The assesment of pattern of maxillary canine impaction in the Ardabil city
Abstract
Background & Objective: Impacted teeth are one of the most common reasons for visiting dentists and maxillofacial surgeons. During clinical and radiographic examinations and evaluations, the dentist sometimes realizes that the patient’s problem is due to the impaction of one or more teeth. Therefore, it is necessary for every dentist to make the necessary and correct decision for the treatment of such teeth. One of the best ways to diagnose impacted teeth is first of all the absence of that tooth in the desired location and clinical evaluation of the patient and secondly to check the radiographic view of the desired area. Impacted teeth can be the source of many problems for various reasons, so in most cases, their extraction is recommended. Knowing how to place the impacted tooth and determining its type and other characteristics of the impaction can help the dentist in choosing the appropriate treatment-surgical method and also prevent complications during surgery. Proper and timely diagnosis of impaction as well as determining its position (buccal-palatal-intermediate) in the jawbone can reduce damage to adjacent structures and also affect the treatment plan. Because accurate detection of impacted tooth positions is possible with radiography, the most accurate radiograph to examine the impacted tooth is cbct images. Therefore, due to possible occlusion injuries and the effect of occlusion pattern on the treatment of these teeth, it is important to study the types of impaction patterns. Therefore, this study was presented with the aim of investigating the impaction pattern of maxillary canine teeth in Ardabil with cbct archive. Materials and Methods: In this descriptive cross-sectional study, CBCT images of 239 patients who met the inclusion criteria were evaluated. Due to the lack of statistics, due to the lack of statistics of maxillary impacted canine teeth in Ardabil, the counting method was used for sampling and stereotypes were identified as maxillary impacted canine teeth as the sample size. The obtained data were analyzed in SPSS24 software. Results: Among the impacted canine teeth studied, 63.2% had palatal, 17.5% buccal and 19.3% had intermediate pattern. Also, 11.2% had damage to adjacent structures and 88.8% had no damage to adjacent structures. Among the types of damage to adjacent structures, 46.9% caused root resorption of the first premolars, 34.5% caused root canal resorption, and 18.6% had other damage to adjacent structures. Of these, 50.4% had root curvature and 49.6% had no root curvature, of which 12.1% had severe curvature, 38.7% had mild curvature and 49.2% had severe curvature. Also, the average angle of the incised canine to the lateral incisor was 41.7%. 9% of impacted canine teeth had a root resorption of lateral incisors and 9% did not have a root resorption of lateral incisors. Conclusion: Dentists should treat cases such as maxillary latent canine such as: Examine the occlusion pattern, angle to adjacent teeth, damage to adjacent structures, curvature of the incised canine root, and root resorption of adjacent teeth. Keywords: Maxillary canine; Impacted teeth; CBCT.
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2. Peck S, Peck L, Kataja M. The palatally displaced canine as a dental anomaly of genetic origin. Angle Orthod. 1994;64:249–56.
3. Fernández E, Bravo LA, Canteras M. Eruption of the permanent upper canine:a radiologic study. Am J Orthod Dentofacial Orthop 1998; 113(4): 414-20.
4. Ericson S, Kurol J. Resorption of incisors after ectopic eruption of maxillary canines: a CT study. Angle Orthod 2000; 70: 415-23.
5. Bedoya, M.M,Park, JH, (2009) A Review of the Diagnosis and Management of Impacted Maxillary Canines. The Journal of the American Dental Association, 140, 1485-1493. https://doi.org/10.14219/jada.archive.2009.0099
6. Litsas, G. and Acar, A. (2011) A Review of Early Displaced Maxillary Canines: Etiology, Diagnosis and Interceptive Treatment. The Open Dentistry Journal , 5, 39-47. https://doi.org/10.2174/1874210601105010039
7. Becker, A. and Chaushu, S. (2015) Etiology of Maxillary Canine Impaction: A Review. American
8. Pitt S, Hamdan A, Rock P. A treatment difficulty index for unerupted maxillary canines. Eur J Orthod 2006; 28(2): 141−144.
