Stomatológ 2023, 33(1):6-11 | DOI: 10.69658/sto.2023.002

The influence of canine impaction on the aesthetic result of orthodontic treatment

Simona Dianišková^1,*, Adam Michelčík¹, Ladislav Czakó²

¹ Katedra čeľustnej ortopédie, Lekárska fakulta, Slovenská zdravotnícka univerzita v Bratislave, Ambulancia DentaDerm

² Lekárska fakulta, Univerzita Komenského v Bratislave, UNB Ružinov

Canine tooth retention is a clinical diagnosis that often requires interdisciplinary work. Despite the correct diagnosis, localisation, correctly selected surgical intervention and treatment procedure, it can affect the final aesthetic result. The presented work examines the influence of canine tooth retention, its position and angulation to the midline between central maxillary incisors on the final aesthetic result of the orthodontic treatment.

Methods: The sample includes 40 patients treated at the Dentaderm clinic with a primary diagnosis of canine tooth retention. The patient sample included 31 women and 9 men aged 10 to 39. 35 patients had retained one canine tooth. 5 patients had retained both canines. 32 teeth were placed palatially, 13 vestibulary.

We located impacted canines using OPG and CBCT imaging methods and classified them according to the Ericson and Kurol et al.

method: We also assessed the angulation of the teeth relative to the midline between the upper incisors. In all patients, in the first phase of orthodontic treatment, we obtained a place for the alignment of the canine. This was followed by a surgical procedure and pulling of the canine into the dental arch.After inclusion of the canine, we reviewed the treatment result according to the Maxillary Canine Aesthetic Index (MCAI).We examined the statistical relationship between individual variables and the Aesthetic Index.

Results: Using the MCAI, we examined 45 teeth. In 14 we achieved an excellent result, in 26 a good result, in 4 an average result. In one case the result was deemed to be unsatisfactory. We identified a statistically significant relationship between MCAI score and tooth position at the start of treatment.

Keywords: impacted canine, maxillary canine aesthetics index, MCAI

Published: June 15, 2023  Show citation