Forced-eruption time for palatally impacted canines treated with and without ostectomy-decortication technique

ABSTRACT Objectives: To compare forced-eruption times for palatally impacted canines treated with and without the ostectomy-decortication technique and to assess the influence of palatally impacted canine pretreatment position and angle on forced-eruption time. Materials and Methods: The sample was composed of 118 patient-subjects with 151 palatally impacted canines treated with the ostectomy-decortication technique (n = 72) and without (n = 79). The orthopantomogram radiographs (OPGs) were analyzed for palatally impacted canine angle and horizontal and vertical position. Recovery time was measured from the start of forced eruption until the canine was within ±1 mm of final dental arch position. Results: The time of forced canine eruption with ostectomy-decortication technique was significantly shorter than without (6.6 vs 21.0 months). Pretreatment canine position significantly increased forced-eruption time in the ostectomy-decortication group but not in the control sample. Conclusions: Forced-eruption time of palatally impacted canines using the ostectomy-decortication technique was 3.2 times more rapid than without. Forced-eruption time increased significantly as a function of pretreatment palatally impacted canine position severity in the ostectomy-decortication group but not in the control.

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Pengambilan Gigi Kaninus dan Gigi Supernumerary yang Terpendam pada Maksila

Majalah Kedokteran Gigi Indonesia ◽

10.22146/majkedgiind.15415 ◽

2016 ◽

Vol 19 (1) ◽

pp. 167

Author(s):

Selviana Wati Fobia ◽

Bambang Dwi Rahardjo

Keyword(s):

Third Molar ◽

Dental Arch ◽

Supernumerary Tooth ◽

Impacted Tooth ◽

Impacted Canines ◽

Anterior Teeth ◽

Tooth Impaction ◽

Minor Surgery ◽

Impacted Canine ◽

A Minor

Latar belakang: suatu kasus impaksi gigi dapat menyebabkan maloklusi, dan kelainan oklusi akan semakin bertambah dengan bertambahnya usia. Impaksi gigi kaninus merupakan gigi kedua setelah gigi molar ketiga yang berfrekuensi tinggi untuk mengalami impaksi, persentasenya sekitar 12%-15% dari populasi. Gigi supernumerary adalah gigi tambahan/berlebih, sehingga jumlah gigi yang terbentuk dalam rahang lebih banyak dari jumlah normal. Terjadinya impaksi gigi kaninus dan supernumerary secara bersamaan jarang terjadi. Tujuan: Menambah wawasan du bidang bedah mulut minor, terutama dalam menangani suatu kasus impaksi gigi kaninus dan supernumerary untuk perawatan orthodonti. Kasus dan Penanganan: Dilaporkan seorang apsien, wanita, berusia 38 tahun yang baru menyadari kelainan maloklusinya dengan keluhan gigi depannya bertambah maju akibat adanya impaksi gigi kaninus dan impaksi gigi supernumerary. Pasien dikonsulkan dari Bagian Orthodonti ke Bagian Bedah Mulut untuk penanganan impaksi gigi kaninus dan supernumerary dengan kemungkinan untuk mempertahankan gigi kaninus memulai pembedahan. Dengan berbagai pertimbangan, penderita pada akhirnya menjalani operasi pengambilan gigi kaninus dan gigi supernumerary di Bagian Bedah Mulut RSGM Prof. Soedomo. Langkah-langkah diagnosis, operasi dan berbagai kemungkinan komplikasi juga turut disertakan di dalam pembahasan. Kesimpulan: Pengambilan gigi kaninus dan gigi supernumerary yang terpendam merupakan pilihan perawatan jika tidak memungkinkan untuk dilakukan exposure pada impaksi gigi kaninus pada maksila. Background: Impacted canines is the second most impacted tooth after third molar impaction, approximately 12%-15% of the population present with impacted canines. A supernumerary tooth is one that is additional to the normal series and can be found in almost any region of the dental arch. The incidence of an impacted canines as a sequent with a supernumerary tooth is very rare. Purpose: The aim of this case report is to add more information about a minor surgery due to canine and supernumerary tooth impaction for orthodontic treatment. Case and Management: We reported a case of a woman, 38 years old who have noticed a malocclution through the forwardness movement of her anterior teeth, due to the present of impacted canine and supernumerary. The patient consulted from orthodontic department to oral and maxillofacial department for further assessment, treatment and also the probability for surgical exposure of impacted canine. We have decided to do odontectomy for the impacted canine and supernumerary tooth as well at Oral and Maxillofacial department, Prof. Soedomo Hospital. The diagnosis process, exposure of impacted canine considerations are also discussed. Conclusion: the odontectomy for impacted canine and supernumerary teeth had performed as last options if there is impossible to do an exposure of an impacted canine.

