Browse > Article
http://dx.doi.org/10.5624/isd.2014.44.4.287

Cone-beam computed tomography findings of impacted upper canines  

Da Silva Santos, Ludmilla Mota (Department of Endodontics, Aracatuba Dental School, Paulista State University)
Bastos, Luana Costa (Department of Oral Radiology, School of Dentistry, Federal University of Bahia)
Oliveira-Santos, Christiano (Department of Stomatology, Oral Public Health, and Forensic Dentistry, School of Dentistry, University of Sao Paulo)
Da Silva, Silvio Jose Albergaria (Department of Endodontics, School of Dentistry, Federal University of Bahia)
Neves, Frederico Sampaio (Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas)
Campos, Paulo Sergio Flores (Department of Oral Radiology, School of Dentistry, Federal University of Bahia)
Publication Information
Imaging Science in Dentistry / v.44, no.4, 2014 , pp. 287-292 More about this Journal
Abstract
Purpose: To describe the features of impacted upper canines and their relationship with adjacent structures through three-dimensional cone-beam computed tomography (CBCT) images. Materials and Methods: Using the CBCT scans of 79 upper impacted canines, we evaluated the following parameters: gender, unilateral/bilateral occurrence, location, presence and degree of root resorption of adjacent teeth (mild, moderate, or severe), root dilaceration, dental follicle width, and presence of other associated local conditions. Results: Most of the impacted canines were observed in females (56 cases), unilaterally (51 cases), and at a palatine location (53 cases). Root resorption in adjacent teeth and root dilaceration were observed in 55 and 47 impacted canines, respectively. In most of the cases, the width of the dental follicle of the canine was normal; it was abnormally wide in 20 cases. A statistically significant association was observed for all variables, except for root dilaceration (p=0.115) and the side of impaction (p=0.260). Conclusion: Root resorption of adjacent teeth was present in most cases of canine impaction, mostly affecting adjacent lateral incisors to a mild degree. A wide dental follicle of impacted canines was not associated with a higher incidence of external root resorption of adjacent teeth.
Keywords
Cone-Beam Computed Tomography; Root Resorption; Cuspid; Tooth; Impacted;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 2006; 72: 75-80.
2 Chen Y, Duan P, Meng Y, Chen Y. Three-dimensional spiral computed tomographic imaging: a new approach to the diagnosis and treatment planning of impacted teeth. Am J Orthod Dentofacial Orthop 2006; 130: 112-6.   DOI   ScienceOn
3 Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. 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 2008; 105: 91-8.   DOI   ScienceOn
4 Alqerban A, Jacobs R, Fieuws S, Nackaerts O, SEDENTEXCT Project Consortium, Willems G. Comparison of 6 cone-beam computed tomography systems for image quality and detection of simulated canine impaction-induced external root resorption in maxillary lateral incisors. Am J Orthod Dentofacial Orthop 2011; 140: e129-39.   DOI
5 Bjerklin K, Ericson S. How a computerized tomography examination changed the treatment plans of 80 children with retained and ectopically positioned maxillary canines. Angle Orthod 2006; 76: 43-51.
6 Ericson S, Kurol PJ. Resorption of incisors after ectopic eruption of maxillary canines: a CT study. Angle Orthod 2000; 70: 415-23.
7 Rozylo-Kalinowska I, Kolasa-Raczka A, Kalinowski P. Dental age in patients with impacted maxillary canines related to the position of the impacted teeth. Eur J Orthod 2011; 33: 492-7.   DOI
8 Katsnelson A, Flick WG, Susarla S, Tartakovsky JV, Miloro M. Use of panoramic x-ray to determine position of impacted maxillary canines. J Oral Maxillofac Surg 2010; 68: 996-1000.   DOI
9 Chung DD, Weisberg M, Pagala M. Incidence and effects of genetic factors on canine impaction in an isolated Jewish population Am J Orthod Dentofacial Orthop 2011; 139: e331-5.   DOI
10 Leuzinger M, Dudic A, Giannopoulou C, Kiliaridis S. Rootcontact evaluation by panoramic radiography and cone-beam computed tomography of super-high resolution. Am J Orthod Dentofacial Orthop 2010; 137: 389-92.   DOI
11 Siegel R, Stos W, Dyras M, Urbanik A, Wojciechowski W, Sztuk S. Assessment of degree and extent of resorption of incisor roots adjacent to impacted maxillary canines. Przegl Lek 2010; 67: 268-74.
12 Kim Y, Hyun HK, Jang KT. The position of maxillary canine impactions and the influenced factors to adjacent root resorption in the Korean population. Eur J Orthod 2011; 34: 302-6.
