ArticleBMC oral health2024
Treatment options for impacted maxillary canines and occurrence of ankylotic and resorptive processes: a 20-year retrospective study.
Article in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Cone-beam computed tomography evaluation of age-related anatomical relationships and pathological findings in impacted maxillary canines.BMC oral health · 2026Article
- Absence of the Periodontal Space in Impacted Third Molars: A Cross-Sectional Study Using Cone Beam Computed Tomography.Journal of clinical and experimental dentistry · 2026Review
- Failure rates and associated risk factors of orthodontic-surgical treatment for impacted canines.The Angle orthodontist · 2026Article
- Factors Contributing to Complications and Failures of Impacted Canines Undergoing Surgical Orthodontic Treatment: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Surgical versus non-surgical canine exposure in the management of impacted canines in Orthodontic patients: retrospective analysis in Southern region of Najran, Kingdom of Saudi Arabia.The Saudi dental journal · 2026Article
- Artificial intelligence performance in maxillary canine impaction: a systematic review.European journal of medical research · 2026Review
- A digitally designed and 3D-printed customized device for the three-dimensional traction of complex maxillary impacted canines: case reports.BMC oral health · 2025Article
- Management of an infectious complication appearing in a transcanine implant: a case report.International journal of implant dentistry · 2025Article
- Genetic Testing as a Source of Information Driving Diagnosis and Therapeutic Plan in a Multidisciplinary Case.Bioengineering (Basel, Switzerland) · 2024Article
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5 authors.
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Abstract
backgroundThis 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.
methodsThe 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
resultsA 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.
conclusionIn 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.
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