Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Comparison of Dentoalveolar Arch Symmetry in Individuals with Unilateral Maxillary Palatal Impacted Canine
Tek Taraflı Maksiller Palatal Gömülü Kanine Sahip Bireylerde Dentoalveolar Ark Simetrisinin Karşılaştırılması
Ezgi ATİKa, Hande GÖRÜCÜ COŞKUNERa, Bengisu AKARSU GÜVENa
aDepartment of Orthodontics, Hacettepe University Faculty of Dentistry, Ankara, TURKEY
Turkiye Klinikleri J Dental Sci. 2020;26(3):402-9
doi: 10.5336/dentalsci.2019-70615
Article Language: EN
Full Text
ABSTRACT
 Objective: To compare the dentoalveolar measurements of the subjects with unilateral palatally impacted canines versus nonimpacted contralateral side on cone-beam computed tomography. Material and Methods: This retrospective study comprised 27 patients (16 female, 11 male; mean age: 15.34±1.95 years) with unilateral palatally impacted canine. Dolphin imaging software was used to reconstruct coronal, sagittal, and axial images. Coronal images were used for the evaluation of the angulation of the canine and lateral teeth, dentoalveolar height from the central and lateral incisors. On sagittal images, canine, lateral, first premolar angulation, and the distance of the canine cusp tip to the occlusal plane, on axial images; the lateral incisor rotation and arch width from premolar to mid-palatine raphe were evaluated. The paired samples t-test and Pearson correlation analysis were used for the statistical evaluation. Results: Lateral incisors on the impacted side showed significantly higher coronal angulation and lower sagittal angulation, compared to the non-impacted side (p<0.05). On impacted side, axial width from the first premolar to the mid-palatine raphe and lateral incisor rotation was significantly lower than on the non-impacted side (p≤0.001). Canine cusp tip-occlusal plane was negatively correlated with the dentoalveolar height of the central (r=-0.400; p=0.039) and lateral incisors (r=-0.373; p=0.055). Conclusion: The results of the study implicate that unilateral palatally impacted maxillary canines can provide asymmetric dentoalveolar measurements. The deviation of the lateral incisors from normal angulation should be taken into consideration during orthodontic examination.

Keywords: Tooth impacted; cuspid; cone-beam computed tomography
ÖZET
 Amaç: Çalışmanın amacı, konik ışınlı bilgisayarlı tomografi kullanılarak tek taraflı palatal gömülü kanine sahip bireylerin dentoalveolar ölçümlerinin, gömülü kanin olmayan karşı taraf ile karşılaştırılmasıdır. Gereç ve Yöntemler: Retrospektif dizaynlı çalışmamız, tek taraflı maksiller palatal gömülü kanine sahip 27 bireyi (16 kadın, 11 erkek; ortalama yaş: 15,34±1,95 yıl) içermektedir. Dolphin yazılım programı kullanılarak koronal, sagital ve aksiyel kesitler elde edilmiştir. Koronal görüntülerde; lateral ve kanin dişlerin açılanmaları, santral ve lateral dişlerin dentoalveolar yükseklikleri ölçülmüştür. Lateral, kanin ve 1. premolar dişlerin sagital açılanmaları ve kanin tüberkülünün okluzal düzleme olan mesafesinin ölçümü sagital görüntüler kullanılarak yapılmıştır. Lateral diş rotasyonu ve pre-molar-midpalatal sütur arası genişlik ölçümleri aksiyel görüntüler üzerinde yapılmıştır. Eşleştirilmiş örneklem-t-testi ve Pearson korelasyon analizi istatistiksel değerlendirmede kullanılmıştır. Bulgular: Gömülü taraftaki lateral kesiciler, gömülü olmayan tarafa göre daha yüksek koronal açılanma ve daha düşük sagital açılanma değeri göstermiştir (p<0,05). Gömülü segmentte 1. premolar diş ile midpalatal sütur arası aksiyel genişlik ve lateral dişin rotasyonu karşı tarafa kıyasla daha düşük bulunmuştur (p≤0,001). Kanin tüberkülünün okluzal düzleme olan dikey mesafesi ile santral (r=-0,400; p=0,039) ve lateral kesicilerin (r=-0,373; p=0,055) dentoalveolar yükseklikleri arasında negatif korelasyon saptanmıştır. Sonuç: Bu çalışmanın sonuçları tek taraflı palatal maksiller gömülü kaninlerin asimetrik dentoalveolar ölçümlere neden olabileceğini vurgulamaktadır. Lateral kesici dişlerin normal açılanmadan sapma göstermesi ortodontik muayene sırasında dikkate alınmalıdır.

