Hi there, You essentially have three options here: 1. Leave the canines where they are and accept that they are in your head somewhere. This may be ok for a while, but the risk is that they may turn into cysts over time and they should be regularly checked with X-rays in order to check for cystic change. If they become cystic they may need to be removed. Also, if they are pressing on another tooth or close to another tooth root, the impacted canine can resorb (dissolve) that tooth, causing damage to another healthy tooth. 2. Remove the impacted canines. This involves surgery to remove them. Surgery can involve pain, bad healing, scarring and other risks. It can also damage the roots of teeth that are close to the canines, resulting in damage or loss to the existing teeth. Removing the canines also means that you will either need replacements for them if you have spaces in the mouth, or that one of your other teeth is taking on the function of your canine. Canines are very long, and cope with a lot of force in the mouth whilst chewing. It is not always ideal for other teeth, such as premolars, to complete this job as they are a different shape and have different characteristics of the roots. 3. Orthodontically pull the canines into position. This is possible, but depends on a fair few factors. Firstly, it depends where they are in the head, and whether it is feasible to get a bracket onto the tooth and pull them into position. If they are too far out of the way, or unfavourably placed, then it may not be possible to pull them into position. The risk of pulling them into position alongside another tooth also can increase the risk of resorption (dissolving the root of the other tooth) along the way, so it must be done very very carefully. Secondly, it depends on whether they will move. Very occasionally, ectopic teeth (impacted teeth out of position) can be fused to the bone, meaning that even with orthodontic traction they will not move. A further issue to consider is whether you have existing space in the mouth. If you do, then getting the canines from wherever they are hanging out might be a good idea, but if there is no space then most orthodontists would tell you not to sacrifice a perfectly good tooth that is already in the mouth for an impacted canine which may or may not play ball and move into the space. Other things to consider are whether the gum margins will look acceptable at treatment and other risks for treatment. Getting the canines into position may take some years, but on the flip side there is no better replacement for your tooth than your real tooth. It is worth investigating your options with a competent and very experienced Orthodontic specialist. Impacted canine retrieval is not a job for a general dentist, and you should choose a specialist with an appropriate level of experience. This may need to be performed at a dental hospital to give you the best possible care as it is not easy, or straightforward. Hope this helps! Best, MJ x