Abstract
Objective: The aim of this study was to evaluate the position, angulation and surrounding trabecular bone structure of a unilateral impacted maxillary canine (IMC) tooth using fractal analysis. Methods: Cone beam computed tomography images of 50 patients (38 female, 12 male) with unilateral IMC were selected for this retrospective study. A 25x25 pixel region of interest (ROI) was selected in the trabecular bone between the premolars on the impacted and non-impacted side and fractal analysis was conducted. The angulation of unilateral impacted canines was measured and the position was categorized as vestibular, intra-alveolar and palatal. Results: Of the 50 impacted teeth, 42% were in the vestibular, 26% were in the intra-alveolar, and 32% were in the palatal position. The most common angulation angle of the IMC was 0°-15° which occurred in 44% of canines. While the bone fractal values did not statistically significantly differ between the sides, the values were 1.05 ± 0.9 on the impacted side and 1.04 ± 0.1 on the non-impacted side. No significant difference was observed in fractal values according to the position and angulation angles of the impacted maxillary canine (p > 0.05). Conclusion: The structure of trabeculation around the impacted canine tooth was no different than on the non-impacted side.
References
1. Altan A, Çolak S, Akbulut N, Altan H. Radiographic features and treatment strategies of impacted maxillary canines. Cumhuriyet Dent J. 2020; 23(1):32-7.
2. Grisar K, Luyten J, Preda F, Martin C, Hoppenreijs T, Politis C, Jacobs R. Interventions for impacted maxillary canines: A systematic review of the relationship between initial canine position and treatment outcome. Orthod Craniofac Res. 2021; 24(2):180-93.
3. Dalessandri D, Parrini S, Rubiano R, Gallone D, Migliorati M. Impacted and transmigrant mandibular canines incidence, aetiology, and treatment: A systematic review. Eur J Orthod. 2017; 39(2):161-9.
4. Hamada Y, Timothius CJC, Shin D, John V. Canine impaction–A review of the prevalence, etiology, diagnosis and treatment. Semin Orthod. 2019; 25(2):117-23.
5. Mitsea A, Palikaraki G, Karamesinis K, Vastardis H, Gizani S, Sifakakis I. Evaluation of lateral incisor resorption caused by impacted maxillary canines based on CBCT: A systematic review and meta-analysis. Children (Basel). 2022; 9(7):1006.
6. Ar vind TR P, Jain R K, Nagi R, Tiwari A. Evaluation of alveolar bone microstructure around impacted maxillary canines using fractal analysis in Dravidian population: A retrospective CBCT study. J Contemp Dent Pract. 2022; 23(6):593-600.
7. Alyami B, Braimah R, Alharieth S. Prevalence and pattern of impacted canines in Najran, South Western Saudi Arabian population. Saudi Dent J. 2020; 32(6):300-5.
8. Servais JA, Gaalaas L, Lunos S, Beiraghi S, Larson BE, Leon-Salazar V. Alternative cone-beam computed tomography method for the analysis of bone density around impacted maxillary canines. Am J Orthod Dentofacial Orthop. 2018; 154(3):442-9.
9. Sharma M, Sharma D, Rahi Verma D, Sharma M, Bishnoi RR. Comparing cone-beam computed tomography with panoramic radiography for the evaluation of bone quality J Pharm Negat Results. 2022; 13:784-94.
10. White SC, Rudolph DJ. Alterations of the trabecular pattern of the jaws in patients with osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999; 88(5):628-35.
11. Bolooki H, Hameed O, Sherriff M, Minhas G. Positional factors affecting the surgical management of impacted permanent mandibular canines. J Orthod. 2022; 49(4):441-7.
12. Grisar K, Piccart F, Al-Rimawi AS, Basso I, Politis C, Jacobs R. Three-dimensional position of impacted maxillary canines: Prevalence, associated pathology and introduction to a new classification system. Clin Exp Dent Res. 2019; 5(1):19-25.
13. Abazi Y, Guglielmo MF, Cenko F, Harka E, Cozza P. Analysis of bone density in a group of patients with dental inclusion. Balk J Dent Med. 2019; 23:141-6.
14. Kjær I. Mechanism of human tooth eruption: Review article including a new theory for future studies on the eruption process. Scientifica (Cairo). 2014; 2014:341905.
15. Wise GE. Cellular and molecular basis of tooth eruption. Orthod Craniofac Res. 2009; 12(2):67-73.
16. D Oleo-Aracena MF, Ar riola-Guillén LE, Rodríguez-Cárdenas YA, Ruíz-Mora GA. Skeletal and dentoalveolar bilateral dimensions in unilateral palatally impacted canine using cone beam computed tomography. Prog Orthod. 2017; 18(1):7.
17. Tadinada A, Mahdian M, Vishwanath M, Allareddy V, Upadhyay M, Yadav S. Evaluation of alveolar bone dimensions in unilateral palatally impacted canine: A cone-beam computed tomographic analyses. Eur J Orthod. 2015; 37(6):596-602.
18. Dağsuyu İM, Kahraman F, Okşayan R. Threedimensional evaluation of angular, linear, and resorption features of maxillary impacted canines on cone-beam computed tomography. Oral Radiol. 2018; 34(1):66-72.
19. Anic-Milosevic S, Varga S, Mestrovic S, Lapter- Varga M, Slaj M. Dental and occlusal features in patients with palatally displaced maxillary canines. Eur J Orthod. 2009; 31(4):367-73.
20. Köseoğlu Seçgin C, Karslıoğlu H, Özemre MÖ, Orhan K. Gray value measurement for the evaluation of local alveolar bone density around impacted maxillary canine teeth using cone beam computed tomography. Med Oral Patol Oral Cir Bucal. 2021; 26(5):e669-75.
21. Kim Y, Hyun HK, Jang KT. Morphological relationship analysis of impacted maxillary canines and the adjacent teeth on 3-dimensional reconstructed CT images. Angle Orthod. 2017; 87(4):590-7.
22. Sar SK, Singh M, Sharma A, Sharma P, Raza M. Skeletal and dentoalveolar dimensions in unilateral impacted canines: A cone beam computed tomography study. Eur Oral Res. 2022; 56(2):74-9.
Recommended Citation
Arslan, Z., & Çelik, B. Evaluation of Trabecular Bone Around the Impacted Maxillary Canine on CBCT Images by Fractal Analysis. J Dent Indones. 2023;30(3): 190-194
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