Anahtar Kelimeler: Gömülü diş; kuspid; konik ışınlı bilgisayarlı tomografi
REFERENCES:
  1. Walker L, Enciso R, Mah J. Three-dimensional localization of maxillary canines with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2005;128(4):418-23. [Crossref]  [PubMed] 
  2. Sajnani A, King N. Dental age of children and adolescents with impacted maxillary canines. J Orofac Orthop. 2012;73(5):359-64. [Crossref]  [PubMed] 
  3. Becker A. In defense of the guidance theory of palatal canine displacement. Angle Orthod. 1995;65(2):95-8. [PubMed] 
  4. Jacoby H. The etiology of maxillary canine impactions. Am J Orthod. 1983;84(2):125-32. [Crossref]  [PubMed] 
  5. Peck S, Peck L, Kataja M. Concomitant occurrence of canine malposition and tooth agenesis: evidence of orofacial genetic fields. Am J Orthod Dentofacial Orthop. 2002;122(6):657-60. [Crossref]  [PubMed] 
  6. Jacobs SG. Localization of the unerupted maxillary canine: how to and when to. Am J Orthod Dentofacial Orthop. 1999;115(3):314-22. [Crossref]  [PubMed] 
  7. Shapira Y, Kuftinec MM. Early diagnosis and interception of potential maxillary canine impaction. J Am Dent Assoc. 1998;129(10):1450-4. [Crossref]  [PubMed] 
  8. Kanavakis G, Curran KM, Wiseman KC, Barone NP, Finkelman MD, Srinivasan S, et al. Evaluation of crown-root angulation of lateral incisors adjacent to palatally impacted canines. Prog Orthod. 2015;26;16:4. [Crossref]  [PubMed]  [PMC] 
  9. Tadinada A, Mahdian M, Vishwanath M, Allareddy V, Upadhyay M, Yadav S, et al. Evaluation of alveolar bone dimensions in unilateral palatally impacted canine: a cone-beam computed tomographic analyses. Eur J Orthod. 2015;37(6):596-602. [Crossref]  [PubMed] 
  10. Becker A, Chaushu S, Casap-Caspi N. Cone-beam computed tomography and the orthosurgical management of impacted teeth. J Am Dent Assoc. 2010;141 Suppl 3:14S-8S. [Crossref]  [PubMed] 
  11. Lai CS, Bornstein MM, Mock L, Heuberger BM, Dietrich T, Katsaros C, et al. Impacted maxillary canines and root resorptions of neighbouring teeth: a radiographic analysis using cone-beam computed tomography. Eur J Orthod. 2013;35(4):529-38. [Crossref]  [PubMed] 
  12. Botticelli S, Verna C, Cattaneo PM, Heidmann J, Melsen B. Two- versus three-dimensional imaging in subjects with unerupted maxillary canines. Eur J Orthod. 2011;33(4):344-9. [Crossref]  [PubMed] 
  13. D Oleo-Aracena MF, Arriola-Guillén LE, Rodríguez-CárdenasYA, Ruíz-Mora GA. Skeletal and dentoalveolar bilateral dimensions in unilateral palatally impacted canine using cone beam computed tomography. Prog Orthod. 2017;18(1):7. [Crossref]  [PubMed]  [PMC] 
  14. Ericson S, Kurol J. Early treatment of palatally erupting maxillary canines by extraction of the primary canines. Eur J Orthod. 1988;10(4):283-95. [Crossref]  [PubMed] 
  15. Liuk IW, Olive RJ, Griffin M, Monsour P. Associations between palatally displaced canines and maxillary lateral incisors. Am J Orthod Dentofacial Orthop. 2013;143(5):622-32. [Crossref]  [PubMed] 
  16. Brin I, Becker A, Shalhav M. Position of the maxillary permanent canine in relation to anomalous or missing lateral incisors: a population study. Eur J Orthod. 1986;8(1):12-6. [Crossref]  [PubMed] 
  17. Becker A, Smith P, Behar R. The incidence of anomalous maxillary lateral incisors in relation to palatally-displaced cuspids. Angle Orthod. 1981;51(1):24-9. [PubMed] 
  18. Peck S, Peck L, Kataja M. Concomitant occurrence of canine malposition and tooth agenesis: evidence of orofacial genetic fields. Am J Orthod Dentofacial Orthop. 2002;122(6):657-60. [Crossref]  [PubMed] 
  19. Pirinen S, Arte S, Apajalahti S. Palatal displacement of canine is genetic and related to congenital absence of teeth. J Dent Res. 1996;75(10):1742-6. [Crossref]  [PubMed] 
  20. Cernochova P, Izakovicova-Holla L. Dentoskeletal characteristics in patients with palatally and buccally displaced maxillary permanent canines. Eur J Orthod. 2012;34(6):754-61. [Crossref]  [PubMed] 
  21. Lüdicke G, Harzer W, Tausche E. [Incisor inclination--risk factor for palatally-impacted canines]. J Orofac Orthop. 2008;69(5):357-64. [Crossref]  [PubMed] 
  22. Olive RJ. Factors influencing the non-surgical eruption of palatally impacted canines. Aust Orthod J. 2005;21(2):95-101. [PubMed] 
  23. Arboleda-Ariza N, Schilling J, Arriola-Guillén LE, Ruíz-Mora GA, Rodríguez-Cárdenas YA, Aliaga-Del Castillo A, et al. Maxillary transverse dimensions in subjects with and without impacted canines: a comparative cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2018;154(4):495-503. [Crossref]  [PubMed] 
  24. Hong WH, Radfar R, Chung CH. Relationship between the maxillary transverse dimension and palatally displaced canines: a cone-beam computed tomographic study. Angle Orthod. 2015;85(3):440-5. [Crossref]  [PubMed] 
  25. Saiar M, Rebellato J, Sheats RD. Palatal displacement of canines and maxillary skeletal width. Am J Orthod Dentofacial Orthop. 2006;129(4):511-9. [Crossref]  [PubMed] 
  26. Langberg BJ, Peck S. Adequacy of maxillary dental arch width in patients with palatally displaced canines. Am J Orthod Dentofacial Orthop. 2000;118(2):220-3. [Crossref]  [PubMed] 
  27. Baratieri C, Canongia ACP, Bolognese AM. Relationship between maxillary canine intra-alveolar position and maxillary incisor angulation: a cone beam computed tomography study. Braz Dent J. 2011;22(2):146-50. [Crossref]  [PubMed] 
  28. Baccetti T, Leonardi M, Armi P. A randomized clinical study of two interceptive approaches to palatally displaced canines. Eur J Orthod. 2008;30(4):381-5. [Crossref]  [PubMed] 

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