas. Usage of orthodontic traction can also applied to improve and help the pulling process of the impacted canine to across the dentition after the surgical wound was prepared into a form of perfectly closed flap to increase the power of periodontal tissue to resist the tension from erupting canine that pulled out by orthodontic appliances so the canine may erupt perfectly. Conclusion: Orthodontic traction procedure after surgical exposure could help canine eruption at the right direction and position perfectly and effectively.

compound odontoma

tooth impaction

orthodontic traction

surgical exposure