Morphology of palatally impacted canines: A case-controlled cone-beam volumetric tomography study

作者:Hettiarachchi Pilana Vithanage Kalani Shihanika*; Olive Richard John; Monsour Paul
来源:American Journal of Orthodontics and Dentofacial Orthopedics, 2017, 151(2): 357-362.
DOI:10.1016/j.ajodo.2016.06.044

摘要

Introduction: The aim of this study was to investigate the relationships between an apical curvature or a hook and the crown/root ratio in subjects with and without palatally impacted maxillary canines. Methods: An experimental group of 44 patients (17 boys, 27 girls; mean age, 13.6 years) with 59 palatally impacted maxillary canines was selected from the records of patients referred to a radiology practice for cone- beam imaging. If a patient had bilateral palatally impacted canines, 1 canine was randomly selected for analysis. The palatally impacted canine group was matched for age and sex with 49 normal subjects (25 boys, 24 girls; mean age, 13.2 years) with 98 canines. Cone-beam DICOM files were imported into In Vivo imaging software (version 5.3; Anatomage, San Jose, Calif) for analysis. The angulations and linear variables of the maxillary canines were measured by using the software measurement tools. Chi- square and independent t tests were used to test for differences between the groups. Results: The presence of a hook at the apical third and other root curvature were significantly different between the 2 groups (P < 0.001 and P < 0.05, respectively). Of the 44 palatally impacted canines, 16 (36.4%) had an apical hook and only 1 canine in the control group had an apical hook (1.0%). The mean root length of the palatally impacted canines was 2.66 mm shorter (P < 0.001), and the mean crown/ root ratio was significantly greater for the palatally impacted canines compared with the nonimpacted group (P < 0.001). Conclusions: Palatally impacted canines have a greater tendency to develop apical hooks and are less likely to develop other root curvatures than are nonimpacted canines. Also, they have shorter roots resulting in larger crown/root ratios compared with the control group.

  • 出版日期2017-2