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Disinclusion of Palatally Impacted Canines with Surgical and Photobiomodulating Action of a Diode Laser: Case Series

Applied Sciences ◽

10.3390/app11114869 ◽

2021 ◽

Vol 11 (11) ◽

pp. 4869

Author(s):

Alessandra Impellizzeri ◽

Martina Horodynski ◽

Adriana De Stefano ◽

Elisabetta Guercio-Monaco ◽

Gaspare Palaia ◽

...

Keyword(s):

Diode Laser ◽

Surgical Techniques ◽

Case Series ◽

Dental Arch ◽

Impacted Tooth ◽

Impacted Canines ◽

Post Surgery ◽

High Intensity Laser ◽

Impacted Canine ◽

Orthodontic Devices

Background: The permanent maxillary canine is the most impacted tooth after third molars. There are many possible surgical techniques to approach impacted canines. The literature reports that high-intensity laser therapies (HILTs) can be used for opercolectomy of an impacted tooth. The aim of this study is to propose a new orthodontic-surgical approach using a laser for the disinclusion of palatally impacted canines. Methods: Nine patients presented maxillary primary canine persistence in the dental arch. Orthopanoramic X-ray and cone beam computed tomography (CBCT) showed the impaction of permanent maxillary canines. Surgical exposure was performed using a diode laser (Raffaello, DMT, Lissone, Italy, 980 nm + 645 nm). No orthodontic devices were applied for impacted tooth traction. Canine movement was monitored at 1, 8, 16 weeks post-surgery with photos and a CS3500 intraoral scanner (Carestream Dental, Atlanta USA) to evaluate their autonomous eruption. Results: No complications were observed. In all the cases, complete disimpaction of the treated canines was obtained in only four months. Conclusions: Impacted canine exposure with a diode laser has many advantages if compared with traditional surgery. The pre-orthodontic exposure and autonomous eruption of impacted canines provided simplified and predictable outcomes. The absence of traction and the reduced time for orthodontic treatment increased compliance during the orthodontic alignment.

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Patterns and prevalence of canine anomalies in orthodontic patients

Medicine and Pharmacy Reports ◽

10.15386/cjmed-907 ◽

2019 ◽

Vol 92 (1) ◽

pp. 72-78 ◽

Cited By ~ 1

Author(s):

Sandhya Jain ◽

Sharmila Debbarma

Keyword(s):

Gender Difference ◽

Oral Cavity ◽

Indian Population ◽

Occlusal Surface ◽

Vertical Position ◽

Maxillary Canine ◽

Impacted Canines ◽

Impacted Canine ◽

Orthodontic Patients ◽

Mandibular Canine

Objective. The aim of the present study was to present detailed information regarding the impacted maxillary and mandibular canines and their patterns of presentation into the oral cavity and to evaluate the prevalence of different canine anomalies, such as ectopic canine, transmigration, transposition and agenesis of permanent canines among central Indian population. Method. A total of 1593 patients OPG’s were thoroughly evaluated and the prevalence of different canine anomalies like impacted maxillary and mandibular canine, transmigration, transposition, agenesis and ectopic canine eruptions were evaluated. The canine angulation, vertical position in relation to occlusal surface of adjacent tooth’s and the overlapping of adjacent teeth’s crown by impacted canine was evaluated by tracings. Result. Out of 1593 subjects, 22 patients had impacted canines. The prevalence of canine impaction was1.38%, with maxillary canine impaction of 0.93%, mandibular canine impaction of 0.37%, canine agenesis 0.06%, transmigration 0.12%, canine transposition 0.18% and the ectopic canine was 5.5%. Conclusion. There is no gender difference in canine impaction. The prevalence of canine impaction is 1.38%.