9. Kettle MA. Treatment of the unerupted maxillary canine. Trans Brit Soc Orthod 1957; 1: 74–87.
10. Grover PS, Lorton L. The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pathol,1985; 59: 420-425.
11. Wedl JS, Schoder V, Blake FA, Schmelzle R, Friedrich RE. Eruption times of permanent teeth in teenage boys and girls in Izmir (Turkey). J Clin Forensic Med 2004; 11(6): 299−302.
12. Mahmoud Rabie, Abou –Bakr, “Treatment of a palatally impacted canine accompanied by root resorption of incisors: A case report”. Quintessence Int, No.27, 1996.pp.473-478.
13. Al-Nimri K, Gharaibeh T. Space conditiona and dental and occlusal features in patients with palatally impacted maxillariy canines: An aetiological study.Eroup J Orthod 2005;27(5):461-5.
14. Cernochova P, Kurpa P,Izakovicova-Holla L. Root resorption associated with ectopically erupting maxillary permanent canines: A computed tomography study. Eur J Orthod 2011:33:483-91.
15. Arandi, N., Rabi, T. and Mustafa, S. (2017) The Prevalence of Impacted Maxillary Canines in a Palestinian Population: A Retrospective Study. Open Journal of Stomatology, 7, 283-290. https://doi.org/10.4236/ojst.2017.75022
16. Haris KH,Ayesha AS, Ayesha AN, Najam EE, Ahmad F,Taimoor KH. PREVALENCE AND PATTERNS OF IMPACTED MAXILLARY CANINES: A CBCT BASED RETROSPECTIVE STUDY. Pakistan Oral & Dental Journal Vol 38, No. 2 (April-June 2018);211.
17. Jena AK, Duggal R, The pattern of maxillary canine impaction in relation to anomalous lateral incisors. J Clin Pediatr Dent. 2010 Fall;35(1):37-40.
18. Kifayatullah, J., Bangash, T.H., Ayub, A., Khan, D.B., 2015. Prevalance and patterns of impacted maxillary canine in a peshawer sample. Pak. Oral Dental J. 35 (1), 57–60.
19. Rafflenbeul F, Lefebvre F, Isabelle Gros C, Bahi S.(2018). Prevalence and risk factors in maxillary canine impaction of root resorption of adjacent teeth, among untreated children and adolescents. 94TH European Orthodontic Society Congress, p; 17-21
20. Melha SB, Alturki S, Aldawasri G, Almeshari N, Almeshari S, Albadr K. Canine impaction among riyadh population: A single center experience. Int J Oral Health Sci 2017;7:93-5.
21. Alrwuili, M.R., Alanazi, Y.M., Alenzi, N.A., Latif, K., Aljabab, M.A., Sabsabi, M.M., 2016. Prevalece and localization of impacted canine among Al-Qurayyat orthodontic patients: A study conducted over 4 years. Pakistan Oral Dental J. 36 (1), 75–78.
22. GoodarziPour D, Saeidi A, Bahrami N (2009). Accuracy of panoramic, panoramic with palpation and tube shift technique to localize maxillary impacted canine. Journal of Dentistry, Tehran University of Medical Sciences, 22(3), 99-105.
23. Alhammadi, M.S., Asiri, H.A., Almashraqi, A.A., 2018. Incidence, severity and orthodontic treatment difficulty index of impacted canines in Saudi population. J. Clin. Exp. Dent. 10 (4), 327–334.
24. Kanavakis G, Curran KM, Wiseman CK , Barone NP,Finkelman MD, Sreedevi Srinivasan, Lee MB ,Trotman C.(2015). Evaluation of crown-root angulation of lateral incisors adjacent to palatally impacted canines. Kanavakis et al. Progress in Orthodontics, 16:4, 1-6.
25. White SC, Pharoah MJ. Oral radiology: principles and interpretation. 6th ed. St Louis: Mosby; 2009. 237.
26. Sajnani, A.K., 2015. Permanent maxillary canines—review of eruption pattern and local etiological factors leading to impaction. J. Invest. Clin. Dentist. 6, 1–7.
