Summary
The purpose of this study was to develop a new way to localize the impacted canines from three dimensions and to investigate the root resorption of the adjacent teeth by using cone beam computed tomography (CBCT). Forty-six patients undergoing orthodontic treatments and having impacted canines in Tongji Hospital were examined. The images of CBCT scans were obtained from KaVo 3D exam vision. Angular and linear measurements of the cusp tip and root apex according to the three planes (mid-sagittal, occlusal and frontal) have been taken using the cephalometric tool of the InVivo Dental Anatomage Version 5.1.10. The measurements of the angular and linear coordinates of the maxillary and mandibular canines were obtained. Using this technique the operators could envision the location of the impacted canine according to the three clinical planes. Adjacent teeth root resorption of 28.26 % was in the upper lateral incisors while 17.39% in upper central incisors, but no lower root resorption was found in our samples. Accurate and reliable localization of the impacted canines could be obtained from the novel analysis system, which offers a better surgical and orthodontic treatment for the patients with impacted canines.
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References
Thilander B, Jakobsson SO. Local factors in impaction of maxillary canines. Acta Odontol Scand, 1968, 26(1–2): 145–168.
Preda L, La Fianza A, Di Maggio EM, et al. The use of spiral computed tomography in the localization of impacted maxillary canines. Dento Maxillofac Radiol, 1997, 26(4):236–241
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): 418–423
Mason C, Papadakou P, Roberts GJ. The radiographic localization of impacted maxillary canines: a comparison of methods. Eur J Orthod, 2001, 23(1):25–34
Rossini G, Cavallini C, Cassetta M, et al. Localization of impacted maxillary canines using cone beam computed tomography. Review of literature. Ann Stomatol (Roma), 2012, 3(1):14–18
Elefteriadis JN, Athanasiou AE. Evaluation of impacted canines by means of computerized tomography. Int J Adult Orthodon Orthognath Surg, 1996, 11(3):257–264
Ericson S, Kurol J. Resorption of maxillary lateral incisors caused by ectopic eruption of the canines. Am J Orthod Dentofacial Orthop, 1988, 94(6):503–513
Peck S, Peck L, Kataja M. The palatally displaced canine as a dental anomaly of genetic origin. Angle Orthod, 1994, 64(4):249–256
Jacobs SG. The impacted maxillary canine. Further observations on aetiology, radiographic localization, prevention/interception of impaction, and when to suspect impaction. Aust Dent J, 1996, 41(5):310–316
Montelius GA. Impacted teeth. A comparative study of Chinese and Caucasian dentitions. J Dent Res, 1932, 12(6): 931–938
Bishara SE. Impacted maxillary canines: A review. Am J Orthodentofacial Orthop, 1992, 101(2):159–171
Ericson S, Kurol J. Incisor root resorption due to ectopic maxillary canines imaged by computerized tomography: a comparative study in extracted teeth. Angle Orthod, 2000, 70(4):276–283
Ericosn S, Bjerklin K, Falahat B. Does the canine dental follicle cause resorption of permanent root? A computed tomography study of erupting maxillary canines. Angle Orthod, 2002, 72(2):95–104
Ericson S, Bjerklin K. The dental follicle in normally and ectopically erupting maxillary canines: a computed tomography study. Angle Orthod, 2001, 71(5):333–342
Waitzman AA, Posnick JC, Armstrong DC, et al. Craniofacial skeletal measurements based on computed tomography: part II. Normal values and growth trends. Cleft Palate Craniofac J, 1992, 29(2):118–128
Ericson S, Kurol J. CT diagnosis of ectopically erupting maxillary canines-a case report. Eur J Orthod, 1988, 10(1):115–121
Bodner L, Bar-Ziv J, Becker A. Image accuracy of plain film radiography and computerized tomography in assessing morphological abnormality of impacted teeth. Am J Orthod Dentofacial Orthop, 2001, 120(6):623–628
Boeddinghaus R, Whyte A. Current concepts in maxilla facial imaging. Eur J Radiol, 2008, 66(3):396–418
Lou L, Lagravere MO, Compton S, et al. Accuracy of measurements and reliability of landmark identification with computed tomography (CT) techniques in the maxillofacial area: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 104(3):402–411
Berco M, Rigali PH Jr, Miner RM, et al. Accuracy and reliability of linear cephalometric measurements from cone-beam computed tomography scans of a dry human skull. Am J Orthod Dentofacial Orthop, 2009, 136(1):17. e1–17.e9
Olszewski R, Reychler H, Cosnard G, et al. Accuracy of three-dimensional (3D) craniofacial cephalometric landmarks on a low-dose 3D computed tomograph. Dentomaxillofac Radiol, 2008, 37(5):261–267
Nagpal A, Pai KM, Setty S, et al. Localization of impacted maxillary canines using panoramic radiography. J Oral Sci, 2009, 51(1):37–45
Botticelli S, Verna C, Cattaneo PM, et al. Two-versus three-dimensional imaging in subjects with unerupted maxillary canines. Eur J Ortho, 2011, 33(4):344–349
Tomasi C, Bressan E, Corazza B, et al. Reliability and reproducibility of linear mandible measurements with the use of a cone-beam computed tomography and two object inclinations. Dentomaxillofac Radiol, 2011, 40(4): 244–250
Santos Tde S, Gomes AC, de Melo DG, et al. Evaluation of reliability and reproducibility of linear measurements of cone-beam-computed tomography. Indian J Dent Res, 2012, 23(4):473–478
Ericson S, Kurol J. Resorption of incisors after ectopic eruption of maxillary canines: a CT study. Angle Orthod, 2000, 70(6):415–423
Hassan B, Nijkamp P, Verheij H, et al. Precision of identifying cephalometric landmarks with cone beam computed tomography in vivo. Eur J Orthod, 2013, 35(1): 38–44
Chien PC, Parks ET, Eraso F, et al. Comparison of reliability in anatomical landmark identification using two-dimensional digital cephalometrics and threer-dimensional cone beam computed tomography in vivo. Dentomaxillofac Radiol, 2009, 38(5):262–273
Ludlow JB, Gubler M, Cevidanes L, et al. Precision of cephalometric landmark identification: Cone-beam computed tomography vs conventional cephalometric views. Am J Orthod Dentofacial Orthop, 2009, 136(3):312. e1–312. e10
Katkar RA, Kummet C, Dawson D, et al. Comparison of observer reliability of three-dimensional cephalometric landmark identification on subject images from Galileos and i-CAT cone beam CT. Dentomaxillofac Radiol, 2013, 42(9):20130059
Zamora N, Llamas JM, Cibrián R, et al. A study on the reproducibility of cephalometric landmarks when undertaking a three-dimensional (3D) cephalometric analysis. Med Oral Patol Oral Cir Bucal, 2012, 17(4):678–688
Liu DG, Zhang WL, Zhang ZY, et al. Three dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 103(3):403–411
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Almuhtaseb, E., Mao, J., Mahony, D. et al. Three-dimensional localization of impacted canines and root resorption assessment using cone beam computed tomography. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 34, 425–430 (2014). https://doi.org/10.1007/s11596-014-1295-z
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DOI: https://doi.org/10.1007/s11596-014-1295-z