Risk of Maxillary Canine Impaction in Pediatric Patients with Maxillary Constriction: Retrospective Study on Panoramic Dental Images

The maxillary canine is the second most commonly impacted tooth after the maxillary third molar. Identifying risk factors for impaction is crucial for timely intervention; panoramic radiographs are particularly valuable for screening and identification purposes. This study aims to explore the associ...

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Main Authors: Anna Alessandri-Bonetti, Federica Guglielmi, Giovanni Foti, Linda Sangalli, Patrizia Gallenzi
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/14/22/10182
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author Anna Alessandri-Bonetti
Federica Guglielmi
Giovanni Foti
Linda Sangalli
Patrizia Gallenzi
author_facet Anna Alessandri-Bonetti
Federica Guglielmi
Giovanni Foti
Linda Sangalli
Patrizia Gallenzi
author_sort Anna Alessandri-Bonetti
collection DOAJ
description The maxillary canine is the second most commonly impacted tooth after the maxillary third molar. Identifying risk factors for impaction is crucial for timely intervention; panoramic radiographs are particularly valuable for screening and identification purposes. This study aims to explore the association between transverse maxillary deficiency with bilateral crossbite, and the risk of maxillary canine impaction. A cross-sectional retrospective study was conducted on records of pediatric patients (7–13 years old) undergoing orthodontic evaluations. Panoramic radiographs were analyzed to assess the risk of canine impaction using the sectorial method, distance from the occlusal plane, and the alpha angle. Results from 48 canines of patients with transverse maxillary deficiency and bilateral crossbite were compared to canines of sex- and age-matched patients without these malocclusions. Statistical analysis was performed by the Shapiro–Wilk test, Levene’s test, or a <i>t</i>-test. There were no significant differences in high-risk canine impaction between groups when considering sector classification or distance from the occlusal plane. However, the control group showed a significantly higher risk according to the alpha angle (≥25°). No overall significant difference in risk was observed, suggesting that transverse maxillary deficiency with bilateral crossbite may not increase the risk of maxillary canine impaction.
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spelling doaj-art-518abf1c7cce4d06bf013c0deaf7597d2025-08-20T02:08:12ZengMDPI AGApplied Sciences2076-34172024-11-0114221018210.3390/app142210182Risk of Maxillary Canine Impaction in Pediatric Patients with Maxillary Constriction: Retrospective Study on Panoramic Dental ImagesAnna Alessandri-Bonetti0Federica Guglielmi1Giovanni Foti2Linda Sangalli3Patrizia Gallenzi4Institute of Dental Clinic, Catholic University of Sacred Heart, IRCCS A. Gemelli University Polyclinic Foundation, 00168 Rome, ItalyInstitute of Dental Clinic, Catholic University of Sacred Heart, IRCCS A. Gemelli University Polyclinic Foundation, 00168 Rome, ItalyInstitute of Dental Clinic, Catholic University of Sacred Heart, IRCCS A. Gemelli University Polyclinic Foundation, 00168 Rome, ItalyCollege of Dental Medicine, Midwestern University, Downers Grove, IL 60515, USAInstitute of Dental Clinic, Catholic University of Sacred Heart, IRCCS A. Gemelli University Polyclinic Foundation, 00168 Rome, ItalyThe maxillary canine is the second most commonly impacted tooth after the maxillary third molar. Identifying risk factors for impaction is crucial for timely intervention; panoramic radiographs are particularly valuable for screening and identification purposes. This study aims to explore the association between transverse maxillary deficiency with bilateral crossbite, and the risk of maxillary canine impaction. A cross-sectional retrospective study was conducted on records of pediatric patients (7–13 years old) undergoing orthodontic evaluations. Panoramic radiographs were analyzed to assess the risk of canine impaction using the sectorial method, distance from the occlusal plane, and the alpha angle. Results from 48 canines of patients with transverse maxillary deficiency and bilateral crossbite were compared to canines of sex- and age-matched patients without these malocclusions. Statistical analysis was performed by the Shapiro–Wilk test, Levene’s test, or a <i>t</i>-test. There were no significant differences in high-risk canine impaction between groups when considering sector classification or distance from the occlusal plane. However, the control group showed a significantly higher risk according to the alpha angle (≥25°). No overall significant difference in risk was observed, suggesting that transverse maxillary deficiency with bilateral crossbite may not increase the risk of maxillary canine impaction.https://www.mdpi.com/2076-3417/14/22/10182impacted canineskeletal crossbitealfa angle
spellingShingle Anna Alessandri-Bonetti
Federica Guglielmi
Giovanni Foti
Linda Sangalli
Patrizia Gallenzi
Risk of Maxillary Canine Impaction in Pediatric Patients with Maxillary Constriction: Retrospective Study on Panoramic Dental Images
Applied Sciences
impacted canine
skeletal crossbite
alfa angle
title Risk of Maxillary Canine Impaction in Pediatric Patients with Maxillary Constriction: Retrospective Study on Panoramic Dental Images
title_full Risk of Maxillary Canine Impaction in Pediatric Patients with Maxillary Constriction: Retrospective Study on Panoramic Dental Images
title_fullStr Risk of Maxillary Canine Impaction in Pediatric Patients with Maxillary Constriction: Retrospective Study on Panoramic Dental Images
title_full_unstemmed Risk of Maxillary Canine Impaction in Pediatric Patients with Maxillary Constriction: Retrospective Study on Panoramic Dental Images
title_short Risk of Maxillary Canine Impaction in Pediatric Patients with Maxillary Constriction: Retrospective Study on Panoramic Dental Images
title_sort risk of maxillary canine impaction in pediatric patients with maxillary constriction retrospective study on panoramic dental images
topic impacted canine
skeletal crossbite
alfa angle
url https://www.mdpi.com/2076-3417/14/22/10182
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