27. Patil S, Maheshwari S. Prevalence of impacted and supernumerary teeth in the North Indian population. J Clin Exp Dent 2014;6:e116‑20.
28. D’Amico RM, Bjerklin K, Kurol J, Falahat B. Long term results of orthodontic treatment of impacted maxillary canines. Angle Orthod 2003; 73(3): 231-8.
29. Patil SR, Alam MK, Moriyama K, Matsuda S, Shoumura M, Osuga N. 3D CBCT Assessment of Soft Tissue Calcification. Journal of Hard Tissue Biology.2017;26:297-300.
30. Abdel-Salam E, El-Badrawy A, Monem Tawfik A.(2012), Multi-detector dental CT in evaluation of impacted maxillary canine. Egyptian Journal of Radiology and Nuclear Medicine,43(4):527–534.
31. Al-Turaihi BA, Ali IH, Alhamadani GM, Alam MK. Patterns of maxillary canine impaction in Iraqi population. Pesqui Bras Odontopediatria Clín Integr. 2020; 20:e5266. https://doi.org/10.1590/pboci.2020.120
32. D Liu, W Zhang, Z Zhang, Y Wu, X Ma.(2008). Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,105(1): 91-98.
33. PVKS Hettiarachchi, RJ Olive, P Monsou.(2017). Morphology of palatally impacted canines: A case-controlled cone-beam volumetric tomography study. American journal of orthodontics and dentofacial orthopedics: 151(2):357-362.
34. Kim Y , Keun Hyun H, and Taeg Jang K. The position of maxillary canine impactions and the influenced factors to adjacent root resorption in the Korean population. European Journal of Orthodontics 34 (2012) 302–306.
35. Caroline S. Lai, Michael M, Mock L, Benjamin M,Thomas Dietrich H,Katsaros C. Impacted maxillary canines and root resorptions of neighbouring teeth: a radiographic analysis using cone-beam computed tomography. European Journal of Orthodontics 35 (2013) 529–538.
36. Kajan ZD, Sigaroudi AK, Nasab NK, Shafi ee Z, Nemati S. Evaluation of diagnostically diffi cult impacted maxillary canines in orthodontic patients and its effect on the root of adjacent teeth using cone beam computed tomography. J Oral Maxillofac Radiol 2014;2:2-7.
37. Walker L, Enciso R, Mahc J. Three-dimensional localization of maxillary canines with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2005;128:4; 18-23.
38. Becker A, Gillis I, Shpack N. The etiology of palatal displacement of maxillary canines. Clin Orthod Res 1999;2:62-66.
39. Yan B, Sun Z, Fields H, Wang L. Maxillary canine impaction increases root resorption risk of adjacent teeth: A problem of physical proximity. American Journal of Orthodontics and Dentofacial Orthopedics 2012 ;142:6 750-757.
40. Afshar H, Baradaran Nakhjavani Y, Akhavan P. Prevalence of ectopic eruption in first permanent molar in 8 years old tehran school children. Jornal of Dental Medicine. 1999;12(1):16-21.
2. Peck S, Peck L, Kataja M. The palatally displaced canine as a dental anomaly of genetic origin. Angle Orthod. 1994;64:249–56.
3. Fernández E, Bravo LA, Canteras M. Eruption of the permanent upper canine:a radiologic study. Am J Orthod Dentofacial Orthop 1998; 113(4): 414-20.
4. Ericson S, Kurol J. Resorption of incisors after ectopic eruption of maxillary canines: a CT study. Angle Orthod 2000; 70: 415-23.
5. Bedoya, M.M,Park, JH, (2009) A Review of the Diagnosis and Management of Impacted Maxillary Canines. The Journal of the American Dental Association, 140, 1485-1493. https://doi.org/10.14219/jada.archive.2009.0099
6. Litsas, G. and Acar, A. (2011) A Review of Early Displaced Maxillary Canines: Etiology, Diagnosis and Interceptive Treatment. The Open Dentistry Journal , 5, 39-47. https://doi.org/10.2174/1874210601105010039
7. Becker, A. and Chaushu, S. (2015) Etiology of Maxillary Canine Impaction: A Review. American
8. Pitt S, Hamdan A, Rock P. A treatment difficulty index for unerupted maxillary canines. Eur J Orthod 2006; 28(2): 141−144.
