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Agastra E, Saettone M, Parrini S, Cugliari G, Deregibus A, Castroflorio T. Impacted Permanent Mandibular Canines: Epidemiological Evaluation. J Clin Med 2023; 12:5375. [PMID: 37629417 PMCID: PMC10455905 DOI: 10.3390/jcm12165375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Revised: 08/11/2023] [Accepted: 08/16/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND The aim of this study was to evaluate the epidemiology of impacted and transmigrated mandibular canines in a large orthodontic population referred to the University of Turin. METHODS Panoramic radiographs, intraoral photographs, and dental casts of 2119 patients referred to the Department of Orthodontics at the University of Turin, Italy, between 1995 and 2022 were reviewed. These patients were divided into two groups. Group A included 1479 patients found in the Dental School archive before 2017, more specifically between 1995 and 2017. These patients were examined in order to calculate the prevalence of impacted and transmigrated mandibular canines. From 2017 to 2022, the records of 640 new patients were examined (GROUP B) in order to calculate the incidence of these occurrences. RESULTS The prevalence of mandibular canine impaction in Group A was found to be 1.7%, with a total of 25 patients having mandibular canine impaction. A prevalence of 0.3% was found for mandibular canine transmigration (Group A). The incidence of mandibular canine impaction was found to be 2%, with a total of 13 patients with mandibular canine impaction (Group B). Mandibular canine transmigration was found in 1 of 640 participants (Group B). CONCLUSIONS Twenty-five of 1479 patients had impacted mandibular canines, resulting in a prevalence value of 1.7%. The incidence was found to be 2%, with 13 of 640 patients having impacted mandibular canines. These results show higher prevalence and incidence rates of mandibular canine impaction when compared with previously published data.
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Affiliation(s)
- Eanda Agastra
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy; (M.S.); (S.P.); (A.D.); (T.C.)
- Department of Mechanical and Aerospace Engineering (DIMEAS), Politecnico di Torino, Corso Duca degli Abruzzi 24, 10129 Turin, Italy
| | - Margherita Saettone
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy; (M.S.); (S.P.); (A.D.); (T.C.)
| | - Simone Parrini
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy; (M.S.); (S.P.); (A.D.); (T.C.)
| | - Giovanni Cugliari
- Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126 Turin, Italy;
| | - Andrea Deregibus
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy; (M.S.); (S.P.); (A.D.); (T.C.)
| | - Tommaso Castroflorio
- Department of Surgical Sciences, C.I.R. Dental School, University of Turin, Via Nizza 230, 10126 Turin, Italy; (M.S.); (S.P.); (A.D.); (T.C.)
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Ruíz-Mora GA, Arriola-Guillén LE, Aliaga-Del Castillo A, Rodríguez-Cárdenas YA, Dutra V, Mejía-Milian M. Conservative Treatment of Bilateral Impacted Mandibular Canines Traction. Case Rep Dent 2023; 2023:6943221. [PMID: 37560509 PMCID: PMC10409580 DOI: 10.1155/2023/6943221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 05/08/2023] [Accepted: 07/12/2023] [Indexed: 08/11/2023] Open
Abstract
The objectives of the treatment of impacted canines differ according to the characteristics of dental malocclusion. Traction of the tooth is a conservative and viable alternative, which allows for maintaining stability and occlusal function. The following case report describes the treatment of an 11.6-year-old female patient, who presented bilateral impaction of mandibular canines in contact with the midline, mixed dentition in the inter-transitional period, class I angle malocclusion, with light crowding teeth. The treatment comprised three phases. The first phase, verticalization of the mandibular canines in mixed dentition, was performed to pull the impacted bilateral mandibular canines towards the dental arch to achieve their verticalization, maintaining the molar relationship, and the position of the upper and lower incisors. In the second phase, osteogenic rest was planned to relieve post-traction stress while awaiting the replacement of the mixed dentition. Finally, the third phase in permanent dentition was to align and level canines within the arch after extraction of the deciduous canines. For the viability of the permanent mandibular canines in the dental arch, orthosurgical traction was implemented, with a traction system with closed nickel-titanium coil springs with a transitory rigid dental-mucous-supported anchorage device, which allowed control and protection of the adjacent teeth and movements with helical forces of a controlled three-dimensional range. The results of the treatment were adequate, achieving consolidated molar and canine relationships, overjet, overbite, and optimal facial balance.
