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Etiologic factors for buccal and palatal maxillary canine impaction: a perspective based on cone-beam computed tomography analyses.
Am J Orthod Dentofacial Orthop. 2013 Apr; 143(4):527-34.AJ

Abstract

INTRODUCTION

The aim of this research was to identify the etiologic factors associated with palatally impacted canines and buccally impacted canines in a Chinese population by using the cone-beam computed tomography technique.

METHODS

Pretreatment cone-beam computed tomography scans of 170 Chinese subjects with impacted maxillary canines and 170 age- and sex-matched subjects without impaction were used. Impacted canine subjects were divided into 2 groups: those with palatally impacted canines and those with buccally impacted canines. One rater analyzed the cone-beam computed tomography data for qualitative and quantitative variables of the teeth, dental arch, and skeletal components. The measurements were compared by using analytical statistical methods.

RESULTS

The mesiodistal dimension of the lateral incisor was significantly smaller in the palatally impacted canine group than in the other group (by an average of 0.4-0.5 mm; analysis of variance [ANOVA], P <0.001). Both anterior maxillary dental (interpremolar) width and skeletal width (interjugal points) in the buccally impacted canine group were significantly smaller than in the palatally impacted canine and control groups (ANOVA, P <0.001), whereas the intermolar widths and posterior mandibular widths were similar among the groups. The groups with palatally impacted or buccally impacted canines had significantly increased prevalence values of peg-shaped lateral incisors and incisor impaction, respectively (chi-square or Fisher exact tests, P <0.001). After excluding subjects who also had lateral incisor anomalies, the prevalence values of supernumerary teeth, missing premolars, or third molars combined were not different among the impaction and control groups. The average mesiodistal location of the canine cusp tip was significantly different between the buccally impacted canines and the palatally impacted canines groups; it was distal and mesial to the lateral incisor long axis, respectively.

CONCLUSIONS

In Chinese subjects, buccal canine impaction is mostly associated with anterior transverse (dental and skeletal) deficiency and incisor impaction, whereas palatal impaction is mostly associated with small or missing lateral incisors, consistent with the guidance theory. Likely, preimpaction migrations of the canines are mainly buccal for buccal impactions and excessively mesiopalatal for palatal impactions.

Authors+Show Affiliations

School of Computer Science and Engineering, Southeast University, Nanjing, China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23561415

Citation

Yan, Bin, et al. "Etiologic Factors for Buccal and Palatal Maxillary Canine Impaction: a Perspective Based On Cone-beam Computed Tomography Analyses." American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, vol. 143, no. 4, 2013, pp. 527-34.
Yan B, Sun Z, Fields H, et al. Etiologic factors for buccal and palatal maxillary canine impaction: a perspective based on cone-beam computed tomography analyses. Am J Orthod Dentofacial Orthop. 2013;143(4):527-34.
Yan, B., Sun, Z., Fields, H., Wang, L., & Luo, L. (2013). Etiologic factors for buccal and palatal maxillary canine impaction: a perspective based on cone-beam computed tomography analyses. American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, 143(4), 527-34. https://doi.org/10.1016/j.ajodo.2012.11.021
Yan B, et al. Etiologic Factors for Buccal and Palatal Maxillary Canine Impaction: a Perspective Based On Cone-beam Computed Tomography Analyses. Am J Orthod Dentofacial Orthop. 2013;143(4):527-34. PubMed PMID: 23561415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Etiologic factors for buccal and palatal maxillary canine impaction: a perspective based on cone-beam computed tomography analyses. AU - Yan,Bin, AU - Sun,Zongyang, AU - Fields,Henry, AU - Wang,Lin, AU - Luo,Limin, PY - 2012/07/01/received PY - 2012/11/01/revised PY - 2012/11/01/accepted PY - 2013/4/9/entrez PY - 2013/4/9/pubmed PY - 2013/6/19/medline SP - 527 EP - 34 JF - American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics JO - Am J Orthod Dentofacial Orthop VL - 143 IS - 4 N2 - INTRODUCTION: The aim of this research was to identify the etiologic factors associated with palatally impacted canines and buccally impacted canines in a Chinese population by using the cone-beam computed tomography technique. METHODS: Pretreatment cone-beam computed tomography scans of 170 Chinese subjects with impacted maxillary canines and 170 age- and sex-matched subjects without impaction were used. Impacted canine subjects were divided into 2 groups: those with palatally impacted canines and those with buccally impacted canines. One rater analyzed the cone-beam computed tomography data for qualitative and quantitative variables of the teeth, dental arch, and skeletal components. The measurements were compared by using analytical statistical methods. RESULTS: The mesiodistal dimension of the lateral incisor was significantly smaller in the palatally impacted canine group than in the other group (by an average of 0.4-0.5 mm; analysis of variance [ANOVA], P <0.001). Both anterior maxillary dental (interpremolar) width and skeletal width (interjugal points) in the buccally impacted canine group were significantly smaller than in the palatally impacted canine and control groups (ANOVA, P <0.001), whereas the intermolar widths and posterior mandibular widths were similar among the groups. The groups with palatally impacted or buccally impacted canines had significantly increased prevalence values of peg-shaped lateral incisors and incisor impaction, respectively (chi-square or Fisher exact tests, P <0.001). After excluding subjects who also had lateral incisor anomalies, the prevalence values of supernumerary teeth, missing premolars, or third molars combined were not different among the impaction and control groups. The average mesiodistal location of the canine cusp tip was significantly different between the buccally impacted canines and the palatally impacted canines groups; it was distal and mesial to the lateral incisor long axis, respectively. CONCLUSIONS: In Chinese subjects, buccal canine impaction is mostly associated with anterior transverse (dental and skeletal) deficiency and incisor impaction, whereas palatal impaction is mostly associated with small or missing lateral incisors, consistent with the guidance theory. Likely, preimpaction migrations of the canines are mainly buccal for buccal impactions and excessively mesiopalatal for palatal impactions. SN - 1097-6752 UR - https://www.unboundmedicine.com/medline/citation/23561415/Etiologic_factors_for_buccal_and_palatal_maxillary_canine_impaction:_a_perspective_based_on_cone_beam_computed_tomography_analyses_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0889-5406(13)00012-7 DB - PRIME DP - Unbound Medicine ER -