9. Kettle MA. Treatment of the unerupted maxillary canine. Trans Brit Soc Orthod 1957; 1: 74–87.
10. Grover PS, Lorton L. The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pathol,1985; 59: 420-425.
11. Wedl JS, Schoder V, Blake FA, Schmelzle R, Friedrich RE. Eruption times of permanent teeth in teenage boys and girls in Izmir (Turkey). J Clin Forensic Med 2004; 11(6): 299−302.
12. Mahmoud Rabie, Abou –Bakr, “Treatment of a palatally impacted canine accompanied by root resorption of incisors: A case report”. Quintessence Int, No.27, 1996.pp.473-478.
13. Al-Nimri K, Gharaibeh T. Space conditiona and dental and occlusal features in patients with palatally impacted maxillariy canines: An aetiological study.Eroup J Orthod 2005;27(5):461-5.
14. Cernochova P, Kurpa P,Izakovicova-Holla L. Root resorption associated with ectopically erupting maxillary permanent canines: A computed tomography study. Eur J Orthod 2011:33:483-91.
15. Arandi, N., Rabi, T. and Mustafa, S. (2017) The Prevalence of Impacted Maxillary Canines in a Palestinian Population: A Retrospective Study. Open Journal of Stomatology, 7, 283-290. https://doi.org/10.4236/ojst.2017.75022
16. Haris KH,Ayesha AS, Ayesha AN, Najam EE, Ahmad F,Taimoor KH. PREVALENCE AND PATTERNS OF IMPACTED MAXILLARY CANINES: A CBCT BASED RETROSPECTIVE STUDY. Pakistan Oral & Dental Journal Vol 38, No. 2 (April-June 2018);211.
17. Jena AK, Duggal R, The pattern of maxillary canine impaction in relation to anomalous lateral incisors. J Clin Pediatr Dent. 2010 Fall;35(1):37-40.
18. Kifayatullah, J., Bangash, T.H., Ayub, A., Khan, D.B., 2015. Prevalance and patterns of impacted maxillary canine in a peshawer sample. Pak. Oral Dental J. 35 (1), 57–60.
19. Rafflenbeul F, Lefebvre F, Isabelle Gros C, Bahi S.(2018). Prevalence and risk factors in maxillary canine impaction of root resorption of adjacent teeth, among untreated children and adolescents. 94TH European Orthodontic Society Congress, p; 17-21
20. Melha SB, Alturki S, Aldawasri G, Almeshari N, Almeshari S, Albadr K. Canine impaction among riyadh population: A single center experience. Int J Oral Health Sci 2017;7:93-5.
21. Alrwuili, M.R., Alanazi, Y.M., Alenzi, N.A., Latif, K., Aljabab, M.A., Sabsabi, M.M., 2016. Prevalece and localization of impacted canine among Al-Qurayyat orthodontic patients: A study conducted over 4 years. Pakistan Oral Dental J. 36 (1), 75–78.
22. GoodarziPour D, Saeidi A, Bahrami N (2009). Accuracy of panoramic, panoramic with palpation and tube shift technique to localize maxillary impacted canine. Journal of Dentistry, Tehran University of Medical Sciences, 22(3), 99-105.
23. Alhammadi, M.S., Asiri, H.A., Almashraqi, A.A., 2018. Incidence, severity and orthodontic treatment difficulty index of impacted canines in Saudi population. J. Clin. Exp. Dent. 10 (4), 327–334.
24. Kanavakis G, Curran KM, Wiseman CK , Barone NP,Finkelman MD, Sreedevi Srinivasan, Lee MB ,Trotman C.(2015). Evaluation of crown-root angulation of lateral incisors adjacent to palatally impacted canines. Kanavakis et al. Progress in Orthodontics, 16:4, 1-6.
