• P-ISSN 2277-3525 E-ISSN 2582-7901

Journal of Multidisciplinary
Dental Research

Article

Journal of Multidisciplinary Dental Research

DOI: 10.38138/JMDR/v9i1.23.nezar

Volume: 9, Issue: 1, Pages: 30-42

Review Article

Impacted Maxillary Canines - Etiology, Diagnosis, Radiologic and Orthodontic Clinical

Nezar Watted​ ✉ 1,2,3 , Muhamad Abu-Hussein 2 , Péter Borbély 4 , Obeida Awadi 3 , Samir Masarwa 3 , Ali Watted 5

1 University Hospital of Würzburg Clinics and Policlinics for Dental, Oral and Maxillofacial Diseases of the Bavarian Julius-Maximilian-University, Wuerzburg, Germany
2 Department of Orthodontics, Faculty of Dentistry,, Arab America University, Jenin P.O. Box 240, Palestine
3 Department of Pediatric Dentistry and Orthodontics, University of Debrecen, Hungary
4 Center for Dentistry Research and Aesthetics, Jatt 4491800, Israel
5 Zentrum Zahn-, Mund- und Kieferkrankeiten, Klinik für Mund- Kiefer- und Gesichtschirurgie der Universität Hannover, Germany

Corresponding author ✉: [email protected]

Received Date:15 May 2023, Accepted Date:29 May 2023, Published Date:30 June 2023

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Canine maxillary teeth are aesthetically most dominant teeth which can present a smile as either holy or evi. They define the mouth’s corner, are involved in the aesthetic smile, maintain occlusal stability, and design the shape of the dental arch. As the position of the impacted canines is amidst vital anatomical structures like the nasal cavity and sinuses in the maxilla and mental nerve in the mandible, a thorough radiographic evaluation to determine the position of the impacted canines is of utmost importance prior to any treatment planning. By using a radiographic image, a clinician can clearly identify its location. The present paper aimed to determine the prevalence, etiology, and clinical diagnosis of impacted maxillary canines in orthodontic patients.

Keywords: Canine impaction, Etiology, Inspection, Palpation, Radiographs, CT, CBCT, Transtomography