13 Postlethwaite KM. Resorption of premolar roots by ectopic canines Br Dent J 1989; 167: 397-8.   DOI
14 da Silveira HL, Silveira HE, Liedke GS, Lermen CA, Dos Santos RB, de Figueiredo JA. Diagnostic ability of computed tomography to evaluate external root resorption in vitro. Dentomaxillofac Radiol 2007; 36: 393-6.   DOI   ScienceOn
15 Smailiene D, Sidlauskas A, Lopatiene K, Guzeviciene V, Juodzbalys G. Factors affecting self-eruption of displaced permanent maxillary canines. Medicina (Kaunas) 2011; 47: 163-9.
16 Ericson S, Bjerklin K, Falahat B. Does the canine dental follicle cause resorption of permanent incisor roots? A computed tomographic study of erupting maxillary canines. Angle Orthod 2002; 72: 95-104.
17 Burnett SE. Prevalence of maxillary canine-first premolar transposition in a composite African sample. Angle Orthod 1999; 69: 187-9.
18 Ely NJ, Sherriff M, Cobourne MT. Dental transposition as a disorder of genetic origin. Eur J Orthod 2006; 28: 145-51.   DOI
19 Synodinos PN, Polyzois I. Maxillary canine-first premolar transposition in the permanent dentition: treatment considerations and a case report. J Ir Dent Assoc 2010; 56: 264-7.
20 Halazonetis DJ. Horizontally impacted maxillary premolar and bilateral canine transposition. Am J Orthod Dentofacial Orthop 2009; 135: 380-9.   DOI
21 Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Three-dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 103: 403-11.   DOI   ScienceOn
22 Nagaraj K, Upadhyay M, Yadav S. Impacted maxillary central incisor, canine, and second molar with 2 supernumerary teeth and an odontoma Am J Orthod Dentofacial Orthop 2009; 135: 390-9.   DOI   ScienceOn
23 European Commission [Internet]. Radiation protection No 172: cone beam CT for dental and maxillofacial radiology (evidencebased guidelines). 2012 [cited 2014 May 14]. Available from: http://www.sedentexct.eu/files/radiation_protection_172.pdf.
24 Rossini G, Cavallini C, Cassetta M, Galluccio G, Barbato E. Localization of impacted maxillary canines using cone beam computed tomography. Review of the literature. Ann Stomatol (Roma) 2012; 3: 14-8.
25 Baccetti T. Risk indicators and interceptive treatment alternatives for palatally displaced canines. Semin Orthod 2010; 16: 186-92.   DOI
26 Bedoya MM, Park JH. A review of the diagnosis and management of impacted maxillary canines. J Am Dent Assoc 2009; 140: 1485-93.   DOI
27 Cooke J, Wang HL. Canine impactions: incidence and management. Int J Periodontics Restorative Dent 2006; 26: 483-91.
28 Peck S, Peck L, Kataja M. The palatally displaced canine as a dental anomaly of genetic origin. Angle Orthod 1994; 64: 249-56.
29 Becker A. In defense of the guidance theory of palatal canine displacement. Angle Orthod 1995; 65: 95-8.
30 Walker L, Enciso R, Mah J. Three-dimensional localization of maxillary canines with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2005; 128: 418-23.   DOI   ScienceOn
31 Sajnani A, King N. Dental age of children and adolescents with impacted maxillary canines. J Orofac Orthop. 2012; 73: 359-64.   DOI
32 Westphalen VP, Gomes de Moraes I, Westphalen FH, Martins WD, Souza PH. Conventional and digital radiographic methods in the detection of simulated external root resorptions: a comparative study. Dentomaxillofac Radiol 2004; 33: 233-5.   DOI   ScienceOn
33 Zhong YL, Zeng XL, Jia QL, Zhang WL, Chen L. Clinical investigation of impacted maxillary canine. Zhonghua Kou Qiang Yi Xue Za Zhi 2006; 41: 483-5.
34 Chalakkal P, Thomas AM, Chopra S. Displacement, location, and angulation of unerupted permanent maxillary canines and absence of canine bulge in children. Am J Orthod Dentofacial Orthop 2011; 139: 345-50.   DOI
35 Mah JK, Alexandroni S. Cone-beam computed tomography in the management of impacted canines. Semin Orthod 2010; 16: 199-204.
36 Agrawal JM, Agrawal MS, Nanjannawar LG, Parushetti AD. CBCT in orthodontics: the wave of future. J Contemp Dent Pract 2013; 14: 153-7.