Factors That Guide the Diagnosis and Treatment Planning for Impacted Canines Using Three-Dimensional Cone-Beam Computed Tomography: A Cross-Sectional Study

Abstract

Objective. Impacted canines are one of the significant challenges in orthodontics that should be appropriately assessed to provide the best treatment to the patients. Materials and Methods. In the present study, 57800 patients were examined over six years to investigate the prevalence, diagnostic procedures, and treatment methodologies for impacted canine cases. Prevalence and diagnosis were tested using history taking, clinical examination, and three-dimensional cone-beam radiographs. The cases were tested for impaction site, gender, age, signs, and symptoms. The groups were classified for impaction location according to Mupparapu’s classification. Result. The causative factors and the treatment methodology selected were plotted according to age and gender distribution. The total prevalence was 3.9% of canine impaction cases in relation to the total sample cases. The results showed a strong correlation between the site of impaction toward the upper arch and with distribution following Mupparapu’s classification. The pain was the most detectable complication in all age groups, while root resorption was the least. Conclusion. Most of the younger age groups were sent for exposure and orthodontic traction, while the mid-aged groups elected for observation, and follow-up as their primary concern was esthetics. However, the adult patients were into exposure and traction to improve their function.

MH-SETUP, combining Kesling wax-setup with indirect bonding and custom-made brackets for labial/lingual techniques to eliminate the finishing phase

“…After etching, the patient's teeth were painted with orthodontic bond, as were the bracket bases. [ 21 22 ] A very small amount of composite was added to each bracket base, and the tray was pressed onto the patient's teeth, then cured for 40 s per bracket. Bonding was performed one arch at a time.…”

The success rate of mini‐screws for incisors intrusion and patient age, gender, and insertion angle in the maxilla using CBCT and implant‐guided surgery. A split‐mouth, randomized control trail

“…The mini‐screws were inserted at the attached gingiva 27,28 bilaterally after local anaesthesia administration by one well‐trained orthodontist at the maxillary labial bone between the lateral incisor and canines manually with an angle of 90° on the right side and 45° on the left side to achieve intrusion of upper anterior teeth with power chain (Continuous, 3M, Germany) ligated from the main archwire to the anterior min‐implants. The patient was recalled monthly for orthodontic appliance activation and screw assessment for 6 months 29 . Pre– and post–periapical radiographs were taken to ensure the exact position 30 .…”

Role of vitamin D for orthodontic tooth movement, external apical root resorption, and bone biomarker expression and remodeling: A systematic review

“…Recent investigations have explored the main causes of EARR, suggesting its association with age, dentition, and skeletal maturity during orthodontic treatment. [43][44][45][46][47] However, the etiopathology of EARR remains unclear. 48,49 Booij-Vrieling et al 50 analyzed the expression of muscle segment homeobox 2 (MSX2), RANKL, and VDR in teeth, assessing the serum levels of vitamin-D metabolites in cats with and without tooth resorption.…”