Impacted Canines: Our Clinical Experience
Sonia Chawla, Manoj Goyal, Karan Marya, Aakarsh Jhamb, Hind Pal Bhatia
Impacted maxillary canine, Impacted mandibular canine, Surgical exposure, Orthodontic repositioning
Citation Information :
Chawla S, Goyal M, Marya K, Jhamb A, Bhatia HP. Impacted Canines: Our Clinical Experience. Int J Clin Pediatr Dent 2011; 4 (3):207-212.
CC BY-NC 4.0
Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.
Background: To discuss the management of impacted canines and the various approaches used for the same.
Materials and methods: The data of 33 cases, with 43 impacted canine teeth, seen and operated over a period of 3-year in Santosh Dental College and Hospital has been compiled. The diagnostic methods and treatment modalities undertaken are described and discussed.
Results: Canine impactions were more common in the maxilla as compared with mandible in our study, which was statistically significant. Impacted canine position was mostly palatal in maxilla and labial in mandible. Chi-square test yielded a p-value of 0.002 which shows that there is an association between arch and position. The treatment options used were surgical exposure and orthodontic repositioning, cyst enucleation with extraction of impacted canine and surgical removal of impacted canine.
Conclusion: Surgical exposure and orthodontic repositioning was successfully applied as first-line treatment for correcting ectopic positioned canine. In cases where exposure and subsequent orthodontic treatment was not indicated, the impacted canine was surgically removed to prevent future problems and surgical procedure was designed according to position of impacted canine.
Andreason JO, Peterson JK, Laskin DM (Eds). Textbook and color atlas of tooth impactions. Munksgaard, Copenhagen 1997.
Kramer RM, Williams AC. The incidence of impacted teeth: A survey at Harlem Hospital. Oral Surg Oral Med Oral Pathol 1970;29:237-41.
Grover PS, Lorton L. The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pathol 1985;59:420-25.
Dachi SF, Howell FV. A survey of 3874 routine full-mouth radiographs, II: A study of impacted teeth. Oral Surg Oral Med Oral Pathol 1961;14:1165-69.
Tilander B, Myrberg N. The prevalence of malocclusion in Swedish school children. Scand J Dent Res 1973;81:12-20.
Shah RM, Boyd MA, Vakil TF. Studies of permanent tooth anomalies in 7,886 Canadian individuals, I: impacted teeth. J Can Dent Assoc 1978;44:262-64.
Ericson S, Kurol J. Incisor resorption caused by maxillary cuspids. A radiographic study. Angle Orthod 1987;57:332-46.
Ericson S, Kurol J. Radiographic examination of ectopically erupting maxillary canines. Am J Orthod Dentofac Orthop 1987; 91:483-92.
Ericson S, Kurol J. CT diagnosis of ectopically erupting maxillary canines: A case report. Eur J Orthod 1988;10:115-20.
Schmuth GP, Freisfeld OK, Schuller H. The application of computerized tomography in cases of impacted maxillary canines. Eur J Orthod 1992;14:296-301.
Kokich VG, Mathews DP. Surgical and orthodontic management of impacted teeth. Dent Clin North Am 1993;37:181-204.
Di Salvo NA. Evaluation of unerupted teeth: Orthodontic viewpoint. JADA 1971;82:829-35.
Wise RJ. Periodontal diagnosis and management of the impacted maxillary cuspid. Int J Periodontics Restorative Dent 1981;1:56-73.
Peterson LJ, Ellis E, Hupp JR, Tucker MR. Contemporary oral and maxillofacial surgery. St Louis: Mosby 1988:232-33, 246.
Proffit WR. Contemporary orthodontics. St Louis: Mosby 1993:217-19,403-10.
Fournier A, Turcotte J, Bernard C. Orthodontic considerations in the treatment of maxillary impacted canines. Am J Orthod 1982;81:236-39.
Lorenz T. Orthodontic considerations of the impacted canine. J Gen Orthod 1990;1:12-21.
Bishara SE. Impacted maxillary canines: A review. Am J Orthod Dentofacial Orthop 1992;101:159-71.
Bishara SE. Clinical management of impacted maxillary canines. Semin Orthod 1998;4:87-98.
Kuftinec MM, Strom D, Shapira Y, Nahlieli O. A case report: Bilateral transmigration of impacted mandibular canines. JADA 1995;126:1022-24.
Bishara SE, Kommer DD, McNeil MH, Montagano LN, Oesterle LJ, Youngquist HW. Management of impacted canines. Am J Orthod 1976;69:371-87.
Wertz RA. Treatment of transmigrated mandibular canines. Am J Orthod Dentofacial Orthop 1994;106:419-27.
Bhaskar SN. Synopsis of oral pathology. St Louis: Mosby 1981:217-25.
Waldron CA. Odontogenic cysts and tumors. In: Neville BW, Damm DD, Allen CM, Bouquot JE (Eds). Oral and maxillofacial pathology. Philadelphia: Saunders 1995:493-540.
Nordenram A. Impacted maxillary canines: A study of surgically treated patients over 20 years of age. Swed Dent J 1987;11:153-58.
Stafne EC, Austin LT. Resorption of embedded teeth. JADA 1945;32:1003.
Pogrel MB. Evaluation of over 400 autogenous tooth transplants. J Oral Maxillofac Surg 1987;45:205-11.