RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES

Akbulut, Nihat; Altan, Halenur; ÇOLAK, Sefa; Altan, Ahmet

doi:10.7126/cumudj.657384

RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES

Ahmet ALTAN, (Tokat Gaziosmanpaşa Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalı, Tokat, Türkiye)

Sefa ÇOLAK, (Tokat Gaziosmanpaşa Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalı, Tokat, Türkiye)

Nihat AKBULUT, (Tokat Gaziosmanpaşa Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi Anabilim Dalı, Tokat, Türkiye)

Halenur ALTAN (Tokat Gaziosmanpaşa Üniversitesi, Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği Anabilim Dalı, Tokat, Türkiye)

Cumhuriyet Dental Journal

6 0

Yıl: 2020 Cilt: 23 Sayı: 1 Sayfa Aralığı: 32 - 37 Metin Dili: İngilizce DOI: 10.7126/cumudj.657384 İndeks Tarihi: 17-12-2020

RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES

Öz:

Objective: Treatment of impacted maxillary canines is essential, bothaesthetically and functionally. This study aims to define the radiographicfeatures of maxillary impacted canines, evaluate treatment options, and todetect related pathologies.Materials and Methods: In this retrospective study, orthopantomographs,treatment options, and demographic features of the patients were analyzed.Impacted maxillary canines were classified according to the study ofYamamoto et al. According to this classification, maxillary canines areevaluated under seven types according to the occlusal plane and their relativelocation to adjacent teeth. Moreover, the pathologies around impactedcanines were detected via panoramic radiographies.Results: 323 impacted maxillary canines of 270 patients were analyzed. Twohundred fifteen of these teeth (66.6%) belonged to females, while the rest 108(33.4%) belonged to males. It was observed that impacted maxillary canineswere bilateral in 53 patients and unilateral in 217 patients. In theclassification based on direction and position of impacted maxillary canines,the highest rates was Type 2 (55.42%) which was followed by Type 4(26.93%), Type 1 (12.38%), Type 7 (2.79%), Type 3 (1.86%) and Type 5(0.62%), respectively. Twenty-eight patients with cystic lesion related toimpacted maxillary canines were detected. Impacted maxillary caninesconcomitant with odontoma was detected in 4 patients. In 52 of the patients,it was detected that maxilla was edentulous except for the impacted canines,and the extractions of impacted canine teeth were due to prosthetic reasons.Thirty impacted maxillary canines of 24 patients (n=30, 9.28%) were placedbuttons for orthodontic maintenance, while surgical tooth extraction waspreferred as a treatment option in other patients.Conclusions: Orthodontic, surgical treatments or combinations may bepreferred depending on the impact level of the canine. Early diagnosis andcorrect orientation of the patient is essential for the success of the treatment.

Anahtar Kelime:

Gömülü Maksillar Kanin Dişlerin Radyografik Özellikleri ve Tedavi Stratejileri

Öz:

Amaç: Gömülü kanin dişlerinin tedavisi estetik ve fonksiyon açısından önem taşımaktadır. Bu çalışmanın amacı; maksillar gömülü kanin dişlerin, radyografik özelliklerini belirlemek, tedavi seçeneklerini değerlendirmek ve ilgili patolojileri tespit etmektir. Gereç ve Yöntem: Bu retrospektif çalışmada,hastaların ortopantomograf radyografileri, tedavi seçenekleri ve demografik özellikleri analiz edildi. Gömülü maksillar kaninler; Yamamoto ve arkadaşları tarafından yapılan sınıflamaya göre gruplara ayrıldı. Bu sınıflamaya göre maksillar kaninler oklüzal düzleme ve komşu dişlere konumlarına göre 7 tipe ayrılmıştır. Ayrıca; panaromik radyografilerden gömülü kanin dişler etrafındaki patolojiler tespit edildi. Bulgular: Çalışmada, 270 hastaya (173 kadın, 97 erkek) ait 323 gömülü maksillar kanin diş analiz edildi. Bu dişlerin 215’i (%66,6) kadınlarda, 108’si (%33,4) erkeklerde görüldü. Maksillar gömülü kanin dişler 53 hastada (42 kadın, 11 erkek) bilateral, 217 hastada unilateral olarak tespit edildi. Maksillar kaninlerin yönü ve pozisyonuna göre yapılan sınıflamada en yüksek oran Tip 2 (%55,42)’de onu takiben sırasıyla, Tip 4 (%26,93), Tip 1 (%12,38), Tip 7 (%2,79), Tip 3 (%1,86), Tip 5 (%0,62) idi. 28 hastada gömülü maksillar kanin dişlerle ilişkili kistik lezyon tespit edildi. 4 hastada ise gömülü maksillar kanin dişe odontoma eşlik ediyordu. Hastaların 52’sinde gömülü kanin dişler haricinde maksillanın total dişsiz olduğu ve protetik amaçlarla çekim gerçekleştirildiği belirlendi. 24 hastada 30 gömülü maksillar kanin dişe ortodontik olarak sürdürülme amacıyla buton yerleştirildi, diğer hastalarda ise tercih edilen tedavi yöntemi cerrahi çekimdi. Sonuçlar: Kanin dişin gömülülük derecesine bağlı olarak; tedavide ortodontik, cerrahi ya da kombinasyonları tercih edilebilir. Tedavinin başarısında erken tanı ve hastanın doğru yönlendirilmesi önemlidir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

