J 2024

Treatment options for impacted maxillary canines and occurrence of ankylotic and resorptive processes: a 20-year retrospective study

ČERNOCHOVÁ, Pavlína, Čeněk ČERNOCH, Karin KLIMO KAŇOVSKÁ, Emil TKADLEC, Lydie IZAKOVIČOVÁ HOLLÁ et. al.

Základní údaje

Originální název

Treatment options for impacted maxillary canines and occurrence of ankylotic and resorptive processes: a 20-year retrospective study

Autoři

ČERNOCHOVÁ, Pavlína (203 Česká republika, garant, domácí), Čeněk ČERNOCH (203 Česká republika, domácí), Karin KLIMO KAŇOVSKÁ (203 Česká republika, domácí), Emil TKADLEC (203 Česká republika) a Lydie IZAKOVIČOVÁ HOLLÁ (203 Česká republika, domácí)

Vydání

BMC Oral Health, London, BMC, 2024, 1472-6831

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30208 Dentistry, oral surgery and medicine

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.900 v roce 2022

Organizační jednotka

Lékařská fakulta

UT WoS

001283424100003

Klíčová slova anglicky

Ankylosis; Autotransplantation; CBCT; Impacted canines; Invasive cervical root resorption; Orthodontic treatment; Replacement root resorption; Surgical extraction

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 15. 8. 2024 08:11, Mgr. Tereza Miškechová

Anotace

V originále

Background This 20-year retrospective study aimed to evaluate the treatment methods used in patients with impacted maxillary permanent canines and to determine the occurrence of ankylotic and resorptive processes and their association with potential risk factors. Methods The cohort consisted of 351 consecutive Caucasian patients (120 males and 231 females, mean age 18.4 and 19.9 years, respectively) with 420 impacted maxillary permanent canines. CT and CBCT findings were subsequently confirmed during surgery. Statistical analyses were performed by the generalized linear models, Pearson x(2) and Fisher exact tests using the statistical programs R and Statistica v. 14. Results A total of 273 (65.0%) impacted canines were aligned in the dental arch by orthodontic traction after surgical exposure, this treatment was predominant in patients under 20 years of age. Surgical extraction was performed in 115 (27.2%) impacted canines and was more common in older patients. Ankylotic changes were recorded in 61 (14.5%) impacted canines. The probability of ankylosis increased with age, particularly after the patient's 20th year of life (p < 0.001). Patients were 1.2% likely to develop ankylosis at age 15 years, 4.3% at age 20 years, 14.1% at age 25 years, and 96.8% at age 45 years. Invasive cervical root resorption (ICRR) was found in 8 (1.9%) canines. In 4 canines (1.0%), root ankylosis in addition to ICRR was observed. In contrast to ankylosis, whose frequency of occurrence increased with age, the occurrence of ICRR resulting from PDL damage during surgery was more typical in younger patients. Canines in a high position above the root apices of the adjacent teeth, with a horizontal inclination of the longitudinal axis, with the crown located deep in the center of the alveolar bone and with labiopalatal position, should be considered critically impacted canines with a high risk to failure of orthodontic traction. Conclusion In conclusion, the treatment of impacted canines depends mainly on the age of the patient, and the position and inclination of the longitudinal axis of the impacted tooth. To select an adequate treatment method, we recommend CBCT examination, which allows a precise analysis of the position of impacted canines.

Návaznosti

MUNI/A/1607/2023, interní kód MU
Název: Diagnostika a léčba vybraných chorob dutiny ústní
Investor: Masarykova univerzita, Diagnostika a léčba vybraných chorob dutiny ústní