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Initial Vertical and Horizontal Position of Palatally Impacted Maxillary Canine and Effect on Periodontal Status Following Surgical-Orthodontic Treatment

The Angle Orthodontist ◽

10.2319/010907-8.1 ◽

2008 ◽

Vol 78 (2) ◽

pp. 275-280 ◽

Cited By ~ 10

Author(s):

Egle Zasciurinskiene ◽

Krister Bjerklin ◽

Dalia Smailiene ◽

Antanas Sidlauskas ◽

Algirdas Puisys

Keyword(s):

Orthodontic Treatment ◽

Treatment Protocol ◽

Vertical Position ◽

Orthodontic Appliances ◽

Pocket Depth ◽

Periodontal Status ◽

Impacted Canines ◽

Fixed Orthodontic Appliances ◽

Impacted Canine ◽

The Impact

Abstract Objective: To evaluate the impact of surgical-orthodontic treatment and the initial vertical and mesiodistal position of palatally impacted maxillary canines on the periodontal health of impacted canines and adjacent teeth. Materials and Methods: The study group consisted of 32 patients with unilateral palatally impacted maxillary canines. The initial position of the impacted canines was assessed on panoramic images. The treatment protocol of the impacted canines included surgical exposure with the closed-eruption technique and fixed orthodontic appliances. Results: A significant increase in pocket depth was found at the canine mesiopalatal point after surgical-orthodontic treatment. Also, a correlation was found between the initial mesiodistal and vertical position of the impacted canine and the posttreatment periodontal status of the impacted canine, the adjacent lateral incisor, and the first premolar. Conclusions: A combined surgical-orthodontic approach in the treatment of impacted maxillary canines produces clinically acceptable periodontal conditions. The average increase in pocket depth was less than 4 mm and clinically unimportant for most patients.

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Maxillary sinus volume in patients with impacted canines

The Angle Orthodontist ◽

10.2319/122915-895.1 ◽

2016 ◽

Vol 87 (1) ◽

pp. 25-32 ◽

Cited By ~ 7

Author(s):

Aslihan Zeynep Oz ◽

Abdullah Alper Oz ◽

Hakan El ◽

Juan Martin Palomo

Keyword(s):

Maxillary Sinus ◽

Contralateral Side ◽

Target Point ◽

Dental Arch ◽

Maxillary Sinus Volume ◽

Impacted Canines ◽

Significant Difference ◽

Impacted Canine ◽

The Mean ◽

Maxillary Sinuses

ABSTRACT Objectives: To evaluate the maxillary sinus volumes in unilaterally impacted canine patients and to compare the volumetric changes that occur after the eruption of canines to the dental arch using cone beam computed tomography (CBCT). Materials and Methods: Pre- (T0) and posttreatment (T1) CBCT records of 30 patients were used to calculate maxillary sinus volumes between the impacted and erupted canine sides. The InVivoDental 5.0 program was used to measure the volume of the maxillary sinuses. The distance from impacted canine cusp tip to the target point on the palatal plane was also measured. Results: Right maxillary sinus volume was statistically significantly smaller compared to that of the left maxillary sinus when the canine was impacted on the right side at T0. According to the T1 measurements there was no significant difference between the mean volumes of the impaction side and the contralateral side. The distance from the canine tip to its target point on the palatal plane were 17.17 mm, and the distance from the tip to the target point was 15.14 mm for the left- and right-side impacted canines, respectively, and there was a significant difference between the mean amount of change of both sides of maxillary sinuses after treatment of impacted canines. Conclusions: Orthodontic treatment of impacted canines created a significant increase in maxillary sinus volume when the impacted canines were closer with respect to the maxillary sinus.

