Abstract : Maxillary canine impactions are the second most common impactions following mandibular third molar impaction . There is always a confusion for the the clinician regarding the management of canine impactions, hence they need to be familiar with the differences in the surgical management of the labially and palatally impacted canines, the best method of attachment to the canine for orthodontic force application, the advantages of one-arch versus two-arch treatment, and the implications of canine extraction. The following review focusses on the various factors that influence all these decisions .