Correlation Between Maxillary Canine Impaction and Facial Biotype

J Craniofac Surg. 2019 Jun;30(4):1044-1048. doi: 10.1097/SCS.0000000000005279.

Abstract

Aim: The etiology of teeth impaction is still not fully understood, despite that cofactors have been considered important to develop such a clinical picture. The aim of the authors' paper was to investigate about facial biotype, about the values of inclination of the upper cuspid axis to the perpendicular to Frankfort-horizontal plane and about the distance "d" of the canine cuspid to occlusal plane: each factor was statistically compared. The authors also performed a comparative analysis on the radicular length of the left and right lateral incisors of subjects with impacted maxillary canine.

Methods: The authors recruited with "cluster sampling" randomization more than 30 patients, then refined to 25 after the application of exclusion criteria. Specific values were carried out by x-rays: the authors calculated both the α and β angles, the intermaxillary angle, the distance "d" and the inclination of upper cuspid axis to the perpendicular-to-Frankfort-horizontal plane. Spearman rank correlation coefficient or Spearman rho (ρ) was used as statistical methods.

Results: The authors' results assessed that the inclination of the upper cuspid axis to the perpendicular-to-Frankfort-horizontal plane showed a statistically significant inverse correlation with the intermaxillary angle.

Conclusion: The authors' data clearly indicate that hyperdivergence is a key-factor that will certainly support the eruption path of canine cuspid: in this light, the treatment of tooth impaction in hyperdivergent subjects can be considered as predictive for a good prognosis.

MeSH terms

  • Adolescent
  • Adult
  • Biometry
  • Cuspid* / anatomy & histology
  • Dental Occlusion
  • Face / anatomy & histology*
  • Female
  • Humans
  • Incisor / anatomy & histology
  • Male
  • Maxilla / anatomy & histology
  • Tooth, Impacted* / pathology
  • Young Adult