25. White SC, Pharoah MJ. Oral radiology: principles and interpretation. 6th ed. St Louis: Mosby; 2009. 237.
26. Sajnani, A.K., 2015. Permanent maxillary canines—review of eruption pattern and local etiological factors leading to impaction. J. Invest. Clin. Dentist. 6, 1–7.
27. Patil S, Maheshwari S. Prevalence of impacted and supernumerary teeth in the North Indian population. J Clin Exp Dent 2014;6:e116‑20.
28. D’Amico RM, Bjerklin K, Kurol J, Falahat B. Long term results of orthodontic treatment of impacted maxillary canines. Angle Orthod 2003; 73(3): 231-8.
29. Patil SR, Alam MK, Moriyama K, Matsuda S, Shoumura M, Osuga N. 3D CBCT Assessment of Soft Tissue Calcification. Journal of Hard Tissue Biology.2017;26:297-300.
30. Abdel-Salam E, El-Badrawy A, Monem Tawfik A.(2012), Multi-detector dental CT in evaluation of impacted maxillary canine. Egyptian Journal of Radiology and Nuclear Medicine,43(4):527–534.
31. Al-Turaihi BA, Ali IH, Alhamadani GM, Alam MK. Patterns of maxillary canine impaction in Iraqi population. Pesqui Bras Odontopediatria Clín Integr. 2020; 20:e5266. https://doi.org/10.1590/pboci.2020.120
32. D Liu, W Zhang, Z Zhang, Y Wu, X Ma.(2008). Localization of impacted maxillary canines and observation of adjacent incisor resorption with cone-beam computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,105(1): 91-98.
33. PVKS Hettiarachchi, RJ Olive, P Monsou.(2017). Morphology of palatally impacted canines: A case-controlled cone-beam volumetric tomography study. American journal of orthodontics and dentofacial orthopedics: 151(2):357-362.
34. Kim Y , Keun Hyun H, and Taeg Jang K. The position of maxillary canine impactions and the influenced factors to adjacent root resorption in the Korean population. European Journal of Orthodontics 34 (2012) 302–306.
35. Caroline S. Lai, Michael M, Mock L, Benjamin M,Thomas Dietrich H,Katsaros C. Impacted maxillary canines and root resorptions of neighbouring teeth: a radiographic analysis using cone-beam computed tomography. European Journal of Orthodontics 35 (2013) 529–538.
36. Kajan ZD, Sigaroudi AK, Nasab NK, Shafi ee Z, Nemati S. Evaluation of diagnostically diffi cult impacted maxillary canines in orthodontic patients and its effect on the root of adjacent teeth using cone beam computed tomography. J Oral Maxillofac Radiol 2014;2:2-7.
37. Walker L, Enciso R, Mahc J. Three-dimensional localization of maxillary canines with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2005;128:4; 18-23.
38. Becker A, Gillis I, Shpack N. The etiology of palatal displacement of maxillary canines. Clin Orthod Res 1999;2:62-66.
39. Yan B, Sun Z, Fields H, Wang L. Maxillary canine impaction increases root resorption risk of adjacent teeth: A problem of physical proximity. American Journal of Orthodontics and Dentofacial Orthopedics 2012 ;142:6 750-757.
40. Afshar H, Baradaran Nakhjavani Y, Akhavan P. Prevalence of ectopic eruption in first permanent molar in 8 years old tehran school children. Jornal of Dental Medicine. 1999;12(1):16-21.
| Files | ||
| Issue | Vol 7, No 3 (Summer 2020) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v7i3.5284 | |
| Keywords | ||
| Maxillary canine; Impacted teeth; CBCT. | ||
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How to Cite
1.
Hajmohammadi E, Mikaili Khiavi H, Baghi A, Khalili V, Zohoori S. The assesment of pattern of maxillary canine impaction in the Ardabil city. J Craniomaxillofac Res. 2020;7(3):138-144.
