Canine Transposition – Prevalence, Distribution and Treatment Considerations among Orthodontic Patients

2020 ◽  
Vol 44 (4) ◽  
pp. 268-273
Author(s):  
Tamar Finkelstein ◽  
Yehoshua Shapira ◽  
Aikaterini Maria Pavlidi ◽  
Moshe Davidovitch ◽  
Sigalit Blumer ◽  
...  

Tooth transposition is a relatively rare dental anomaly of interchange in position of two adjacent teeth. Aim: To determine the prevalence and distribution of canine transposition in a sample of orthodontic patients and present treatment alternatives and outcome. Study design: The records of 3000 consecutively treated orthodontic patients from a university clinic were surveyed to detect canine transposition in both dental arches. The data was recorded according to gender, age, number and location. Results: Canine transpositions were detected in 15 subjects, 3 (20%) males and 12 (80%) females presenting a prevalence of 0.5%. Of them, 6 were between the maxillary canine and first premolar, 7 between the maxillary canine and lateral incisor, 2 transpositions were between the mandibular canine and the lateral incisor. A female to male ratio of 4:1 with left side predominance was found. Treatment options include extracting the transposed teeth, maintaining them in their transposed position, or repositioning them in their normal place within the dental arch. Conclusion :The prevalence of canine transposition in the present sample was found to be 0.5% with a greater frequency in the maxilla. Treatment options include extraction of one of the transposed teeth, alignment of the teeth in their transposed position or correction of the anomaly. The latter gives the best esthetic outcome.

2020 ◽  
Vol 90 (6) ◽  
pp. 873-880
Author(s):  
Aldo Pedalino ◽  
Murilo Matias ◽  
Daniel Gaziri ◽  
Bruno Vieira ◽  
Luiza Alves ◽  
...  

ABSTRACT Transposition of maxillary teeth is an eruptive disturbance occurring in approximately 1 of every 300 orthodontic patients. Such cases are frequently very challenging in terms of treatment planning and orthodontic management. The canine is one of the most commonly transposed teeth, ectopically positioned with either the lateral incisor or the first premolar. This case report illustrates unique orthodontic treatment, describes treatment procedures, and presents the final outcome of bilateral maxillary canine-lateral incisor complete transpositions in which the involved teeth were moved to their clinically normal position in the dental arch without extracting premolars.


2012 ◽  
Vol 83 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Emanuele Mercuri ◽  
Michele Cassetta ◽  
Costanza Cavallini ◽  
Donatella Vicari ◽  
Rosalia Leonardi ◽  
...  

Abstract Objective: To analyze the prevalence, distribution, clinical features, and relationship with dental anomalies of maxillary canine impaction. Materials and Methods: The complete pretreatment records of 1674 orthodontic patients were examined. Subjects with maxillary impacted canines were divided into two study groups: a palatally displaced canine (PDC) group (114 patients) and a buccally displaced canine (BDC) group (37 patients). These were compared to a control group of 151 patients who were randomly selected from the initial sample without maxillary canine impaction. The significance of associations between canine impaction and dental and clinical features and anomalies was examined with the chi-square test. Results: PDC patients presented with normal overjet and facial profile and a lower degree of dental arch crowding in comparison to the control patients. PDC patients showed a higher prevalence of impaction of other teeth, dental aplasia, transposition, and peg-shaped maxillary lateral incisors (odds ratios 3.3, 2.6, 8.3, and 5.8, respectively). Conclusion: PDC was frequently the only orthodontic problem of patients. BDC group patients did not present with notable differences in clinical and dental features or dental anomalies compared to control subjects.


2013 ◽  
Vol 83 (5) ◽  
pp. 920-926 ◽  
Author(s):  
Po-Sung Fu ◽  
Jen-Chyan Wang ◽  
Yi-Min Wu ◽  
Ta-Ko Huang ◽  
Wen-Cheng Chen ◽  
...  

ABSTRACT Concurrent impaction and transposition of maxillary anterior teeth is uncommon and poses a challenge for dentists. Early diagnosis and management of eruption disturbances benefits esthetic and functional outcomes. This article describes the treatment of a teenager who had impactions of the left maxillary central incisor and canine as well as ipsilateral canine-lateral incisor transposition. Treatment alternatives and effective orthodontic techniques are delineated. To optimize the treatment results, the impacted maxillary canine was surgically exposed and orthodontically distalized with an innovative cantilever. Subsequently, the deeply impacted maxillary central incisor was uncovered and orthodontically mesialized into the arch. Finally, the displaced maxillary lateral incisor was brought into its normal position. The combined surgical-orthodontic approach resolved a difficult clinical issue and avoided additional restorations. An esthetic, functional outcome was achieved and satisfied the patient.