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Affiliation(s)
- Gustavo Armando Ruíz-Mora
- Division of Orthodontics, Faculty of Dentistry, Universidad Nacional de Colombia, Bogota, Colombia
- Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Científica del Sur, Lima, Peru
| | - Luis Ernesto Arriola-Guillén
- Division of Orthodontics and Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Científica del Sur, Lima, Peru
| | - Aron Aliaga-Del Castillo
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - Yalil Augusto Rodríguez-Cárdenas
- Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Científica del Sur, Lima, Peru
- Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Nacional de Colombia, Bogota, Colombia
| | - Vinicius Dutra
- Department of Oral Pathology, Medicine, and Radiology, School of Dentistry, Indiana University, Indianapolis, Indiana, USA
| | - Mabel Mejía-Milian
- Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Científica del Sur, Lima, Peru
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Characteristics, Diagnosis and Treatment of Compound Odontoma Associated with Impacted Teeth. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9101509. [PMID: 36291445 PMCID: PMC9600053 DOI: 10.3390/children9101509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 09/23/2022] [Accepted: 09/29/2022] [Indexed: 11/09/2022]
Abstract
Compound odontoma is a malformation typical of young adults below the age of 20, with a slight preference for the male gender and the anterior region of the maxilla. Clinically asymptomatic, it can be detected during a radiological investigation in connection with the persistence of deciduous dental elements and the impaction of definitive ones. The treatment of choice is excisional surgery and recurrence is a rare event. The need for orthodontic therapy for impacted elements is usually not necessary because in most cases, odontomas are small, circumscribed lesions the size of a permanent tooth. In this article, the diagnostic and therapeutic surgical excision procedure is presented in three patients at developmental age with large compound odontomas associated with at least one retained canine, and in two of the cases, with serious transmigration to the impacted tooth elements.
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Piezosurgery-Assisted Surgical Treatment in Impacted Canine Transmigration. Case Rep Dent 2020; 2020:2687827. [PMID: 32411488 PMCID: PMC7206859 DOI: 10.1155/2020/2687827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Accepted: 03/05/2020] [Indexed: 11/18/2022] Open
Abstract
Delayed eruption of a canine tooth may represent a possible impaction. If this is the case, a slight elevation in the palatal or vestibular mucosa is often observed. Cases of transmigration, where the unerupted tooth crosses the midline, are less frequent. This article reports on the piezosurgery-assisted surgical treatment of a transmigrated canine in the mentonian region. Treatment for this condition varies depending on the clinical characteristics, symptoms, and location of the dental element. The surgical treatment established for this case was satisfactory, and full recovery of the patient was achieved without complications such as an intense postoperative inflammatory response.
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Kjaer I, Svanholt P, Svanholt M. Vertical Movements and Rotations of the Ectopic Mandibular Canine Registered in Cross-Sectional and Longitudinal Studies on Orthopantomograms from 54 Patients Diagnosed with Mandibular Canine Ectopia. DENTAL HYPOTHESES 2020. [DOI: 10.4103/denthyp.denthyp_30_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Orthodontic Treatment of Bilateral Impacted Mandibular Canines and a Mupparapu Type 2 Transmigration. Case Rep Dent 2019; 2019:7638959. [PMID: 31612084 PMCID: PMC6755289 DOI: 10.1155/2019/7638959] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Revised: 08/14/2019] [Accepted: 08/28/2019] [Indexed: 11/28/2022] Open
Abstract
Dental transmigration is a rare condition that mainly affects the mandibular canines. Since the tooth involved is usually impacted and its crown has crossed the midline towards the opposite side, the treatment options frequently are surgical removal or radiographic follow-up, and, in some cases, orthodontic traction is possible. In 2002, Mupparapu presented a classification for lower canines in transmigration according to their position within the mandible. This paper is aimed at describing the orthodontic treatment of a female patient with two impacted mandibular canines, one of them in a Mupparapu type 2 transmigration position (horizontal impaction position near the lower mandibular border and below the incisors' root apices). Additionally, the paper discusses the biomechanical orthodontic design and the alternative treatment options for these complex cases.
