scholarly journals The prevalence of peg-shaped and missing lateral incisors with maxillary impacted canines

2019 ◽  
Vol 76 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Sanja Simic ◽  
Jasna Pavlovic ◽  
Predrag Nikolic ◽  
Amila Vujacic ◽  
Vladanka Vukicevic ◽  
...  

Background/Aim. Many authors find that impacted maxillary canines is associated with missing and peg-shaped lateral incisor. The aim of this study was to examine the prevalence of peg-shaped and missing lateral incisor in subjects with impacted maxillary canines, and compare the size of maxillary lateral incisor on the side with palatally impacted canines and on the opposite side of the jaw where there is no impaction. Methods. The study included 64 patients with 80 impacted maxillary canines (23 males and 41 females, mean age 16.3). For each maxillary unerupted canine, precisely correct localization and classification into groups was done. We analyzed the morphology of the lateral incisor (normal, atypical) and frequency of missing of lateral maxillary incisors with canine impaction. Then, from the mentioned examinees sample with the maxillary canine teeth, a subgroup was formed. The criteria for selection were those with unilateral palatally impacted canines (33 subjects, 22 females and 11 males, mean age 17.8 years). The linear variables of the maxillary lateral incisor were measured by using digital measurements tools. The t-test was used to test the differences between the groups. Results. Normal morphology of the lateral incisors was found in 72% of the subjects with the impacted canines, 11.2% of the subjects had the peg-shaped lateral incisors, 6% had a bilateral and 4% had unilateral deficiency of lateral incisors. In the subgroup of the patients with unilateral palatal impaction, the middle value of the length of the lateral incisors was 1.9 mm shorter and the middle value of the width of the lateral incisors was smaller by 0.9 mm when comparing to the control group. Conclusion. The frequency of the deficiency of lateral incisors was statistically significantly higher in the group with palatal canine impaction. The maxillary lateral incisors on the side with palatally impacted canines were smaller than those on the side where there was no impaction.

2010 ◽  
Vol 35 (1) ◽  
pp. 37-40 ◽  
Author(s):  
Ashok Kumar Jena ◽  
Ritu Duggal

Objective: To investigate the probability and pattern of maxillary canine impaction in relation to anomalous adjacent lateral incisors. Subjects and Method: A total 66 patients (M=24, F=42) in the age range of 12 to 18 years who had at least one impacted maxillary canine were included for the study. The maxillary lateral incisor anomalies and nature of canine impactions were diagnosed from the radiographs and study models. Maxillary lateral incisors were classified as normal, peg shaped, impacted and congenitally missing. The maxillary canine impactions were classified as buccal and palatal impaction. Each affected maxillary side was considered separately. This resulted total 88 cases for which the probabilities of different canine positions adjacent to the different categories of lateral incisor anomalies were evaluated statistically. Results:The occurrence of palatal canine impaction was almost1.6 times more than the buccal canine impaction. Total 11.76% of the bucally impacted canines and 38.89% of the palatally impacted canines were associated with anomalous lateral incisors. There was no positive association between anomalous lateral incisors and maxillary canines. In relation to anomalous lateral incisor, the probability of palatal canine impaction was more than the buccal canine impaction. Conclusions: There was no positive association between lateral incisor anomalies and maxillary canine impaction. However, there was a high probability of palatal canine impaction when adjacent lateral incisors were anomalous.


2021 ◽  
Vol 92 (1) ◽  
pp. 18-26
Author(s):  
Jong Hyun Shin ◽  
Sewoong Oh ◽  
Hyejin Kim ◽  
Eungyung Lee ◽  
Seung-Min Lee ◽  
...  

ABSTRACT Objectives To compare the normal eruption pattern and angulation in impacted maxillary canines using panoramic radiographs to predict maxillary canine impaction. Materials and Methods Patients aged 6 to 15 years were classified into the normal eruption group (n = 229) and the impaction group (n = 191). At least two panoramic radiographs were taken in the normal eruption group during the eruption process of the maxillary canine. The growth pattern of the maxillary canine was analyzed using an XY coordinate system, with the tip of the maxillary lateral incisor as the origin and the tooth's long axis as the Y-axis and measurement of the relative position of the crown tip and angulation of the maxillary canine. Results The crown tips of normally erupted maxillary canines were intensively distributed along the distal surface of the maxillary lateral incisor, while those of impacted canines were widely distributed. The angulations of the normally erupted canines increased as eruption increased along the lateral incisor and then decreased at the cervical point of the lateral incisor. The angulations of the impacted canines were scattered, with no uniform pattern. Conclusions While using the normal eruption path of the maxillary canine and the pattern of change in angulation based on the distal surface of the maxillary lateral incisor, early intervention or regular follow-up is needed to prevent maxillary canine impaction.