2021 ◽  
pp. 15-17
Author(s):  
Amit Shaw ◽  
Kasturi Mukherjee ◽  
Manas Banerjee ◽  
Samit Mondol

Transposition of maxillary teeth is not very uncommon nding in clinical practice and poses a challenge to the clinician. Maxillary canine is the most commonly involved tooth in transposition exchanging its place with either lateral incisor or rst premolar. This case report describes successful management of a case of transposition between maxillary canine and lateral incisor involving right side st only with an insight into etiology, treatment alternatives and treatment procedure. This case had been treated with extraction of all four 1 premolars and involved teeth were successfully moved to their clinically normal position without any signicant damage to supporting structures or roots.


2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Yehoshua Shapira ◽  
Tamar Finkelstein ◽  
Rana Kadry ◽  
Shirley Schonberger ◽  
Nir Shpack

Bilateral mandibular tooth transposition is a relatively rare dental anomaly caused by distal migration of the mandibular lateral incisors and can be detected in the early mixed dentition by radiographic examination. Early diagnosis and interceptive intervention may reduce the risk of possible transposition between the mandibular canine and lateral incisor. This report illustrates the orthodontic management of bilateral mandibular canine-lateral incisor transposition. Correct positioning of the affected teeth was achieved on the left side while teeth on the right side were aligned in their transposed position. It demonstrates the outcome of good alignment of the teeth in the dental arch.


2016 ◽  
Vol 21 (6) ◽  
pp. 98-102 ◽  
Author(s):  
Mehmet Citak ◽  
Elif Bahar Cakici ◽  
Yasin Atakan Benkli ◽  
Fatih Cakici ◽  
Bircan Bektas ◽  
...  

ABSTRACT Introduction: The purpose of this study was to evaluate the prevalence of dental anomalies in a subpopulation of orthodontic patients with agenesis of maxillary lateral incisors (MLI). Methods: The material of the present study included the records of the 1964 orthodontic patients. Panoramic radiographs and dental casts were used to analyze other associated eight dental anomalies, including agenesis of other teeth, dens invaginatus, dens evaginatus, peg shaped MLI, taurodontism, pulp stone, root dilaceration and maxillary canine impaction. Results: Out of the 1964 patients examined, 90 were found to have agenesis of MLI, representing a prevalence of 4.6%. The most commonly found associated-anomalies were agenesis of other teeth (23.3%), peg-shaped MLIs (15.6%), taurodontism (42.2%), and dilacerated teeth (18.9%). Conclusion: Permanent tooth agenesis, taurodontism, peg-shaped maxillary lateral incisor, and root dilacerations are frequently associated with maxillary lateral incisor agenesis.


1994 ◽  
Vol 21 (2) ◽  
pp. 169-174 ◽  
Author(s):  
P. A. Mossey ◽  
H. M. Campbell ◽  
J. K. Luffingham

The hypothesis that palatally-displaced canines are associated with smaller than average lateral incisors or with congenital absence of adjacent lateral incisors was tested on a West of Scotland population. A retrospective study of the records of orthodontic patients attending Glasgow Dental Hospital was carried out. One-hundred-and-eighty-two subjects with palatally displaced canines were identified. The tooth length of lateral and central incisors was measured on radiographs and the crown widths of lateral incisors were measured on study casts. One-hundred-and-six extracted maxillary lateral incisors were examined to allow more accurate measurement of crown width and root length than was possible from radiographs. An association was sought between the size of the lateral incisor or its absence, the position of the adjacent maxillary canine, and between crown size and root length of the lateral incisor. The conclusions supported the hypothesis that there is a weak association between palatally displaced maxillary canines and lateral incisors of smaller than average crown width. There was weak support for the association between palatal canines and absence of the adjacent lateral incisor. There was no correlation between lateral incisor crown width and root length.


2018 ◽  
Vol 42 (3) ◽  
pp. 240-246
Author(s):  
Cátia Lamas ◽  
Asela Lavall ◽  
Teresa Pinho

Objective: Assess whether the permanent maxillary canine (MC) has a natural tendency to erupt mesially in children with maxillary lateral incisors agenesis (MLIA), compared to children without agenesis. Study design: This retrospective, observational, cross-sectional study consisted of children between 5 and 12 years old divided into three groups: the first group with unilateral MLIA, in which an intraindividual analysis was performed, the second group presented bilateral MLIA, and the third group with patients without agenesis. These last two groups were matched for comparison interindividual, being pared by sex and maturation of the MC. Results: The canine position in the horizontal sector showed a clear mesial positioning of the MC on the agenesis side in individuals with unilateral MLIA (group 1) when compared with the counter lateral side; and in individuals with bilateral MLIA (Group 2) compared with control Individuals without agenesis (group 3). Even with the maintenance of this deciduous tooth in the dental arch, the MC keeps its tendency to mesial eruption. Conclusion: There is a greater tendency for mesial angulation of the maxillary canine in patients with MLIA, regardless of the presence or absence of deciduous lateral incisor.


