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Stomatologija 2019; 21 (1): 3-12 259 KB

Diagnostic methods and treatment strategies of impacted maxillary canines: A literature review

Viktorija Grybienė¹, Donata Juozėnaitė², Kristina Kubiliūtė²

Summary

Objective. This study aims to review main diagnostic methods and different treatment strategies of impacted maxillary canines.

Materials and methods. A computerised systematic search of studies was conducted on PubMed and Cochrane databases. The systematic search was performed using inclusion and exclusion criteria.

Results. 23 publications were identified as relevant to the theme. Nine studies were about the treatment of impacted maxillary canines, and fourteen reviews were about the diagnostic methods of impacted maxillary canines. Seven of these studies analysed samples comprising combined surgical and orthodontic treatment. Two studies were based on a treatment method whereby deciduous maxillary canine was extracted, and maxilla was expanded to avoid the impaction of permanent maxillary canine. Seven studies compared which diagnostic way – a cone-beam computed tomography or conventional radiography – is more accurate. Four studies evaluated only the accuracy of dental panoramic radiograms. Two studies evaluated how accurate the cone-beam computed tomography method is in diagnosing impacted maxillary canines. One study analysed if cephalogram could be useful in early diagnosis of impacted maxillary canines.

Conclusions. Impacted maxillary canines are usually diagnosed by using panoramic imaging or cone-beam computed tomography. Cone-beam computed tomography is the most accurate diagnostic method to identify the localisation of impacted maxillary canines. Palatal expansion can help to avoid the impaction of maxillary canines. Combined surgical and orthodontic treatment is used to treat impacted maxillary canines in permanent dentition.

Key words: maxillary canine; impaction; impacted canine; treatment; diagnostic methods.

Received: 17 04 2018

Accepted for publishing: 20 03 2019

¹VH dental clinic. Kelmė. Lithuania

²Faculty of Odontology. Medical Academy. Lithuanian University of Health Sciences. Kaunas. Lithuania

Address correspondence to Viktorija Grybienė. VH dental clinic. Vytauto Didžiojo 53, 86135 Kelmė. Lithuania.

E-mail address: viktorija.grybiene@gmail.com



	Baltic Dental and Maxillofacial Journal

March, 2019, Vol. 21, No. 1 CONTENTS REVIEWS Diagnostic methods and treatment strategies of impacted maxillary canines: A literature review Viktorija Grybienė, Donata Juozėnaitė, Kristina Kubiliūtė 3-12 SCIENTIFIC ARTICLES A population based study of multiple myeloma patients with medication-related osteonecrosis of the jaw Daiga Auzina, Anda Slaidina, Marina Sevastjanova, Renars Erts, Aivars Lejnieks, Sandra Lejniece 13-17 Comparison of pressure pain threshold between muscles in the contracted and relaxed state in patients with myofascial pain: a cross-sectional study Rodrigo Lorenzi Poluha, Matheus Cavassani Pereira, Rafael Dos Santos Silva 18-21 REVIEWS Types of root resorptions related to orthodontic treatment Giedrė Ruškytė, Donata Juozėnaitė, Kristina Kubiliūtė 22-27 SCIENTIFIC ARTICLES Orthodontic treatment complexity, outcome and need among school age patients of Lithuanian university of health sciences clinic of orthodontics Rokas Liausas, Zygimantas Labanauskas, Vilma Svalkauskiene, Dalia Smailiene, Justina Vaiciuniene 28-32 © 2019 Stomatologija		Stomatologija 2019; 21 (1): 3-12 259 KB Diagnostic methods and treatment strategies of impacted maxillary canines: A literature review Viktorija Grybienė¹, Donata Juozėnaitė², Kristina Kubiliūtė² Summary Objective. This study aims to review main diagnostic methods and different treatment strategies of impacted maxillary canines. Materials and methods. A computerised systematic search of studies was conducted on PubMed and Cochrane databases. The systematic search was performed using inclusion and exclusion criteria. Results. 23 publications were identified as relevant to the theme. Nine studies were about the treatment of impacted maxillary canines, and fourteen reviews were about the diagnostic methods of impacted maxillary canines. Seven of these studies analysed samples comprising combined surgical and orthodontic treatment. Two studies were based on a treatment method whereby deciduous maxillary canine was extracted, and maxilla was expanded to avoid the impaction of permanent maxillary canine. Seven studies compared which diagnostic way – a cone-beam computed tomography or conventional radiography – is more accurate. Four studies evaluated only the accuracy of dental panoramic radiograms. Two studies evaluated how accurate the cone-beam computed tomography method is in diagnosing impacted maxillary canines. One study analysed if cephalogram could be useful in early diagnosis of impacted maxillary canines. Conclusions. Impacted maxillary canines are usually diagnosed by using panoramic imaging or cone-beam computed tomography. Cone-beam computed tomography is the most accurate diagnostic method to identify the localisation of impacted maxillary canines. Palatal expansion can help to avoid the impaction of maxillary canines. Combined surgical and orthodontic treatment is used to treat impacted maxillary canines in permanent dentition. Key words: maxillary canine; impaction; impacted canine; treatment; diagnostic methods. Received: 17 04 2018 Accepted for publishing: 20 03 2019 ¹VH dental clinic. Kelmė. Lithuania ²Faculty of Odontology. Medical Academy. Lithuanian University of Health Sciences. Kaunas. Lithuania Address correspondence to Viktorija Grybienė. VH dental clinic. Vytauto Didžiojo 53, 86135 Kelmė. Lithuania. E-mail address: viktorija.grybiene@gmail.com