References

  1. Abu-Hussein M, Watted N, Hussien E, Proff P, Watted A. Maxillary Impacted Canines. Clinical Review. International Journal of Dental and Medical Sciences Research. 2017;1(6):10–26. Available from: https://www.ijdmsr.com/wp-content/uploads/2017/11/C161026.pdf
  3. Watted N, Hussein E, Proff P, Dodan A, Muhamad AH. Surgery of Labially Impacted Canine & Orthodontic Management - A Case Report. Open Journal of Dentistry and Oral Medicine. 2017;5(1):1–6. Available from: https://doi.org/10.13189/ojdom.2017.050101
  4. Borbély P, Watted N, Dubovská I, Hegedűs V, Abu-Hussein M. Interdisciplinary Approach in the Treatment of Impacted Canines – Review. International Journal of Maxillofacial Research. 2015;1(2):116–137. Available from: https://www.researchgate.net/publication/283485603_Interdisciplinary_Approach_in_the_Treatment_of_Impacted_Canines_-_Review
  5. Watted N, Hussein E, Proff P, Dodan A, Muhamad AH. Surgery of Labially Impacted Canine & Orthodontic Management - A Case Report. Open Journal of Dentistry and Oral Medicine. 2017;5(1):1–6. Available from: https://doi.org/10.13189/ojdom.2017.050101
  7. Abu-Hussein M, Watted N, Watted A, Abu-Hussein Y, Yehia M, Awadi O, et al. Prevalence of tooth agenesis in orthodontic patients at Arab population in Israel. International Journal of Public Health Research. 2015;3(3):77–82. Available from: https://www.aaup.edu/sites/default/files/Publications/41-Prevalence%20of%20Tooth%20Agenesis%20in%20Orthodontic%20-%20%D7%A2%D7%95%D7%AA%D7%A7.pdf
  8. Watted N, Abu-Hussein M, Awadi O, Watted M, Watted AL. Clinical study of impacted maxillary canine in the Arab population in Israel. International Journal of Public Health Research. 2014;2(6):64–70. Available from: https://www.aaup.edu/sites/default/files/Publications/33-Clinical%20study%20of%20impacted%20maxillary%20canine%20in%20the.pdf
  9. Watted N, Abu-Hussein M, Awadi O, Watted M, Watted AL. Clinical study of impacted maxillary canine in the Arab population in Israel. International Journal of Public Health Research. 2014;2(6):64–70. Available from: https://www.aaup.edu/sites/default/files/Publications/33-Clinical%20study%20of%20impacted%20maxillary%20canine%20in%20the.pdf
  11. Bishara SE, Kommer DD, Mcneil MH, Montagano LN, Osterle LJ, Youngquist HW. Management of impacted canines. American Journal of Orthodontics. 1976;69(4):371–387. Available from: https://doi.org/10.1016/0002-9416(76)90207-4
  12. Hitchin AD. The impacted maxillary canine. Dental practitioner and dental record. 1951;2(4):100–103. Available from: https://pubmed.ncbi.nlm.nih.gov/14896717/
  13. Kettle MA. Treatment of the unerupted maxillary canine. Transactions of the British Society for the Study of Orthodontics. 1957;p. 74–84. Available from: https://archive.org/details/s6867id1324640/page/74/mode/2up
  14. Zilberman Y, Cohen B, Becker A. Familial trends in palatal canines, anomalous lateral incisors, and related phenomena. The European Journal of Orthodontics. 1990;12(2):135–139. Available from: https://doi.org/10.1093/ejo/12.2.135
  15. Brin I, Solomon Y, Zilberman Y. Trauma as a possible etiologic factor in maxillary canine impaction. American Journal of Orthodontics and Dentofacial Orthopedics. 1993;104(2):132–137. Available from: https://doi.org/10.1016/S0889-5406(05)81002-9
  17. Baccetti T, Franchi L, Lisa SD, Giuntini V. Eruption of the maxillary canines in relation to skeletal maturity. American Journal of Orthodontics and Dentofacial Orthopedics. 2008;133(5):748–751. Available from: https://doi.org/10.1016/j.ajodo.2007.10.031
  18. Andreasen JO, Petersen JK, Laskin DM. Textbook and Colour Atlas of Tooth Impactions: Diagnosis and Treatment (1st). Munksgaard. 1997.
  19. Impacted canines. Etiology, diagnosis, and orthodontic management. Journal of Pharmacy and Bioallied Sciences. 2012;4(Suppl 2):S234–S238. Available from: https://doi.org/10.4103/0975-7406.100216
  20. SEB. Clinical management of impacted maxillary canines. Seminars in Orthodontics. 1998;4(2):87–242. Available from: https://doi.org/10.1016/S1073-8746(98)80006-6
