Volume 30, Issue 1 (Avicenna Journal of Clinical Medicine-Spring 2023)                   Avicenna J Clin Med 2023, 30(1): 45-51 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Farhadifard H, Shabani Z, Farhadian M, Foroozandeh M, Mollabashi V. Comparison of the Proposed Treatment Plan Based on the Factors Affecting the Degree of Treatment Difficulty in Impacted Maxillary Canines with Their Definitive Treatment Plan. Avicenna J Clin Med 2023; 30 (1) :45-51
URL: http://sjh.umsha.ac.ir/article-1-2659-en.html
1- Department of Orthodontics, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
2- School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Biostatistics, School of Public Health, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
4- Department of Oral and Maxillofacial Radiology, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
5- Department of Orthodontics, School of Dentistry, Dental Research Center, Hamadan University of Medical Sciences, Hamadan, Iran , vahid.mollabashi@gmail.com
Abstract:   (874 Views)
Background and Objective: Determining the exact position of the impacted maxillary canine during its orthodontic treatment using cone beam computed tomography (CBCT) can help select the most appropriate treatment plan. The present study aimed to compare the proposed treatment plan for impacted maxillary canines based on the factors affecting the degree of treatment difficulty in impacted maxillary canines with their definitive treatment plan using CBCT.
Materials and Methods: In this retrospective cross-sectional study, 120 CBCT images were assessed. These images were taken from patients with impacted maxillary canines whose treatments were terminated. To investigate the severity of maxillary canine impaction factors, including the type of impaction, position of canine, distance to the occlusal plane, distance to the midline, and width of follicular space, were measured using CBCT. Ten orthodontists were asked to determine the type of treatment plan proposed for the patient. Then, they determined the degree of difficulty of each measured factors using numbers 1 to 10. Then, the relationship between the specified difficulty number for each factor and the proposed treatment plan was evaluated, and at the end, the relationship between the type of proposed treatment plan and the patient's actual treatment plan was measured.
Results: A total of 26 men and 94 women with a mean age of 18.85 ± 6.5 participated in the present study. A significant relationship was observed between the variables of age, transverse to midline, and the type of impaction, with the type of treatment.
Conclusion: Although the findings of this study showed a low inter-observer agreement on severity degree concerning the width of follicular space, the inter-observer agreement on severity degree with the other factors was high.
Full-Text [PDF 1059 kb]   (373 Downloads)    
Type of Study: Original | Subject: Orthodontics

1. Lövgren ML, Dahl O, Uribe P, Ransjö M, Westerlund A. Prevalence of impacted maxillary canines—an epidemiological study in a region with systematically implemented interceptive treatment. Eur J Orthod. 2019;41(5):454-9. PMID: 31369665 DOI: 10.1093/ejo/cjz056
2. Oz A, Ciger S. Health of periodontal tissues and resorption status after orthodontic treatment of impacted maxillary canines. Niger J Clin Pract. 2018;21(3):301-5. PMID: 29519977 DOI: 10.4103/njcp.njcp_419_16
3. Lempesi E, Pandis N, Fleming PS, Mavragani M. A comparison of apical root resorption after orthodontic treatment with surgical exposure and traction of maxillary impacted canines versus that without impactions. Eur J Orthod. 2014;36(6):690-7.
4. GoodarziPour D, Saeedi A, Bahrami N. Accuracy of panoramic, panoramic with palpation and tube shift technique to localize maxillary impacted cuspid. J Dent Med Tehran Univ Med Sci. 2009;22(3):99-105.
5. Cooke J, Wang H-L. Canine impactions: incidence and management. Int J Periodontics Restorative Dent. 2006;26(5):483-91. PMID: 17073358
6. Alhummayani FM, Mustafa ZA. A new guide using CBCT to identify the severity of maxillary canine impaction and predict the best method of intervention. J Orthod Sci. 2021;10:3. PMID: 34084759 DOI: 10.4103/jos.JOS_41_20
7. Miresmaeili A, Basafa M, Shamsabadi RM, Farhadian N, Moghymbeigi A, Mollabashi V. Treatment decision analysis for palatally-displaced canines based on orthodontists’ opinion and CBCT. Int Orthod. 2017;15(4):625-39. PMID: 29122568 DOI: 10.1016/j.ortho.2017.09.021
8. Miresmaeili AF, Farhadian N, Mollabashi V, Moghimbeigi A, Yousefi F. The study of factors influencing on orthodontic treatment difficulty of impacted maxillary canine with cone beam computed tomography. Avicenna J Clin Med. 2012;19(3):30-5.
9. Miresmaeili A, Neilsen IL, Varshosaz M, Farhadian N, Mollabashi V, Moghymbeigi A, et al. Web-based evaluation of experts' opinions on impacted maxillary canines forced eruption using CBCT. Dental Press J Orthod. 2015;20(2):90-9. PMID: 25992993 DOI: 10.1590/2176-9451.20.2.090-099.oar
10. Pitt S, Hamdan A, Rock P. A treatment difficulty index for unerupted maxillary canines. The Eur J Orthod. 2006;28(2):141-4. PMID: 16043468 DOI: 10.1093/ejo/cji068
11. Sosars P, Jakobsone G, Neimane L, Mukans M. Comparative analysis of panoramic radiography and cone-beam computed tomography in treatment planning of palatally displaced canines. Am J Orthod Dentofacial Orthop. 2020;157(5):719-27. PMID: 32354444 DOI: 10.1016/j.ajodo.2019.12.012
12. Alhammadi MS, Asiri HA, Almashraqi AA. Incidence, severity and orthodontic treatment difficulty index of impacted canines in Saudi population. J Clin Exp Dent. 2018;10(4):e327. PMID: 29750092 DOI: 10.4317/jced.54385
13. Chaushu S, Kaczor-Urbanowicz K, Zadurska M, Becker A. Predisposing factors for severe incisor root resorption associated with impacted maxillary canines. Am J Orthod Dentofacial Orthop. 2015;147(1):52-60. PMID: 25533072 DOI: 10.1016/j.ajodo.2014.09.012
14. Alqahtani H. Management of maxillary impacted canines: A prospective study of orthodontists' preferences. Saudi Pharm J. 2021;29(5):384-90. PMID: 34135665 DOI: 10.1016/j.jsps.2021.03.010

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Clinical Medicine

Designed & Developed by : Yektaweb