Radiological features and treatment of erupting maxillary canines in relation to the occurrence of dental developmental abnormalities
DOI:
https://doi.org/10.2340/aos.v83.40488Keywords:
Abnormal eruption, developing dentition, diagnostics, human, mixed dentitionAbstract
Objective: This study aimed to investigate the radiological features of the permanent canines and the treatment carried out to ensure their eruption relative to certain features involved in Dental Anomaly Patterns (DAP).
Material and Methods: The cross-sectional part of this retrospective register-based study focused on 1,315 dental panoramic tomographs (DPTs) of children aged 8.5–10.5 years, while the longitudinal part involved information on the treatment provided for 1,269 canines after the DPTs and on their eruption into the oral cavity.
Results: The canines of the DAP children more often showed evidence of early treatment (p = 0.014), with girls having more frequently interceptive treatment (p = 0.004) and boys early headgear (p = 0.022). Delayed dental age was associated with early treatment (OR 3.29, 95% CI 1.08–9.99). Either no or clear overlapping of a canine with the lateral incisor occurred more often in the DAP children, whereas canine inclination did not differ between the groups. The root development stage of the canine was more often either beginning or well advanced in the DAP children.
Conclusions: The children with dental developmental abnormalities more often showed evidence of early treatment for the canines. Monitoring of the erupting canines after the first mixed stage is important to enable timely early treatment.
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References
Broadbent BH. Ontogenic development of occlusion. Angle Orthod. 1941;11:223–41.
Coulter J, Richardson A. Normal eruption of the maxillary canine quantified in three dimensions. Eur J Orthod. 1997;19(2):171–83. https://doi.org/10.1093/ejo/19.2.171 DOI: https://doi.org/10.1093/ejo/19.2.171
Becker A, Chaushu S. Etiology of maxillary canine impaction: a review. Am J Orthod Dentofacial Ortho. 2015;148(4):557–67. https://doi.org/10.1016/j.ajodo.2015.06.013 DOI: https://doi.org/10.1016/j.ajodo.2015.06.013
Haavikko K. The formation and the alveolar and clinical eruption of the permanent teeth. An Orthopantomographic Study. Suom Ham-maslaak Toim. 1970;66(3):103–70.
Fernández E, Bravo LA, Canteras M. Eruption of the permanent upper canine: a radiologic study. Am J Orthod Dentofacial Orthop. 1998;113(4):414–20. https://doi.org/10.1016/S0889-5406(98)70251-3 DOI: https://doi.org/10.1016/S0889-5406(98)80013-9
Sajnani AK, King NM. Early prediction of maxillary canine impaction from panoramic radiographs. Am J Orthod Dentofacial Orthop. 2012;142(1):45–51. https://doi.org/10.1016/j.ajodo.2012.02.021 DOI: https://doi.org/10.1016/j.ajodo.2012.02.021
Ristaniemi J, Rajala W, Karjalainen T, et al. Eruption pattern of the maxillary canines: features of natural eruption seen in DPT at the late mixed stage-Part I. Eur Arch Paediatr Dent. 2022;23(2):223–32. https://doi.org/10.1007/s40368-021-00650-1 DOI: https://doi.org/10.1007/s40368-021-00650-1
Chalakkal P, Thomas AM, Chopra S. Displacement, location, and angulation of unerupted permanent maxillary canines and absence of canine bulge in children. Am J Orthod Dentofac Orthop. 2011;139(3):345–50. https://doi.org/10.1016/j.ajodo.2009.03.044 DOI: https://doi.org/10.1016/j.ajodo.2009.03.044
