Elif ALBAYRAK, Neslihan ŞENIŞIK, Adnan KARAIBRAHIMOGLU, Derya YILDIRIM

Tek Taraflı Palatinal Gömülü Maksiller Kanin Dişin Anatomik Konumunun Komşuluğundaki Lateral Diş Kökü Rezorpsiyonu ile İlişkisi

Amaç: Panoramik radyograflar üzerinde, palatinalde tek taraflı gömülü maksiller kaninin anatomik konumunun, komşu lateral kökü rezorpsiyonuna sebebiyet verme potansiyelini belirlemektir. Materyal ve Metot: Bu çalışma tek taraflı maksiller gömülü kanine sahip yaş ortalaması 23,81±6,59 yıl olan toplam 47 hastanın panoramik radyografları üzerinde yürütülmüştür. Çalışmaya dahil edilen bireylerin KIBT kayıtlarında gömülü maksiller kanine komşu lateral dişte rezorpsiyonu belirlenerek, çalışma materyali lateral dişte rezorpsiyonu olan ve lateral dişi sağlıklı olan iki gruba ayrılmıştır. Toplam 47 bireye ait gömülü maksiller kanin anatomik konumu panoramik radyograf üzerinde (a) sektör belirleme, (b) kanin kronunun vertikal pozisyonu, (c) gömülü maksiller kaninin oklüzyon düzlemi ile yaptığı açı, (d) kanin folikül genişliği ölçümü yöntemleri ile değerlendirilmiş, maksiller gömülü kanin dişe komşu lateral dişin rezorpsiyon potansiyeli SPSS 20.0 istatistiksel analiz programı ile analiz edilmiştir. Bulgular: Komşu laterali sağlıklı olan gruba nazaran lateral diş rezorpsiyonu gözlenen bireylerin gömülü kaninin oklüzal düzlem açısı daha yüksek (p<0,001), folikül genişliği daha düşüktür (p=0,008). Lateral diş rezorpsiyonu gözlenen bireyde gömülü kanin dişin oklüzal düzlem ile yaptığı açı değerleri (p=0,001) anlamlı farklılık göstermiştir. Lateral diş rezorpsiyonu olan hasta grubunda yaş ile oklüzal açı (r=0,449; p=0,028) pozitif yönlü; folikül genişliği (r=0,529; p=0,008) ile negatif yönlü anlamlı korelasyon gözlenmiştir. Sonuç: Panoramik radyograflar ile sürmesi gecikmiş ya da gömülü kalmış, palatinalde konumlanan maksiller kanin sürme kontrolü ve komşu lateral dişte rezorpsiyon oluşturma potansiyeli gömülü kanin dişin okluzal düzlem açısı ve folikül genişliği ölçümleri ile belirlenebilir.

Anahtar Kelimeler:

gömülü kanin, rezorpsiyon, lateral, panoramik radyograf, konik ışınlı bilgisayarlı tomografi

The Effect of the Anatomical Position of Unilateral Palatinal Impacted Maxillary Canine on Adjacent Lateral Root Resorption

Objective: To determine the potential of the anatomical location of unilaterally impacted maxillary canine on panoramic radiographs that cause resorption of the adjacent lateral root. Material-Method: This study was carried out on the panoramic radiographs of 47 patients, with a unilateral maxillary impacted canine tooth with a mean age of 23.81±6.59 years. In the CBCT recordings, the resorption of the lateral tooth, adjacent to the impacted maxillary canine was determined. The study material was divided into two groups as resorbed and healthy lateral tooth. On panoramic radiographs, the anatomical position of the impacted maxillary canine of a total of 47 individuals, was evaluated using the methods; sector determination, vertical position of the canine crown, angle of the impacted maxillary canine to the occlusal plane, canine follicle width measurement. Results: Compared to the group with healthy adjacent laterals, the occlusal plane angle of the impacted canine of the individuals with resorbed lateral tooth was higher (p<0.001) and the follicle width was lower (p=0.008). In the individual with resorbed lateral tooth, the angle of the impacted canine tooth to occlusal plane (p=0.001) revealed a significant difference. In the group of patients with resorbed lateral tooth, a significant positive correlation was observed for age and occlusal angle (r=0.449; p=0.028); A significant negative correlation was observed with follicle width (r=0.529; p=0.008). Conclusion: With panoramic radiographs, impacted maxillary canine and its potential for resorption of adjacent lateral tooth can be determined by measuring the occlusal plane angle and follicle width of the impacted canine.

Keywords:

impacted canine, resorption, lateral, panoramic radiograph, cone beam computed tomography,