  21. Lappin MM. Practical management of the impacted maxillary cuspid. American Journal of Orthodontics. 1951;37(10):769–778. Available from: https://doi.org/10.1016/0002-9416(51)90048-6
  22. Coulter J, Richardson A. Normal eruption of the maxillary canine quantified in three dimensions. The European Journal of Orthodontics. 1997;19(2):171–183. Available from: https://doi.org/10.1093/ejo/19.2.171
  23. Ferguson JW. Management of the unerupted maxillary canine. British Dental Journal. 1990;169:11–17. Available from: https://doi.org/10.1038/sj.bdj.4807250
  24. Moss JP. Autogenous transplantation of maxillary canines. The Journal of Oral Surgery. 1968;26(12):775–783. Available from: https://pubmed.ncbi.nlm.nih.gov/5247087/
  25. Muhamad A. Cleft lips and palates: the roles of specialists. Minerva Pediatrics . 2011;63(3):227–232. Available from: https://pubmed.ncbi.nlm.nih.gov/21654602/
  27. Abu-Hussein M, Watted N, Hegedűs V, Borbély P, Azzaldeen A. Human genetic factors in non-syndromic cleft lip and palate: An update. International Journal of Maxillofacial Research. 2015;1(3):1–17. Available from: https://www.aaup.edu/sites/default/files/Publications/32-Human%20genetic%20factors%20in%20nonsyndromic%20cleft%20lip%20and%20palate%20An%20update.pdf
  30. TBB. Observations on the misplaced upper canine tooth. Dental practitioner and dental record. 1967;18:25–33. Available from: https://pubmed.ncbi.nlm.nih.gov/5235604/
  31. TB. A controlled study of associated dental anomalies. Angle Orthodontist . 1998;68(3):267–274. Available from: https://pubmed.ncbi.nlm.nih.gov/9622764/
  32. Jacoby H. The etiology of maxillary canine impactions. American Journal of Orthodontics. 1983;84(2):125–132. Available from: https://doi.org/10.1016/0002-9416(83)90176-8
  33. Becker A. The orthodontic treatment of impacted teeth (2nd). Informa Healthcare UK Ltd. 2007.
  34. Peck S, Peck S, Kataja M. Sense and nonsense regarding palatal canines. Angle Orthodontist. 1995;34(2):99–102. Available from: https://pubmed.ncbi.nlm.nih.gov/8526285/
  35. Becker A. In defense of the guidance theory of palatal canine displacement. Angle Orthodontist. 1995;65(2):95–98. Available from: https://pubmed.ncbi.nlm.nih.gov/7785811/
  36. Svinhufvud E, Myllärniemi S, Norio R. Dominant inheritance of tooth malpositions and their association to hypodontia. Clinical Genetics. 1988;34(6):373–381. Available from: https://doi.org/10.1111/j.1399-0004.1988.tb02895.x
  37. Basdra EK, Kiokpasoglou M, Stellzig A. The class II division 2 craniofacial type is associated with numerous congenital tooth anomalies. European Journal of Orthodontics. 2000;22(5):529–535. Available from: https://doi.org/10.1093/ejo/22.5.529
  38. Vastardis H, Karimbux N, Guthua SW, Seidman JG, CES. A human MSX1 homeodomain missense mutation causes selective tooth agenesis. Nature Genetics. 1996;13:417–421. Available from: https://doi.org/10.1038/ng0896-417
  39. RJG, HMG. Thoma’s oral pathology (6th). (pp. 104-106) 1970 .
  40. Shafer WG, Hine MK, Levy BM. A Textbook of Oral Pathology (4th ). (pp. 308-311) Philadelphia, PA, Saunders. 1983.
  41. Becker A, Chaushu S. Dental age in maxillary canine ectopia. American Journal of Orthodontics and Dentofacial Orthopedics. 2000;117(6):657–662. Available from: https://doi.org/10.1016/S0889-5406(00)70174-0
  42. BT, OR. Introduction to Orthodontics (5th). (Vol. 80) 1985.
  43. Hu JCC, Chun YHP, Hazzazzi TA, Simmer JP. Enamel Formation and Amelogenesis Imperfecta. Cells Tissues Organs . 2007;186(1):78–85. Available from: https://doi.org/10.1159/000102683
  44. WRP, Vig KWL. Primary failure of eruption: A possible cause of posterior open-bite. American Journal of Orthodontics. 1981;80(2):173–190. Available from: https://doi.org/10.1016/0002-9416(81)90217-7
  45. Bishara SE. Impacted maxillary canines: A review. American Journal of Orthodontics and Dentofacial Orthopedics. 1992;101(2):159–171. Available from: https://doi.org/10.1016/0889-5406(92)70008-X
