• Title/Summary/Keyword: Maxillary canine impaction

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Maxillay canine impaction: Early diagnosis & Preventive approaches (임상가를 위한 특집 1 - 상악 매복 견치의 진단과 예방적 접근)

  • Park, Kitae
    • The Journal of the Korean dental association
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    • v.52 no.5
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    • pp.264-272
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    • 2014
  • Maxillary canine is the most common impacted tooth except third molars. In Asian populations, labial impaction is more common than palatal impaction, but palatal impaction is three times more common than labial impaction in Caucasion. The incidence of maxillary canine impaction is known as 1~3%, and 12% of these cases are involved in the root resorption of the adjacent lateral incisor. In children, early diagnosis is important to prevent the impaction of maxillary canine through clinical and radiographic examinations. In addition, preventive measures should be considered at the proper time. These measures include the removal of deciduous canines and the expansion of the maxillary arch.

A LONGITUDINAL STUDY ON PREDICTION OF ERUPTIVE PATH AND IMPACTION OF MAXILLARY CANINE (상악견치(上顎犬齒)의 맹출로예측(萌出路豫測) 및 매복(埋伏)에 관(關)한 누년적(累年的) 연구(硏究))

  • Son, Tae-Won;Lee, Dong-Joo
    • The korean journal of orthodontics
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    • v.22 no.1
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    • pp.159-168
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    • 1992
  • To predict eruptive path of maxillary canine, 13 male and 11 female malocclusions were longitudinally studied for 4 years. And to study frequency and distribution of impaction of maxillary canine, 1500 malocclusions were studied. The path, velocity and duration of maxillary canine eruption were determined by periodic angular and linear measurement using periodic orthopantomograms and cephalograms. The following results were obtained. 1. Maxillary canine was erupted with $14.5^{\circ}$ distal tipping from initial stage $98.1^{\circ}$ to final stage $83.6^{\circ}$ of axial inclination on orthopantomogram. 2. Eruptive velocity of maxillary canine was fastest on stage 4, and mean eruptive velocity was 10.5mm per year on stage 4. 3. Eruption of maxillary canine was completed 12 year 5 months in male and 11 years 8 months in female. 4. To predict the duration for eruption completion by position of maxillary canine on cephalogram, regression equation was obtained. 5. Frequency of impaction of maxillary canine was 1.47% in malocclusion and more frequent in male. Distribution of buccal and palatal, right and left impaction was no different, but unilateral impaction was more frequent.

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Management of Maxillary Impacted Canines (매복 상악 견치의 처치)

  • Ki-Taeg Jang
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.2
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    • pp.142-154
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    • 2023
  • The canine tooth is important both functionally and aesthetically, being positioned between the anterior and posterior teeth. The upper canine has the longest eruption path, forming in the deepest part of the maxillary bone and often experiencing eruption disorders, leading to significant aesthetic and functional issues. Early detection and management of canine impaction are crucial in pediatric dentistry, which focuses on tooth growth and eruption. The prevalence of maxillary canine impaction ranges from 1.1% to 3.0%. In Western populations, palatal impaction is twice as common as labial impaction, while some Korean studies report more labial impaction. Maxillary canine impaction occurs more frequently in women and is associated with various factors such as structural obstacles, pathological conditions in surrounding tissues, developmental abnormalities, and genetic factors. Labial displaced canines are linked to narrow maxillary intercanine width, total dental crowding, and skeletal Class III malocclusion. Maxillary palatal displaced canine impaction is more prevalent in patients with familial agenesis of lateral incisors or conical supernumerary lateral incisors. Understanding these factors aids in early diagnosis and appropriate intervention for canine tooth impaction, ensuring optimal oral health and aesthetics.

RAPID PALATAL EXPANSION FOR THE TREATMENT OF AN ECTOPICALLY ERUPTING MAXILLARY CANINE: CASE REPORTS (급속 구개확장을 이용한 상악 견치의 이소맹출 치료: 증례보고)

  • Jang, Su-Young;Kim, Ji-Yeon;Park, Ki-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.473-481
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    • 2010
  • Maxillary canine impaction is an anomaly often encountered in children. Although it has been reported that the incidence of palatally impacted canines is higher than that of labially impacted ones, it has been found that labial impaction of canines is more common than palatal impaction in Asian populations. In the cases presented here, maxillary canines were guided normally after rapid palatal expansion, followed by modification of root angulation of neighboring lateral incisors in 8-10-year-old children who had maxillary canines suspected of labial impaction. Consequently, the method of modifying the root angulation of the maxillary lateral incisor, combined with rapid palatal expansion, is effective in preventing impaction of an ectopically erupting maxillary canine without resorting to surgical methods.

ORTHODONTIC TRACTION OF HORIZONTALLY IMPACTED MAXILLARY CANINE (수평 매복된 상악 견치의 교정적 견인)

  • Choi, Hyung-Jun;Lee, Jong-Eun;Lee, Jae-Ho;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.600-604
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    • 2003
  • Tooth impaction is defined as a cessation of the eruption of a tooth at the level of the oral mucosa or alveolar bone. Maxillary canines are the most frequently impacted teeth next to the third molar. Maxillary canine impaction is associated with congenital missing of lateral incisors, peg lateralis and genetic factors such as ectopic positioning of a tooth germ. The clinicians have an important role in early detection of tooth impaction for prevention of esthetic and functional problems. There are specific methods to treat impacted tooth for different conditions. In this case, an 11-year-old girl with a horizontally impacted maxillary right canine in a palatal position was treated through orthodontic traction along with surgical button attachment procedure. On regaining of eruption space, canine traction was performed. At the completion of treatment, the canine was positioned fairly within the arch with proper keratinized gingiva and complications such as root resorption were not observed.

