ORTHODONTIC AND SURGICAL MANAGEMENT OF IMPACTED MAXILLARY CANINE: A CLINICAL CASE SERIES
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Keywords
Canine impaction, maxilla, mal-position, eruption, retention, surgical exposure, auto-transplantation.
Abstract
Objective: To describe and discuss various orthodontic and surgical management options and their outcomes for impacted maxillary canine in patients presenting to a tertiary care centre.
Methodology: This case series was conducted from July 2022 to June 2024 at Oral & Maxillofacial Surgery Department and Orthodontic Department of Nishtar Institute of Dentistry, Multan. A total of 114 patients with 130 impacted maxillary canines matching inclusion and exclusion criteria were included in the study. Patient demographic data, clinical and radiographic findings were recorded and were treated by different orthodontic and surgical ways. All the data were collected on a specially designed proforma. Data were analysed using SPSS version 23 and frequencies, percentages, ratios, means ± SD were calculated.
Results: Overall frequency of canine impaction in all patients presenting was 3.5%. Male to female ratio was 1:2.5. Unilateral impacted maxillary canines were more than bilateral with a ratio of 6:1 and more palatal than buccal canine impaction with a ratio of 3:1. Most common treatment option was surgical exposure with or without orthodontic intervention followed by surgical removal, leave in situ and auto-transplantation. Overall success rate of all treatment modalities was significantly high.
Conclusion: Overall frequency of maxillary canine impaction in local population was low. The most common cause of maxillary canine impaction was a mismatch in jaw size and tooth size followed by wrong line and long path of eruption. The most common type of canine impaction was palatal followed by buccal one. The most commonly used treatment option for impacted maxillary canine was surgical exposure with or without orthodontic intervention.
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Dr. Samera Kiran
BDS, FCPS (Orthodontics), CHPE (NUMS), Demonstrator, Department of Orthodontics, Nishtar Institute of Dentistry, Multan, Punjab, Pakistan.
Dr. Asif Nazir
BDS, FCPS (Oral & Maxillofacial Surgery), CHPE (NMU), Associate Professor/Head of Department, Oral & Maxillofacial Surgery Department, Nishtar Institute of Dentistry, Multan, Punjab, Pakistan.
Dr. Muhammad Raza Zahid
BDS, FCPS, CHPE (NUMS) Demonstrator, Oral & Maxillofacial Surgery Department, Nishtar Institute of Dentistry, Multan, Punjab, Pakistan.
Dr. Muhammad Fishan
BDS, FCPS Demonstrator, Oral & Maxillofacial Surgery Department, Nishtar Institute of Dentistry, Multan, Punjab, Pakistan.
Dr. Muhammad Ali Hashim
BDS Demonstrator, Oral & Maxillofacial Surgery Department, Nishtar Institute of Dentistry, Multan, Punjab, Pakistan.
Dr. Nouman Mustafa
BDS, FCPS Demonstrator, Oral & Maxillofacial Surgery Department, Nishtar Institute of Dentistry, Multan, Punjab, Pakistan.
Dr. Muhammad Sauban Raza
BDS Postgraduate Resident, Oral & Maxillofacial Surgery Department, Nishtar Institute of Dentistry, Multan, Punjab, Pakistan.
Dr. Fahad Akhtar
BDS Postgraduate Resident, Oral & Maxillofacial Surgery Department, Nishtar Institute of Dentistry, Multan, Punjab, Pakistan.