PDF

___

Bedoya MM, Park JH. A review of the diagnosis and management of impacted maxillary canines. J Am Dent Assoc 2009;140(12):1485-1493.
Alqerban A, Jacobs R, Lambrechts P, Loozen G, Willems G. Root resorption of the maxillary lateral incisor caused by impacted canine: a literature review. Clin Oral Investig 2009;Sep;13(3):247-55.
Alemam AA, Abu Alhaija ES, Mortaja K, AlTawachi A. Incisor root resorption associated with palatally displaced maxillary canines: Analysis and prediction using discriminant function analysis. Am J Orthod Dentofacial Orthop 2020;157(1):80-90.
Guarnieri R, Cavallini C, Vernucci R, Vichi M, Leonardi R, Barbato E Impacted maxillary canines and root resorption of adjacent teeth: A retrospective observational study. Med Oral Patol Oral Cir Bucal 2016;21(6):e743-e750.
Ericson S, Kurol J. Incisor resorption caused by maxillary cuspids. A radiographic study. Angle Orthod 1987;57(4):332-46.
Shaw B M, Schneider SS, Zeger J. Surgical management of ankylosed impacted maxillary canines. J Am Dent Assoc 1981;102(4):497-500.
Bjerklin K, Ericson. How a computerized tomography examination changed the treatment plans of 80 children with retained and ectopically positioned maxillary canines. Angle Orthod 2006;76: 43–51.
Ericson S, Kurol J. Early treatment of palatally erupting maxillary canines by extraction of the primary canines. Eur J Orthod 1988;10(4): 283-295.
Southall PJ, Gravely JF. Radiographic localization of unerupted teeth in the anterior part of the maxilla: a survey of methods currently employed. Br J Orthod 1987;14(4):235-42.
Tsolakis AI, Kalavritinos M, Bitsanis E, Sanoudos M, Benetou V, Alexiou K. Reliability of different radiographic methods for the localization of displaced maxillary canines. Am J Orthod Dentofacial Orthop 2018;153(2):308-14.
Ericson S, Kurol PJ. Resorption of incisors after ectopic eruption of maxillary canines: a CT study. Angle Orthod 2000;70(6): 415-23.
Dağsuyu İM, Kahraman F, Okşayan R. Three-dimensional evaluation of angular, linear, and resorption features of maxillary impacted canines on cone-beam computed tomography. Oral Radiol 2018;34(1): 66-72.
Karatas OH, Toy E. Three-dimensional imaging techniques: A literature review. Eur J Dent 2014;8(1):132-140.
Katsnelson A, Flick WG, Susarla S, Tartakovsky JV, Miloro M. Use of panoramic x-ray to determine position of impacted maxillary canines. J Oral Maxillofac Surg 2010;68:996–1000.
Chaushu S, Chaushu G, Becker A. The use of panoramic radiographs to localize displaced maxillary canines. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88(4):511-6.
Jung YH, Liang H, Benson BW, Flint DJ, Cho BH. The assessment of impacted maxillary canine position with panoramic radiography and cone beam CT. Dentomaxillofac Radiol 2012;41(5):356-60.
Strbac, Georg D. The prevalence of root resorption of maxillary incisors caused by impacted maxillary canines. Clinical Oral Investig 2013;17.2: 553-564.
Rossini G, DDS, Cavallini C, Cassetta M, DDS, Galluccio G, Barbato E. Localization of impacted maxillary canines using cone beam computed tomography. Review of the literature. Annali di Stomatologia 2012;3(1):14-18.
Yan B, Sun Z, Fields H, Wang L. Maxillary canine impaction increases root resorption risk of adjacent teeth: a problem of physical proximity. Orthod Fr 2015;86:169-79.
Kök H., Aşık S. Gömülü üst çene kanin dişlerin konik ışınlı bilgisayarlı tomografi ve panoramik radyograf ile değerlendirilmesi: Bir retrospektif çalışma. Selcuk Dental Journal 2020;7(3):396-405.
Sajnani AK, King NM. Dental anomalies associated with buccally- and palatally-impacted maxillary canines. J Investig Clin Dent 2014;5(3):208-13.
Litsas G, Acar A. A review of early displaced maxillary canines: etiology, diagnosis and interceptive treatment. Open Dent J 2011;16(5):39-47.
Al-Zoubi H, Alharbi AA, Ferguson DJ, Zafar MS. Frequency of impacted teeth and categorization of impacted canines: A retrospective radiographic study using orthopantomograms. Eur J Dent 2017;11(1):117-121.
Zilberman Y, Cohen B, Becker A. Familial trends in palatal canines anomalous lateral incisors and related phenomenon. Eur J Orthod 1990;12:135-9.
Rimes RJ, Mitchell CN, Willmot DR. Maxillary incisor root resorption in relation to the ectopic canine: a review of 26 patients. Eur J Orthod 1997;19:79–84.
Ericson S, Kurol J. Resorption of maxillary lateral incisors caused by ectopic eruption of the canines. Am J Orthod Dentofacial Orthop 1988;94:503-13.
Lindauer SJ, Rubenstein LK, Hang WM, Andersen WC, Isaacson RJ. Canine impaction identified early with panoramic radiographs. J Am Dent Assoc 1992;123:91–92, 95–97.
Warford JH Jr, Grandhi RK, Tira DE. Prediction of maxillary canine impaction using sectors and angular measurement. Am J Orthod Dentofacial Orthop 2003;124:651–655.
Stewart JA, Heo G, Glover KE, Williamson PC, Lam EW, Major PW. Factors that relate to treatment duration for patients with palatally impacted maxillary canines. Am J Orthod Dentofacial Orthop 2001;119:216–225.
Olive RJ. Factors influencing the non-surgical eruption of palatally impacted canines. Aust Orthod J 2005;21:95–101.
Yılmaz, H. Impacted maxillary canines and their relationship with lateral incisor resorption: A cone beam computed tomography (CBCT) study. Australasian Orthodontic Journal 2020;36(2):160-167.
Becker A. The orthodontic treatment of impacted teeth. 3rd edt. Wiley- Blackwell 2012;212-7.
Ericson S, Bjerklin K, Falahat B. Does the canine dental follicle cause resorption of permanent incisor roots? A computed tomographic study of erupting maxillary canines. Angle Orthod 2001;72:95–104.
Kalavritinos M, Benetou V, Bitsanis E. Incidence of incisor root resorption associated with the position of the impacted maxillary canines: A cone-beam computed tomographic study. Am J Orthod Dentofacial Orthop 2020;157(1):73-79.