1. Al-Zoubi H, Alharbi AA, Ferguson DJ, Zafar MS. Frequency of impacted teeth and categorization of impacted canines: A retrospective radiographic study using orthopantomograms. Eur J Dent 2017;11:117- 121.
2. Pedro FL, Bandeca MC, Volpato LE, Marques AT, Borba AM, Musis CR, et al. Prevalence of impacted teeth in a Brazilian subpopulation. J Contemp Dent Pract 2014;15:209-213.
3. Damlar İ, Altan A, Tatlı U, Arpağ OF. Retrospective Investigation of the Prevalence of Impacted Teeth in Hatay. Cukurova Medical Journal 2014;39:559-565.
4. Uğur Aydın Z, Korkmaz YN, Sarıoğlu B. Radiographic Investigation of The Relationship Between Dental Malocclusions And Dental Anomalies on the Turkish Population. Cumhuriyet DentJ 2018;21:343-349.
5. Aydin U, Yilmaz HH, Yildirim D. Incidence of canine impaction and transmigration in a patient population. Dentomaxillofac Radiol 2004;33:164-169.
6. Bhullar MK, Aggarwal I, Verma R, Uppal AS. Mandibular Canine Transmigration: Report of Three Cases and Literature Review. J Int Soc Prev Community Dent 2017;7:8-14.
7. Joshi MR. Transmigrant mandibular canines: a record of 28 cases and a retrospective review of the literature. Angle Orthod 2001;71:12-22.
8. Sumer P, Sumer M, Ozden B, Otan F. Transmigration of mandibular canines: a report of six cases and a review of the literature. J Contemp Dent Pract 2007;8:104-110.
9. Celikoglu M, Kamak H, Oktay H. Investigation of transmigrated and impacted maxillary and mandibular canine teeth in an orthodontic patient population. J Oral Maxillofac Surg 2010;68:1001-1006.
10. Alhammadi MS, Asiri HA, Almashraqi AA. Incidence, severity and orthodontic treatment difficulty index of impacted canines in Saudi population. J Clin Exp Dent 2018;10:e327-e334.
11.Becker A, Chaushu S. Surgical Treatment of Impacted Canines: What the Orthodontist Would Like the Surgeon to Know. Oral MaxillofacSurg Clin North Am 2015;27:449-458.
12.Bonardi JP, Gomes-Ferreira PH, de Freitas Silva L, Momesso GA, de Oliveira D, Ferreira S, et al. Large Dentigerous Cyst Associated to Maxillary Canine. J CraniofacSurg 2017;28:e96-e97.
13. Guarnieri R, Cavallini C, Vernucci R, Vichi M, Leonardi R, Barbato E. Impacted maxillary canines and root resorption of adjacent teeth: A retrospective observational study. Med OralPatol Oral Cir Bucal 2016;21:e743-e750.
14. Yamamoto G, Ohta Y, Tsuda Y, Tanaka A, Nishikawa M, Inoda H. A new classification of impacted canines and second premolars using orthopantomography. Asian Journal of Oral and Maxillofacial Surgery 2003;15:31-37.
15. Thilander B, Myrberg N. The prevalence of malocclusion in Swedish schoolchildren. Scand J Dent Res 1973;81:12-21.
16. Takahama Y, Aiyama Y. Maxillary canine impaction as a possible microform of cleft lip and palate. Eur J Orthod 1982;4:275-277.
17.Counihan K, Al-Awadhi EA, Butler J. Guidelines for the assessment of the impacted maxillary canine. Dent Update 2013;40:770-777.
18. Kettle MA. Treatment of the unerupted maxillary canine. Trans Br Soc Orthod 1957:74-78.
19. Stivaros N, Mandall NA. Radiographic factors affecting the management of impacted upper permanent canines. J Orthod 2000;27:169-173.
20. Preda L, La Fianza A, Di Maggio EM, Dore R, Schifino MR, Campani R, et al. The use of spiral computed tomography in the localization of impacted maxillary canines. Dentomaxillofac Radiol 1997; 26:236-241.
21. Mah JK, Danforth RA, Bumann A, Hatcher D. Radiation absorbed in maxillofacial imaging with a new dental computed tomography device. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:508- 513.
22. Ericson S, Kurol PJ. Resorption of incisors after ectopic eruption of maxillary canines: a CT study. Angle Orthod 2000;70:415-423.
23.Bayrak S, Sezgin OS, Kayıpmaz, Çan G. The Effect of Slice Thickness on the Volume Estimations Performed by Using Cone Beam CT. Cumhuriyet Dent J 2018;21:167-172.
24. Sajnani AK, King NM. Retrospective audit of management techniques for treating impacted maxillary canines in children and adolescents over a 27-year period. J Oral Maxillofac Surg 2011;69:2494-2499.
25. Penarrocha M, Penarrocha M, Garcia-Mira B, Larrazabal C. Extraction of impacted maxillary canines with simultaneous implant placement. J Oral Maxillofac Surg 2007;65:2336-2339.
26.Bishara SE. Impacted maxillary canines: a review. Am J Orthod Dentofacial Orthop1992;101:159-171.
27.Bensaha T. A new approach for the surgical exposure of impacted canines by ultrasonic surgery through soft tissue. Int J Oral Maxillofac Surg 2013;42:1557-1561.
28. Baccetti T, Sigler LM, McNamara JA, Jr. An RCT on treatment of palatally displaced canines with RME and/or a transpalatal arch. Eur J Orthod 2011;33:601-607.
29.Roth A, Yildirim M, Diedrich P. Forced eruption with microscrew anchorage for preprosthetic leveling of the gingival margin. Case report. J Orofac Orthop 2004;65:513-519.

