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      Frequency of impacted teeth and categorization of impacted canines: A retrospective radiographic study using orthopantomograms

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          Abstract

          Objective:

          The objective of this study is to determine the frequency of impacted maxillary canines using seven subtype classification system. For this purpose, impacted maxillary canines have been divided into seven various subtypes.

          Materials and Methods:

          This is a descriptive, cross-sectional, and retrospective study conducted using radiographic data of residents of Madinah, Al Munawwarah. Radiographic data of 14,000 patients, who attended College of Dentistry, Taibah University, from January 2011 to February 2015, were screened against the selection criteria for the presence of impacted teeth. The individuals with maxillary impacted canines were matched to maxillary canine impaction. The occurrence of each subtype of impacted canines was calculated.

          Results:

          Impacted teeth are more common in the maxilla compared to mandible. The impacted canine represented the highest proportion of all impacted maxillary teeth followed by the second premolars and the central incisors. According to the classification system represented, Type II of canine impaction comprised the highest proportion (51%) while Type IV (0.5%) comprised the lowest frequency. The maxillary canine is the most frequently impacted tooth followed by mandibular canines.

          Conclusions:

          Although there are many variations, the majority of impacted canines fall into Type II of the classification of impacted canines.

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          Most cited references32

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          Impacted maxillary canines: a review.

          An overview of the incidence and sequelae, as well as the surgical, periodontal, and orthodontic considerations in the management, of impacted canines is presented. The clinician needs to be familiar with the differences in the surgical management of the labially and palatally impacted canines, the best method of attachment to the canine for orthodontic force application, the advantages of one-arch versus two-arch treatment, and the implications of canine extraction. The various factors that influence all these decisions are discussed.
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            The etiology of maxillary canine impactions.

            The etiology of tooth impactions has long been related to an arch-length deficiency. This is valid for most impactions, but not for palatal impaction of the maxillary canine. This study shows that 85 percent of the palatally impacted canines have sufficient space for eruption. The bud of the maxillary canine is wedged between the nasal cavity, the orbit, and the anterior wall of the maxillary sinus. The buds of the lateral incisor and the first premolar are located behind the canine's palatal surface. An arch-length deficiency will not allow the maxillary canine to "jump" the buds, the nasal cavity, or the sinus in order to reappear in the palate. A canine can be palatally impacted if an extra space is available in the maxillary bone. This space can be provided by (1) excessive growth in the base of the maxillary bone, (2) space created by agenesis or peg-shaped lateral incisors, or (3) stimulated eruption of the lateral incisor or the first premolar. In those conditions the canine is free to "dive" in the bone and to become palatally impacted. A dysplasia in the maxillary-premaxillary suture can also modify the direction of the maxillary canine's eruption.
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              Pattern of third molar impaction in a Singapore Chinese population: a retrospective radiographic survey.

              One thousand orthopantomograms (OPGs) of patients 20-40 years old were examined. Where impacted third molars were present, the angle and depth of impaction were recorded. Results were analysed using the Pearson chi2 test. 68.6% of OPGs showed at least one impacted third molar. The frequency was three-fold higher in the mandible (1024/1079=90%) than in the maxilla (306/1077=28%), with a significantly higher frequency (P<0.05) in females (56%) than males (44%). The mesioangular impaction was the most common, and 80% of all impacted third molars were partially buried in bone. Of the 429 bilateral occurrence of impacted third molars, 423 were in the mandible. It was concluded that the frequency of impacted third molars in the Singapore Chinese population studied was generally two to three times that reported in races of the Caucasian stock. There was also double the frequency of impacted third molars when compared to a previous study in a Chinese population published in 1932 with females being more frequently affected than males.
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                Author and article information

                Journal
                Eur J Dent
                Eur J Dent
                EJD
                European Journal of Dentistry
                Medknow Publications & Media Pvt Ltd (India )
                1305-7456
                1305-7464
                Jan-Mar 2017
                : 11
                : 1
                : 117-121
                Affiliations
                [1 ]Department of Pediatric Dentistry and Orthodontics, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah 41311, Saudi Arabia
                [2 ]Specialty Dental Center, King Fahad Hospital, Al Madinah, Al Munawwarah 41311, Saudi Arabia
                [3 ]Department of Orthodontics, European University College, Dubai 53382, UAE
                [4 ]Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah, Saudi Arabia
                [5 ]Visiting Professor, Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad 44000, Pakistan
                Author notes
                Correspondence: Dr. Muhammad Sohail Zafar, E-mail: drsohail_78@ 123456hotmail.com
                Article
                EJD-11-117
                10.4103/ejd.ejd_308_16
                5379823
                28435377
                9e846484-ec39-444d-98da-2316389baa33
                Copyright: © 2017 European Journal of Dentistry

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                Categories
                Original Article

                Dentistry
                canine,impaction,maxillary teeth,orthodontics
                Dentistry
                canine, impaction, maxillary teeth, orthodontics

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