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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. [PMID: 28316943 PMCID: PMC5343688 DOI: 10.4103/jispcd.jispcd_231_16] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2016] [Accepted: 12/26/2016] [Indexed: 11/16/2022] Open
Abstract
Aims and Objectives: Transmigration is a rare phenomenon seen almost exclusively in the mandibular canines. The aim of the present study is to review transmigration phenomenon. Materials and Methods: Appropriate guidelines for a systematic review were followed. The time period selected for the present systematic review was 2001–2016. The studies were selected from various electronic databases on the basis of their title, study, design, keywords, and abstracts. A total of 150 citations were searched initially, and after proper screening, 59 relevant articles were included. Additional data was obtained by searching journals and reference lists. Results: The literature search shows that transmigration is more frequent in the mandible than maxilla. The etiology of the condition is obscure; however, multiple factors have been attributed to the condition. They are more readily recognized now with the advent of panoramic radiographs. Transmigration is a rare anomaly causing varied manifestations and requires an interdisciplinary approach for management. Conclusion: Early diagnosis of impacted canines is mandatory for timely treatment to ensure facial harmony and improved function.
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Affiliation(s)
- Mandeep K Bhullar
- Department of Orthodontics and Dentofacial Orthopedics, Gian Sagar Dental College and Hospital, Patiala, Punjab, India
| | - Isha Aggarwal
- Department of Orthodontics and Dentofacial Orthopedics, Gian Sagar Dental College and Hospital, Patiala, Punjab, India
| | - Rashmi Verma
- Department of Orthodontics and Dentofacial Orthopedics, Gian Sagar Dental College and Hospital, Patiala, Punjab, India
| | - Amandeep S Uppal
- Department of Endodontics, HSJ Institute of Dental Sciences, Panjab University, Chandigarh, India
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Tarsariya VM, Jayam C, Parmar YS, Bandlapalli A. Unusual intrabony transmigration of mandibular canine: case series (report of 4 cases). BMJ Case Rep 2015; 2015:bcr-2014-205398. [PMID: 26361803 DOI: 10.1136/bcr-2014-205398] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Intrabony cross arch migration (transmigration) of impacted teeth is a very rare dental anomaly. Transmigration is commonly seen in permanent dentition of the lower jaw. The tooth most commonly involved is the mandibular canine. The prevalence of transmigrated canine has been found to be only 0.14-0.31%. Transmigration of the canine most frequently occurs in a mesial direction resulting in migration across the mandibular symphysis to the opposite side of the dental arch. We report a case series (4 cases) of rare transmigration of mandibular canines and emphasise the need to use panoramic radiography in cases presenting with either over retained deciduous canines and/or missing permanent canines. We also propose a newer modification to the present classification of transmigration for one of these cases as the present classification does not include all the entities.
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Affiliation(s)
- Vivek Muljibhai Tarsariya
- Department of Oral Medicine & Radiology, College of Dental Science & Research Center, Ahmedabad, Gujarat, India
| | - Cheranjeevi Jayam
- Department of Paediatric Dentistry, College of Dental Science & Research Center, Ahmedabad, Gujarat, India
| | - Yuvaraj Suryakant Parmar
- Department of Oral Medicine & Radiology, College of Dental Science & Research Center, Ahmedabad, Gujarat, India
| | - Anila Bandlapalli
- Department of Conservative Dentistry & Endodontics, AECS Maaruti Dental College, Kolkata, West Bengal, India
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