  46. Ericson S, Kurol J. Radiographic examination of ectopically erupting maxillary canines. American Journal of Orthodontics and Dentofacial Orthopedics . 1987;91(6):483–492. Available from: https://doi.org/10.1016/0889-5406(87)90005-9
  47. Nieri M, Crescini A, Rotundo R, Baccetti T, Cortellini P, Prato GPP. Factors affecting the clinical approach to impacted maxillary canines: A Bayesian network analysis. American Journal of Orthodontics and Dentofacial Orthopedics . 2010;137(6):755–762. Available from: https://doi.org/10.1016/j.ajodo.2008.08.028
  48. Watted N, Proff P, Reiser V, Shlomi B, Abu-Hussein M, Shamir D, et al. Clinical Orthodontic Practice: Journal of Dental and Medical Sciences. 2015;2:102–115.
  49. LP, Fianza AL, Maggio EMD, Dore R, Schifino MR, Campani R, et al. The use of spiral computed tomography in the localization of impacted maxillary canines. Dentomaxillofacial Radiology . 1997;26(4):236–241. Available from: https://doi.org/10.1038/sj.dmfr.4600258
  50. Scarfe WC, Farman AG, Sukovic P. Clinical Applications of Cone-Beam Computed Tomography in Dental Practice . Journal of the Canadian Dental Association . 2006;72(1):75–80. Available from: https://www.cda-adc.ca/jcda/vol-72/issue-1/75.pdf
  51. Watted N, Proff P, Reiser V, Shlomi B. CBCT; In Clinical Orthodontic Practice. Journal of Dental and Medical Sciences. 2015;14(2):102–115. Available from: https://www.researchgate.net/publication/273318169_CBCT_In_Clinical_Orthodontic_Practice
  52. Scarfe WC, Farman AG, Sukovic P, l. Clinical Applications of Cone-Beam Computed Tomography in Dental Practice. Journal of the Canadian Dental Association . 2006;72(1):75–80. Available from: https://www.cda-adc.ca/jcda/vol-72/issue-1/75.pdf
  53. SLH. Cone-Beam CT: Applications in Orthodontics. Dental Clinics of North America. 2008;52(4):809–823. Available from: https://doi.org/10.1016/j.cden.2008.05.001
  54. Welander U, Li G, McDavid WD, Tronje G. Transtomography: a new tomographic scanning technique. Dentomaxillofacial Radiology . 2014;33(3):188–195. Available from: https://doi.org/10.1259/dmfr/55001955
  55. Kumar MA, Mody B, Nair GKR, Surender LR, Gopal SS, Prasad RVKA. Dimensional Accuracy and Details of the Panoramic Cross-sectional Tomographic Images: An in vitro Study. The Journal of Contemporary Dental Practice. 2012;13(1):85–97. Available from: https://www.thejcdp.com/doi/pdf/10.5005/jp-journals-10024-1101
  56. Pirinen S, Arte S, Apajalahti S. Palatal Displacement of Canine is Genetic and Related to Congenital Absence of Teeth. Journal of Dental Research. 1996;75(10):1742–1746. Available from: https://journals.sagepub.com/doi/10.1177/00220345960750100601
  57. Abu-Hussein M, Abdulgani A. Managing congenitally missing lateral incisors with single tooth implants. American Journal of Orthodontics and Dentofacial Orthopedics. 2016;2(4):318–324. Available from: https://www.researchgate.net/publication/306037474_Managing_congenitally_missing_lateral_incisors_with_single_tooth_implants
  58. Ericson S, Kurol J. Longitudinal study and analysis of clinical supervision of maxillary canine eruption. Community Dentistry and Oral Epidemiology. 1986;14(3):172–176. Available from: https://doi.org/10.1111/j.1600-0528.1986.tb01526.x
  59. Abu-Hussein M, Watted N, AA, Zahalka M. Congenitally Missing Lateral Incisor with Orthodontics, Bone Grafting and Single-Tooth Implant: A Case Report. Journal of Dental and Medical Sciences. 2015;14(4):124–130. Available from: https://www.iosrjournals.org/iosr-jdms/papers/Vol14-issue4/Version-6/Z01446124130.pdf
  60. Hamada Y, Timothius CJC, Shin D, John V. Canine impaction – A review of the prevalence, etiology, diagnosis and treatment. Seminars in Orthodontics. 2019;25(2):117–123. Available from: https://doi.org/10.1053/j.sodo.2019.05.002
  63. Mai A, Azzaldeen A, Nezar W, Muhamad AH. Two Treatment Approaches for Missing Maxillary Lateral Incisors: A Case. Journal of Dental and Medical Sciences . 2016;15(7):78–85. Available from: http://www.iosrjournals.org/iosr-jdms/papers/Vol15-Issue%207/Version-8/M150787885.pdf

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