Skeletal features in patient affected by maxillary canine impaction
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Mercuri, Emanuele; Cassetta, Michele; Cavallini, Costanza; Vicari, Donatella; Leonardi, Rosalia; Barbato, Ersilia
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Aquest document és un/a article, creat/da en: 2013
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Objective: To analyze the skeletal features of patients with maxillary canine impaction.
Material and Methods: The complete pre-treatment records of 1674 orthodontic patients were examined. From the
subjects with maxillary impacted canine 12 patients were excluded , remaining 108. The subjects with maxillary
impacted canine were divided into two study groups: a palatally displaced canine group (PDCG) (77 patients) and
a buccally displaced canine group (BDCG) (31 patients). The values of the skeletal features measured on the lateral
cephalometric radiograph were compared with a control group (CG) of 121 subjects randomly selected from the
initial sample without maxillary canine impaction. The statistical analysis of the difference between the study
groups and the CG was tested using X2 test and Fisher's exact test. The level of significance was set at P <=0.05.
Results: The CG was characterized by increased values of A point-Nasion-B point angle (ANB) and by a retropositioned or smaller lower jaw. PDCG patients showed normal skeletal features compared to the CG, presenting
mainly I class and lower rank of II and III sagittal skeletal features. PDCG subjects presented also normal values
of the Steiner vertical skeletal relationship angles with normal facial divergence compared to the CG. PDCG cases
were also characterized by horizontal and prognathic growth. BDCG did not present significant differences in
skeletal features compared to the CG, except for an increased ANB.
Conclusions: Palatally displaced canine (PDC) was frequently the only orthodontic problem of patients and was not
associated whit altered skeletal features. The frequent absence of malocclusion in PDC patients explains the delayed
identification of this problem. BDCG patients did not present significant differences in skeletal features with respect to the orthodontic population. The presence of both buccally displaced canine (BDC) and malocclusion makes the patient with BDC both aware of the need for, and motivated to undergo, orthodontic treatment.
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