Canine removal included with bilateral access in jam body associated with guied

Introduction: Canine impaction is a condition where the tooth cannot burst into the oral cavity. It has a higher prevalence in the maxilla, with recurrence in females. Its etiology is related to the lack of space for eruption, but it is suggested that it is a multifactorial problem. The most frequent treatment strategies are orthodontic traction or surgical removal. Early diagnosis and intervention are important measures to prevent intraosseous pathologies. Objetives: Report surgical therapeutic associations adopted to remove a included lower canine. Case report: A male patient, seen at the outpatient clinic of Faculdade Adventista da Bahia comes with an aesthetic complaint. In the intraoral clinical examination, the absence of element 33 was observed. On tomographic examination, impaction of the element 33, root tearing and horizontal position were noted. Exodontics was indicated, with coronectomy performed through the vestibular approach and removal of the remaining root through the lingual approach. After extraction, platelet-rich fibrin (PRF) was associated with bone graft to fill the bone defect, and the regenerated area was protected with PRF membranes. Conclusion: Computed tomography (CT) was fundamental in the treatment decision and helped in the surgical planning, since it reduced the risk of injuries to the adjacent structures. In addition, PRF, associated with the graft, provided a good prognosis.