2017 ◽  
Vol 22 (6) ◽  
pp. 28-34 ◽  
Author(s):  
Alberto Consolaro ◽  
Maurício Almeida Cardoso ◽  
Renata Bianco Consolaro

ABSTRACT The relationship between maxillary lateral incisor anodontia and the palatal displacement of unerupted maxillary canines cannot be considered as a multiple tooth abnormality with defined genetic etiology in order to be regarded as a “syndrome”. Neither were the involved genes identified and located in the human genome, nor was it presumed on which chromosome the responsible gene would be located. The palatal maxillary canine displacement in cases of partial anodontia of the maxillary lateral incisor is potentially associated with environmental changes caused by its absence in its place of formation and eruption, which would characterize an epigenetic etiology. The lack of the maxillary lateral incisor in the canine region means removing one of the reference guides for the eruptive trajectory of the maxillary canine, which would therefore, not erupt and /or impact on the palate. Consequently, and in sequence, it would lead to malocclusion, maxillary atresia, transposition, prolonged retention of the deciduous canine and resorption in the neighboring teeth. Thus, we can say that we are dealing with a set of anomalies and multiple sequential changes known as sequential development anomalies or, simply, sequence. Once the epigenetics and sequential condition is accepted for this clinical picture, it could be called “Maxillary Lateral Incisor Partial Anodontia Sequence.”


1989 ◽  
Vol 16 (1) ◽  
pp. 9-16 ◽  
Author(s):  
R. G. Oliver ◽  
J. E. Mannion ◽  
J. M. Robinson

Two groups of subjects who demonstrated unilateral maxillary canine impaction were examined, a Caucasian group and an Oriental group. It was found that there are significant differences between the groups for sex of patients seeking treatment, site of impaction (buccal/palatal), and arch form. The Oriental group was significantly more crowded in the canine area than the Caucasian group. In almost all cases the dimensions of the lateral incisor on the side of impaction were smaller than the non-impacted side, although five subjects from the Caucasian female sub-group did not conform to this pattern, and for the Oriental male sub-group the mesiodistal crown width was larger on the impacted side.


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.


1996 ◽  
Vol 33 (4) ◽  
pp. 318-323 ◽  
Author(s):  
Miroslav Peterka ◽  
Renata Peterková ◽  
Zbyněk Likovský

Timing of exchange of the deciduous and permanent maxillary teeth was investigated using dental plaster casts of 163 boys with total unilateral cleft (UCLP), 82 boys with bilateral cleft (BCLP), and 97 boys with isolated cleft palate (CP). All patients were treated at the Prague Plastic Surgery Clinic. The results were compared with a control group of 294 schoolboys. To evaluate the course of eruption, the proportion of each erupted teeth in each year of age was employed. In boys with UCLP, eruption of the permanent maxillary lateral incisors and the permanent maxillary second molar was retarded on the cleft side. On the non-affected side, no delay of eruption was observed, but earlier eruption was found in the permanent maxillary canine and in the permanent maxillary first and second premolars. In boys with BCLP, the highest retardation of eruption was found in the permanent maxillary lateral incisor and in the permanent maxillary first molar. The permanent maxillary canine and both permanent maxillary premolars erupted earlier than in the control group. In boys with CP, only the permanent maxillary central incisors erupted earlier. The maxillary deciduous canines and the second molars were both lost early. We conclude that the developmental disturbances of the maxillary jaw and teeth in patients with orofacial clefts are also associated with alteration of timing of dental exchange.


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.


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.


2009 ◽  
Vol 10 (4) ◽  
pp. 67-74 ◽  
Author(s):  
Keerthilatha M. Pai ◽  
Archna Nagpal

Abstract Aim To determine the association of impacted maxillary canines with other developmental dental anomalies and compare them with a control population and to compare palatally and labially impacted canine associated anomalies. Methods and Materials Ninety non-syndromic orthodontic patients from a south Indian population, with either labial or palatal impactions of one or both maxillary canine teeth, were selected for the study group. A group of 250 patients who had normally erupted maxillary canines were selected as controls. Clinical findings and panoramic radiographs were used to identify dental anomalies. Results Prevalence of premolar rotation was found to be 80% in the study group followed by canine rotation (20%), taurodontism (26.6%), infraocclusion of premolars (25.5%), impacted mandibular canine (11.1%), and peg lateral (7.7%). Forty-nine (54.4%) palatally impacted, 37 (41.1%) labially impacted, and 4 (4.4%) centrally impacted canines were also observed. Of the 250 subjects in the control group 78.8% presented with premolar rotation. Maxillary canine transmigration, infraocclusion of premolars, anomalies of maxillary lateral incisors, and taurodontism showed significant associations with palatally impacted canines (P<0.05). Conclusion The present study illustrates a significant association of anomalous maxillary lateral, anomalous mandibular canine, taurodontism, infra occlusion of premolar, over retained deciduous molar, and maxillary canine transmigration with ectopically placed canines. These associations suggest these conditions may share a common genetic origin and existence of these anomalies can anticipate maxillary canine impaction which can help in cautious observation and early treatment for maxillary canine impaction. Clinical Significance Anomalous lateral incisors can serve as a predictor for palatal maxillary canine impaction. These anomalies could serve as an easily recognized, early warning sign for the monitoring of the canine position and timely early referral in appropriate cases. Citation Nagpal A, Pai KM, Sharma G. Palatal and Labially Impacted Maxillary Canine-associated Dental Anomalies: A Comparative Study. J Contemp Dent Pract 2009 July; (10)4:067-074.


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