Ristaniemi J, Karjalainen T, Kujasalo K, et al. Eruption pattern of the maxillary canines: features indicating treatment needs as seen in DPT at the late mixed stage-Part II. Eur Arch Paediatr Dent. 2022;23(4):567–78. https://doi.org/10.1007/s40368-022-00719-5 DOI: https://doi.org/10.1007/s40368-022-00719-5
Ericson S, Kurol J. Early treatment of palatally erupting maxillary canines by extraction of the primary canines. Eur J Orthod. 1988;10(4):283–95. https://doi.org/10.1093/ejo/10.4.283 DOI: https://doi.org/10.1093/ejo/10.4.283
Power SM, Short MB. An investigation into the response of palatally displaced canines to the removal of deciduous canines and an as-sessment of factors contributing to favourable eruption. Br J Orthod. 1993;20(3):215–23. https://doi.org/10.1179/bjo.20.3.215 DOI: https://doi.org/10.1179/bjo.20.3.215
Bazargani F, Magnuson A, Lennartsson B. Effect of interceptive extraction of deciduous canine on palatally displaced maxillary canine: a prospective randomized controlled study. Angle Orthod. 2014;84(1):3–10. https://doi.org/10.2319/031013-205.1 DOI: https://doi.org/10.2319/031013-205.1
Naoumova J, Kurol J, Kjellberg H. Extraction of the deciduous canine as an interceptive treatment in children with palatal displaced ca-nines – part I: shall we extract the deciduous canine or not? Eur J Orthod. 2015;37(2):209–18. https://doi.org/10.1093/ejo/cju040 DOI: https://doi.org/10.1093/ejo/cju040
Silvola AS, Arvonen P, Julku J, et al. Early headgear effects on the eruption pattern of the maxillary canines. Angle Orthod. 2009;79(3):540–5. https://doi.org/10.2319/021108-83.1 DOI: https://doi.org/10.2319/021108-83.1
Hadler-Olsen S, Pirttiniemi P, Kerosuo H, et al. Does headgear treatment in young children affect the maxillary canine eruption path? Eur J Orthod. 2018;40(6):583–91. https://doi.org/10.1093/ejo/cjy013 DOI: https://doi.org/10.1093/ejo/cjy013
Baccetti T. A controlled study of associated dental anomalies. Angle Orthod. 1998;68(3):267–74.
Peck S. Dental Anomaly Patterns (DAP). A new way to look at malocclusion. Angle Orthod. 2009;79(5):1015–16. https://doi.org/10.2319/0003-3219-079.005.1015 DOI: https://doi.org/10.2319/0003-3219-079.005.1015
Brin I, Becker A, Shalhav M. Position of the maxillary permanent canine in relation to anomalous or missing lateral incisors: a population study. Eur J Orthod. 1986;8(1):12–16. https://doi.org/10.1093/ejo/8.1.12 DOI: https://doi.org/10.1093/ejo/8.1.12
Pirinen S, Arte S, Apajalahti, S. Palatal displacement of canine is genetic and related to congenital absence of teeth. J Dent Res. 1996;75(10):1742–6. https://doi.org/10.1177/00220345960750100601 DOI: https://doi.org/10.1177/00220345960750100601
Baccetti T, Leonardi M, Giuntini V. Distally displaced premolars: a dental anomaly associated with palatally displaced canines. Am J Or-thod Dentofacial Orthop. 2010;138(3):318–22. https://doi.org/10.1016/j.ajodo.2008.09.036 DOI: https://doi.org/10.1016/j.ajodo.2008.09.036
Rozylo-Kalinowska I, Kolasa-Raczka A, Kalinowski P. Dental age in patients with impacted maxillary canines related to the position of the impacted teeth. Eur J Orthod. 2011;33(5):492–7. https://doi.org/10.1093/ejo/cjq123 DOI: https://doi.org/10.1093/ejo/cjq123
Ristaniemi J, Kujasalo K, Rytkonen E, et al. Features of dental anomaly patterns in Finnish children as seen in panoramic radiographs at the late mixed stage. Acta Odontol Scand. 2023;81:609–14. https://doi.org/10.1080/00016357.2023.2232859 DOI: https://doi.org/10.1080/00016357.2023.2232859
Peck L, Peck S, Attia Y. Maxillary canine-first premolar transposition, associated dental anomalies and genetic basis. Angle Orthod. 1993;63(2):99–110.