2015 ◽  
Vol 1 (2) ◽  
pp. 104
Author(s):  
Iwan Wirasatyawan ◽  
Soekarsono Hardjono ◽  
Sri Suparwitri

Impaksi palatal kaninus sering mengakibatkan keluhan secara estetis. Faktor genetik merupakan faktor yang dominan serta beberapa faktor yang lain yaitu diskrepansi lengkung gigi, ukuran gigi, retensi gigi desidui, kerusakan dini, pencabutan dini , posisi yang abnormal benih gigi, agenese incisivus lateral dan kista. Tujuan laporan kasus ini adalah untuk memberikan informasi tentang perawatan kasus impaksi palatal kaninus rahang atas pada maloklusi kelas I skeletal menggunakan alat cekat teknik Begg. Pasien perempuan umur 15 tahun, datang ke klinik ortodonsia RSGM Prof. Soedomo FKG UGM. Pemeriksaan subyektif, pasien terganggu dengan keadaan gigi depan yang maju dan bercelah. Pemeriksaan obyektif menunjukkan adanya rudimenter, agenese gigi incisivus lateral kanan dan kiri rahang atas, impaksi palatal kaninus kiri atas. Transposisi kaninus kanan atas ke ruang incisivus lateral kanan atas, pergeseran midline. Maloklusi angle kelas I dengan relasi skeletal kelas I dengan bimaksiler retrusif disertai protrusif incisivus maksila dan retrusif incisivus mandibula. Perawatan diawali dengan pencabutan gigi rudimenter. Tahap I menggunakan multiloop archwire untuk leveling dan unraveling gigi anterior, koreksi pergeseran midline. Tahap berikutnya adalah pemasangan button pada kaninus impaksi untuk mengaitkan kawat ligatur pada archwire yang berfungsi untuk menarik kaninus impaksi palatal pada lengkung gigi. Perawatan ortodontik pada kasus dengan impaksi palatal kaninus rahang atas pada maloklusi kelas I skeletal menggunakan alat cekat teknik Begg dapat dilakukan dengan hasil perawatan yang baik. ABSTRACT: Repositioning of Palatally Impacted Canine in Orthodontic Treatment Using Begg Fixed Appliance. Palatally impacted canine often leads to esthetic complaints. Genetic factor is dominant followed by such other factors as dental arch discrepancy, tooth size, retention of deciduous teeth, early decay, premature extraction, abnormal position of tooth germ, lateral incisor agenesis, and cysts. This article provides information about the treatment of palatally impacted maxillary canine case in a skeletal class I malocclusion using Begg fixed appliance technique. A 15-year-old female patient came to the orthodontia clinic of RSGM Prof. Soedomo FKG UGM. The subjective examination found that the patient was disturbed by her protrusive, gapped front teeth. Then, the objective examination indicated the presence of rudimentary, lateral incisor agenesis of right and left upper jaw, and upper left palatally impacted canine. In addition, there was a transposition of upper right canine to lateral incisor area as well as a midline shift. Angle class I malocclusion with class I skeletal relationship and bimaxillary retrusion along with maxillary incisor protrusion and mandibular incisor retrusion also occurred. The treatment began with rudimentary tooth extractions. The first stage used a multiloop archwire for leveling and unraveling of anterior teeth as well as correction of midline shift. The button attached to the impacted canine could tie the ligature wire to the archwire that served to attract the palatally impacted canine in the dental arch. The orthodontic treatment in cases of palatally impacted maxillary canine with skeletal class I malocclusion using Begg fixed appliance technique can be applied with a good treatment result.


2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Karuna Singh Sawhny ◽  
Asheesh Sawhny

Aligning a displaced maxillary canine into the dental arch is one of the most complicated problems in orthodontics. In cases of extremely high displacement, the tooth is frequently removed surgically. Because of the upper canines’ significance to dental esthetics and functional occlusion, such a decision is a very serious one. The purpose of this report is to illustrate an interdisciplinary approach involving both orthodontic management and conservative tooth restoration. The case was treated through an orthodontic nonextraction fixed appliance mechanotherapy for successful alignment of buccally ectopic upper left canine followed by a conservative direct composite tooth buildup of peg lateral incisor associated with the upper left ectopic canine in a 16-year-old adolescent North Indian female. Posttreatment records demonstrated good alignment of the displaced tooth and restoration of normal anatomy of the peg shaped lateral incisor.


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