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THREE-DIMENSIONAL EVALUATION OF IMPACTED MAXILLARY CANINES USING CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS (Cone beam CT와 파노라마방사선사진을 이용한 매복 상악 견치의 3차원적 분석)

  • Jeon, Sang-Yun;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.2
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    • pp.106-117
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    • 2013
  • Normal eruption of the canine is important for the transition to the permanent dentition. Etiologies, including premature loss or delayed retention of deciduous teeth, neoplasm and abnormality of lateral incisor can cause impaction of the maxillary canine. Untreated canine impaction can result in malocclusion, cyst formation and obstacles in orthodontic treatment. The aim of this study is to evaluate location of the impacted maxillary canine and to identify correlation between location and management of the impaction including complications. Using panoramic radiographs and CBCT scan, images of 89 children diagnosed with impaction of the maxillary canine, location of impacted canines was evaluated. The choice of treatment and complications were investigated to identify correlation. Results show that the most commonly impacted location of the maxillary canine was in the mid-alveolar area, followed by buccal side and palatal side. Orthodontic traction was selected more frequently than the other treatments. As complications, displacement of adjacent tooth was occurred most frequently. Buccally impacted canines showed increased tendency towards displacement. The more buccally the canine was impacted, the less orthodontic traction was chosen as the treatment. The canine impacted mesially to the central incisor showed increased tendency to occur root resorption. Therefore, early diagnosis by periodic examination, appropriate treatment and intervention is required.

상악 매복 견치의 교정학적 고찰

  • Seo, Jeong-Hun
    • The Journal of the Korean dental association
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    • v.25 no.1 s.212
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    • pp.59-70
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    • 1987
  • Orthodontists, in evaluating maxillary impactd canines, must take into consideration the etiology of the problem. First, the possible etiologic factors must be eliminated. Thus some cases can be treated with orthodontic treatment alone without surgical trauma following window opening etc. Now, two cases are reported, which were treated without surgical intervention. Sometimes, impacted canine can be included in a plan for tooth removal due to its severe impaction and displacement. In such case, first premolar can be substituted for canine. One case which was treated by substituting maxillary first premolar for maxillary impacted canine is reported.

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DIAGNOSIS AND TREATMENT PLAN OF MAXILLARY IMPACTED CANINE (상악매복견치의 진단 및 처치)

  • Kyung, Seung-Hyun;Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.23 no.2 s.41
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    • pp.165-177
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    • 1993
  • Upper canine is important because it protects and maintains the stability of the dental arch and also, joins the anterior with the posterior teeth. The incidence of impaction of upper canine is the second most frequent next to the third molar because it takes a long period of time to develop, and has a complicated path of eruption, and erupts lately. After the age of 10, clinical and radioglaphic examination can be used in revealing the possibility of impaction and efforts should be put to reduce the side effects. To prevent impaction, selective extraction of primary canine at the age of 8 to 9 could be considered and prolonged retention of primary canine in oral cavity should be avoided at this time. Once the impaction is iden, the first stage of the treatment is to lcocalize the lesion by radiographic examination and According to the severity, orthodontic traction or autotransplantation should be considered and comprehensive diagnosis and treatment plan of malocclusion should be established. Generally, labial impaction is due to arch length discrepancy and palatal impaction is due to malposition or morphologic pathosis of lateral incisors rather than arch length discrepancy. In surgical procedure, peridontal problems should be considered and the minimum amount of bone and soft tissue should be reduced and direct bonding method of many attachment methods should be recommended. Especially in traction of labially impacted canine, it should be guided to erupt through the keratinized zone and proper forced magnitude should be applied. The importance of periodontal condition should always be in mind following the patient education to mintain the good oral hygiene at each stage of treatment. Properly managed impacted canine can provide function and esthetic by proper diagnosis and treatment if extraction of canine is not indicated.

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DIAGNOSIS AND TREATMENT OF IMPACTED MAXILLARY CANINE (매복 상악 견치의 진단과 치료)

  • Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.534-547
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    • 2006
  • Ectopic eruption and impaction of canines is a frequently encountered clinical problems. The incidence of impaction ranges between 1-3%. The cause of canine impaction can be the result of localized factors or can be a polygenic multifactorial inheritance and associated with other dental anomalies. The general dentist and pediatric dentist should know how to properly diagnose and manage potential disturbances in the eruption of maxillary canine. Diagnosis of impacted canine at age 8-10 years can significantly reduce serious ramifications, including surgical exposure and orthodontic traction as well as root resorption of the lateral incisors. Extraction of primary canine would be one of the method to prevent the impaction. The surgical procedure should be designed to minimize the destruction of periodontal tissue of impacted canine. Closed eruption technique is thought to be optimal method of surgical exposure compared with other methods. An overview of the incidence, sequela as well as the surgical periodontal, and orthodontic consideration in the management of impacted canine was presented.

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