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      Prevalence of canine impaction in the western province of Saudi Arabia: A cross-sectional survey

      research-article
      Journal of Orthodontic Science
      Wolters Kluwer - Medknow
      Canine impaction, health care planning, malocclusion, prevention

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          Abstract

          BACKGROUND/AIM:

          Canine tooth impaction could have a negative influence on the stomatognathic system and could make it difficult for clinicians to manage malocclusions. The aim of this retrospective study was to investigate the prevalence of canine impaction, which could be a cause of malocclusion, in the population in the western province of Saudi Arabia.

          METHODS:

          A retrospective analysis of digital orthopantomograms (OPGs) of 400 patients aged 12–40 years, who are citizens of Saudi Arabia residing in the western province and who presented for treatment at the dental clinics of Batterjee Medical College, Jeddah, Saudi Arabia were included. The OPGs and dental records of these patients were reviewed for canine impaction and were categorized based on age, gender, and type of impaction.

          RESULTS:

          The prevalence of patients that exhibited canine impaction was found to be 4%. Males had a significantly higher percentage of prevalence than females ( P < 0.016), and impaction was significantly higher among patients aged below 18 years ( P < 0.001). Moreover, the most commonly observed impaction was mandibular canine impaction (87.5%).

          CONCLUSIONS:

          Prevention of malocclusion and maintenance of a normal dentition (better aesthetics and chewing) necessitates early detection of impacted canines.

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          Most cited references39

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          Prevalence of impacted teeth and associated pathologies--a radiographic study of the Hong Kong Chinese population.

          To investigate the prevalence and pattern of impacted teeth and associated pathologies in the Hong Kong Chinese population. The Reception and Primary Care Clinic, Prince Philip Dental Hospital, Hong Kong. Retrospective study. The records of 7486 patients were examined to determine whether the chief complaints were related to impacted teeth and associated pathologies, which were investigated using panoramic radiographs. A total of 2115 (28.3%) patients presented with at least one impacted tooth. Among the 3853 impacted teeth, mandibular third molars were the most common (82.5%), followed by maxillary third molars (15.6%), and maxillary canines (0.8%). Approximately 8% of mandibular second molars associated with impacted third molars had periodontal bone loss of more than 5 mm on their distal surfaces. Caries were also found on the same surfaces in approximately 7% of the second molars. Approximately 30% of patients with dental impaction had symptoms, and 75% had complaints limited to one side of the mouth. The prevalence of impacted teeth was high, and there was a predilection for impacted third molars in the mandible. More than 50% of maxillary third molars had erupted, creating potential trauma of the pericoronal tissues of the partially erupted mandibular third molars. Caries and periodontal diseases were commonly seen in relation to the impacted third molars, whereas cystic pathology and root resorption were rarely observed.
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            Etiology of maxillary canine impaction: a review.

            This article is a review that enumerates the causes of impaction of the maxillary permanent canines, including hard tissue obstructions, soft tissue lesions, and anomalies of neighboring teeth, and discusses the much-argued relationship between environmental and genetic factors. These phenomena have been shown in many investigations to accompany the diagnosis of canine impaction and have been presented as unrelated anomalous features, each of which is etiologically construed as genetic, including the aberrant canine itself. While in general the influence of genetics pervades the wider picture, a guidance theory proposes an alternative etiologic line of reasoning and interpretation of these studies, in which the same genetically determined anomalous features provide an abnormal milieu in which the canine is reared and from which it is guided in its misdirected and often abortive path of eruption.
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              The Prevalence of Dental Anomalies in the Western Region of Saudi Arabia

              Objective. The aim of this cross-sectional study was to investigate the prevalence of dental anomalies that could be a cause of malocclusion in the western region of Saudi Arabia. Materials and Methods. A retrospective study of 878 digital orthopantomograms (OPGs) taken of patients, age ranging between 12 and 30 years, who presented to treatment at the Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia between 2002 and 2011. The OPGs and dental records were reviewed for congenitally missing teeth, supernumerary teeth, impactions, ectopic eruption, transposition, germination, fusion, dilacerations, taurodontism, dens in dent, and any other unusual conditions that can be assessed with OPG. Results. The prevalence of patient that exhibited at least one dental anomaly was 396 (45.1%) patients. The prevalence of congenitally missing teeth was 226 (25.7%), impacted teeth 186 (21.1%), dilacerated teeth 10 (1.1%), supernumerary teeth 3 (0.3%), odontoma 1 (0.1%), and taurodontism was also 1 case (0.1%) of the total radiographs reviewed. Conclusions. Congenitally missing teeth were found to be the most prevalent anomaly (25.7%), and the second frequent anomaly was impacted teeth (21.1%), whereas root dilacerations, supernumerary teeth, and taurodontism were the least frequent anomalies (1.1%, 0.3% and 0.1%, resp.).
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                Author and article information

                Journal
                J Orthod Sci
                J Orthod Sci
                JOS
                J Orthodont Sci
                Journal of Orthodontic Science
                Wolters Kluwer - Medknow (India )
                2278-1897
                2278-0203
                2023
                02 November 2023
                : 12
                : 76
                Affiliations
                [1] Division of Orthodontics, Dentistry Program, Batterjee Medical College, Jeddah, Saudi Arabia
                Author notes
                Address for correspondence: Dr. Dareen Khalid Aljehani, Division of Orthodontics, Dentistry Program, Batterjee Medical College, Jeddah - 21442, Saudi Arabia. E-mail: dareen.khalid@ 123456bmc.edu.sa
                Article
                JOS-12-76
                10.4103/jos.jos_65_23
                10793856
                38234643
                a536c8fb-a928-4a25-b23e-9095ed6d7afd
                Copyright: © 2023 Journal of Orthodontic Science

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 30 April 2023
                : 10 June 2023
                : 27 June 2023
                Categories
                Original Article

                canine impaction,health care planning,malocclusion,prevention

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