APA	Altan A, ÇOLAK S, Akbulut N, Altan H (2020). RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. , 32 - 37. 10.7126/cumudj.657384
Chicago	Altan Ahmet,ÇOLAK Sefa,Akbulut Nihat,Altan Halenur RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. (2020): 32 - 37. 10.7126/cumudj.657384
MLA	Altan Ahmet,ÇOLAK Sefa,Akbulut Nihat,Altan Halenur RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. , 2020, ss.32 - 37. 10.7126/cumudj.657384
AMA	Altan A,ÇOLAK S,Akbulut N,Altan H RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. . 2020; 32 - 37. 10.7126/cumudj.657384
Vancouver	Altan A,ÇOLAK S,Akbulut N,Altan H RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. . 2020; 32 - 37. 10.7126/cumudj.657384
IEEE	Altan A,ÇOLAK S,Akbulut N,Altan H "RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES." , ss.32 - 37, 2020. 10.7126/cumudj.657384
ISNAD	Altan, Ahmet vd. "RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES". (2020), 32-37. https://doi.org/10.7126/cumudj.657384

APA	Altan A, ÇOLAK S, Akbulut N, Altan H (2020). RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. Cumhuriyet Dental Journal , 23(1), 32 - 37. 10.7126/cumudj.657384
Chicago	Altan Ahmet,ÇOLAK Sefa,Akbulut Nihat,Altan Halenur RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. Cumhuriyet Dental Journal 23, no.1 (2020): 32 - 37. 10.7126/cumudj.657384
MLA	Altan Ahmet,ÇOLAK Sefa,Akbulut Nihat,Altan Halenur RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. Cumhuriyet Dental Journal , vol.23, no.1, 2020, ss.32 - 37. 10.7126/cumudj.657384
AMA	Altan A,ÇOLAK S,Akbulut N,Altan H RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. Cumhuriyet Dental Journal . 2020; 23(1): 32 - 37. 10.7126/cumudj.657384
Vancouver	Altan A,ÇOLAK S,Akbulut N,Altan H RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES. Cumhuriyet Dental Journal . 2020; 23(1): 32 - 37. 10.7126/cumudj.657384
IEEE	Altan A,ÇOLAK S,Akbulut N,Altan H "RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES." Cumhuriyet Dental Journal , 23, ss.32 - 37, 2020. 10.7126/cumudj.657384
ISNAD	Altan, Ahmet vd. "RADIOGRAPHIC FEATURES AND TREATMENT STRATEGIES OF IMPACTED MAXILLARY CANINES". Cumhuriyet Dental Journal 23/1 (2020), 32-37. https://doi.org/10.7126/cumudj.657384