Peck S, Peck L, Kataja M. The palatally displaced canine as a dental anomaly of genetic origin. Angle Orthod. 1994;64(4):249–56.
Peck S, Peck L, Kataja M. Mandibular lateral incisor-canine transposition, concomitant dental anomalies, and genetic control. Angle Or-thod. 1998;68(5):455–66.
Langberg BJ, Peck S. Tooth-size reduction associated with occurrence of palatal displacement of canines. Angle Orthod. 2000;70(2):126–8.
Shalish M, Peck S, Wasserstein A, et al. Malposition of unerupted mandibular second premolar associated with agenesis of its antimere. Am J Orthod Dentofacial Orthop. 2002;121(1):53–6. https://doi.org/10.1067/mod.2002.120399 DOI: https://doi.org/10.1067/mod.2002.120399
Peck S, Peck L, Kataja M. Concomitant occurrence of canine malposition and tooth agenesis: evidence of orofacial genetic fields. Am J Or-thod Dentofacial Orthop. 2002 Dec;122(6):657–60. https://doi.org/10.1067/mod.2002.129915 DOI: https://doi.org/10.1067/mod.2002.129915
Garib DG, Peck S, Gomes SC. Increased occurrence of dental anomalies associated with second-premolar agenesis. Angle Orthod. 2009;79(3):436–41. https://doi.org/10.2319/021308-87.1 DOI: https://doi.org/10.2319/021308-87.1
Shalish M, Peck S, Wasserstein A, et al. Increased occurrence of dental anomalies associated with infraocclusion of deciduous molars. Angle Orthod. 2010;80(3):440–5. https://doi.org/10.2319/062609-358.1 DOI: https://doi.org/10.2319/062609-358.1
Grahnén H. Hypodontia in the permanent dentition. Odontol Revy. 1956;7:1–100.
Nelson SJ. The permanent maxillary incisors. In: Wheeler’s dental anatomy, physiology and occlusion. 11th ed. St. Louis, MO: Elsevier; 2019, pp. 90–102.
Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973;45(2):211–27.
Demirjian A, Goldstein H. New systems for dental maturity based on seven and four teeth. Ann Hum Biol. 1976;3(5):411–21. https://doi.org/10.1080/03014467600001671 DOI: https://doi.org/10.1080/03014467600001671
Chaillet N, Nystrom M, Kataja M, et al. Dental maturity curves in Finnish children: Demirjian’s method revisited and polynomial functions for age estimation. J Forensic Sci. 2004;49(6):1324–31. https://doi.org/10.1520/JFS2004211 DOI: https://doi.org/10.1520/JFS2004211
Nolla CM. The development of the permanent teeth. J Dent Child. 1960;27:254–266.
Becker A, Chaushu S. Dental age in maxillary canine ectopia. Am J Orthod Dentofacial Orthop. 2000;117(6):657–62. https://doi.org/10.1016/S0889-5406(00)70174-0 DOI: https://doi.org/10.1016/S0889-5406(00)70174-0
Naser DH, Abu Alhaija ES, Al-Khateeb SN. Dental age assessment in patients with maxillary canine displacement. Am J Orthod Dentofacial Orthop. 2011;140(6):848–55. https://doi.org/10.1016/j.ajodo.2011.04.027 DOI: https://doi.org/10.1016/j.ajodo.2011.04.027
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Copyright (c) 2024 Jenni Ristaniemi, Terhi Karjalainen, Kati Kujasalo, Wille Rajala, Paula Pesonen, Raija Lähdesmäki
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Acta Odontologica Scandinavica publishes original research papers as well as critical reviews relevant to the diagnosis, epidemiology, health service, prevention, aetiology, pathogenesis, pathology, physiology, microbiology, development and treatment of diseases affecting tissues of the oral cavity and associated structures including papers on cause and effect or explanatory/associative relationships for experimental or observational studies.