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Impacted Maxillary Canines, Premolar and Central Incisor - Surgical Exposure and Orthodontic management

Bangladesh Journal of Orthodontics and Dentofacial Orthopedics ◽

10.3329/bjodfo.v1i1.15975 ◽

2013 ◽

Vol 1 (1) ◽

pp. 24-26

Author(s):

MZ Hossain ◽

MSA Mamun ◽

S Haque

Keyword(s):

Treatment Approach ◽

Dental Health ◽

Significant Proportion ◽

Functional Requirements ◽

Central Incisor ◽

Treatment Alternative ◽

High Demand ◽

Maxillary Canine ◽

Impacted Canines ◽

Impacted Canine

The importance of maxillary canine impaction is that it may compromise dental health , particularly because a small but significant proportion of impacted canine is associated with the resorption of the roots of neighbouring teeth. A few cases of impacted upper canines, premolar and central incisors of different ages are presented. Although the best treatment alternative for impacted teeth is extraction, the same cannot be directly applied to canines and central incsor especially. Since canines present with them a high demand on aesthetic and functional requirements. Thus, alignment of impacted canines into the arch is the best treatment approach. The purpose of this study is to evaluate the impacted maxillary canines that were surgically exposed, followed by orthodontic alignment into occlusion. DOI: http://dx.doi.org/10.3329/bjodfo.v1i1.15975 Ban J Orthod & Dentofac Orthop, October 2010; Vol-1, No.1, 24-26

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Orthodontic traction of impacted canines: Concepts and clinical application

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.24.1.074-087.bbo ◽

2019 ◽

Vol 24 (1) ◽

pp. 74-87 ◽

Cited By ~ 4

Author(s):

Ricardo Machado Cruz

Keyword(s):

Treatment Time ◽

Permanent Tooth ◽

Maxillary Expansion ◽

Management Options ◽

Deep Bite ◽

Impacted Canines ◽

Impacted Canine ◽

Prolonged Retention ◽

Division 2

ABSTRACT Orthodontic traction of impacted canines stands as a major challenge for Orthodontics. It is a relatively frequent clinical complaint which management, more often than not, requires a multidisciplinary approach. Surgical exposure of the impacted canine, and the complex orthodontic mechanics applied to align the tooth back into the arch, may frequently lead to complications involving supporting tissues, not to mention the long treatment time and high costs imposed to patients. In face of that, it is worth highlighting the relevance of early diagnosis as to intervene efficiently and as soon as possible. This paper presents a review of the main concepts involving prevalence, etiology and classification of impacted canines, and describes the different clinical management options that would help solve the problem. It illustrates the topic by presenting a treatment delivered to a 13 year 7 months old male patient, suffering from a Class II, division 2, left subdivision, malocclusion, associated to a deep bite and a prolonged retention of a primary upper canine caused by the impaction of the permanent tooth. Corrective orthodontic therapy was associated to a rapid maxillary expansion and to the use of a high pull headgear. Impacted canine was submitted to orthodontic traction and correctly positioned back into the arch. This approach proved to be efficient in meeting both functional and aesthetic goals.

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Clinical and Statistical Study on Canine Impaction

Acta Medica Marisiensis ◽

10.2478/amma-2013-0044 ◽

2013 ◽

Vol 59 (4) ◽

pp. 191-193 ◽

Cited By ~ 2

Author(s):

Coșarcă Adina-Simona ◽

Păcurar Mariana ◽

Nagy-Bota Monica-Cristina ◽

Ormenișan Alina

Keyword(s):

Statistical Study ◽

Interdisciplinary Approach ◽

Dental Arch ◽

Third Molars ◽

Statistical Research ◽

Facial Surgery ◽

Surgical Exposure ◽

Impacted Canine ◽

Clinical Records

Abstract Aim: The aim of this study was to perform a clinical and statistical research on permanent impacted canine patients among those with dental impaction referred to and treated at the Oral and Maxillo-Facial Surgery Clinic of Tîrgu Mureș, over a four years period (2009-2012). Materials and methods: The study included 858 patients having dental impaction, and upon clinical records, different parameters, like frequency, gender, age, quadrant involvement, patient residence, associated complications, referring specialist and type of treatment, related to canine impaction, were assessed. Results: The study revealed: about 10% frequency of canine impaction among dental impactions; more frequent in women, in the first quadrant (tooth 13); most cases diagnosed between the age of 10-19 years; patients under 20 were referred by an orthodontist, those over 20 by a dentist; surgical exposure was more often performed than odontectomy. Conclusions: Canine impaction is the second-most frequent dental impaction in dental arch after third molars; it occurs especially in women. Due to its important role, canine recovery within dental arch is a goal to be achieved, whenever possible. Therefore, diagnose and treatment of canine impaction requires an interdisciplinary approach (surgical and orthodontic)

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The Relationship between Dental Follicle Width and Maxillary Impacted Canines’ Descriptive and Resorptive Features Using Cone-Beam Computed Tomography

BioMed Research International ◽

10.1155/2017/2938691 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

İlhan Metin Dağsuyu ◽

Rıdvan Okşayan ◽

Fatih Kahraman ◽

Mehmet Aydın ◽

İbrahim Şevki Bayrakdar ◽

...

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Root Resorption ◽

Three Dimensional ◽

Cone Beam ◽

Dental Follicle ◽

Impacted Canines ◽

Impacted Canine ◽

The Relationship ◽

Maxillary Impacted Canine

Objectives. To assess the relationship between dental follicle width and maxillary impacted canines’ descriptive and resorptive features with three-dimensional (3D) cone-beam computed tomography (CBCT). Methods. The study comprised 102 patients with cone-beam computed tomography 3D images and a total of 140 impacted canines. The association between maxillary impacted canine dental follicle width and the variables of gender, impaction side (right and left), localization of impacted canine (buccal, central, and palatal), and resorption of the adjacent laterals was compared. Measurements were analyzed with Student’s t-test, Kruskal-Wallis test, and Mann–Whitney U statistical test. Results. According to gender, no statistically significant differences were found in the follicle size of the maxillary impacted canine between males and females (p>0.05). Widths of the follicles were determined for the right and left impaction sides, and no statistically significant relation was found (p>0.05). There were statistically significant differences between root resorption degrees of lateral incisors and maxillary impacted canine follicle width (p<0.05). Statistically significant higher follicle width values were present in degree 2 (mild) resorption than in degree 1 (no) and degree 3 (moderate) resorption samples (p<0.05). Conclusions. No significant correlation was found between follicle width and the variables of gender, impaction side, and localization of maxillary impacted canines. Our study could not confirm that increased dental follicle width of the maxillary impacted canines exhibited more resorption risk for the adjacent lateral incisors.

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Cone-beam computed tomography for assessment of palatal displaced canine position: A methodological study

The Angle Orthodontist ◽

10.2319/070913-502.1 ◽

2013 ◽

Vol 84 (3) ◽

pp. 459-466 ◽

Cited By ~ 3

Author(s):

Julia Naoumova ◽

Heidrun Kjellberg ◽

Reet Palm

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Cone Beam ◽

Vertical Position ◽

Dental Arch ◽

Linear Measurements ◽

Precise Position ◽

Angular Measurements ◽

Mean Differences ◽

Intraexaminer Reliability

ABSTRACT Objective: To assess the inter- and intraexaminer reliability of a measurement method for evaluation of eruption angles and position of palatal displaced canines (PDCs) with cone-beam computed tomography (CBCT) images and to test the validity of the measured angles on a dry skull. Materials and Methods: Twenty patients (eight boys, 12 girls; age 11.4 ± 1.2 years) were randomly chosen among 67 patients from a study evaluating the interceptive effect of extracting the deciduous canine in children with PDCs. In total, 60 images were analyzed, because each patient had three CBCT examinations (baseline, 6-month control, and endpoint). Two observers assessed the following measurements twice: mesioangular and sagittal angle, vertical position, canine cusp tip, and canine apex to dental arch. The validity of the angular measurements was tested against angular measurements on a dry skull using mathematical formulations. Results: The inter- and intraexaminer mean differences for angular and linear measurements were all low and statistically insignificant (P > .05). The mean differences between the physical and 3D measurements were 0.5 ± 0.39 mm for the sagittal angle and 0.22 ± 0.19 mm for the mesioangular angle. Conclusions: Linear and angular measurements on CBCT images are accurate and precise and can be used to assess the precise position of a PDC.

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