Unilateral palatally impacted canines: Evaluation of pulpal condition after surgical exposure and orthodontic alignment

Objective: The study aimed to assess changes in the pulpal condition of unilateral palatally impacted canines during and after orthodontic alignment. In particular, the effects of patient's age at treatment start, treatment duration and angle of canine displacement were analyzed. Materials and...

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Autores principales:	Oskar Bauss, Stratos Vassis
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Pulpal condition Palatally impacted canines Impacted canines Surgical exposure and orthodontic alignment Internal medicine RC31-1245 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/99398bccc0e14bf8bdf25e5fa3d79b69
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spelling	oai:doaj.org-article:99398bccc0e14bf8bdf25e5fa3d79b692021-11-06T04:43:13ZUnilateral palatally impacted canines: Evaluation of pulpal condition after surgical exposure and orthodontic alignment2667-147610.1016/j.adoms.2021.100214https://doaj.org/article/99398bccc0e14bf8bdf25e5fa3d79b692022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S266714762100203Xhttps://doaj.org/toc/2667-1476Objective: The study aimed to assess changes in the pulpal condition of unilateral palatally impacted canines during and after orthodontic alignment. In particular, the effects of patient's age at treatment start, treatment duration and angle of canine displacement were analyzed. Materials and methods: Clinical and radiographical examinations were conducted on a total of 66 patients with a unilateral palatally impacted canine, who previously underwent surgical exposure and were treated with multi-bracket appliances afterwards. After assessing the pulpal condition, the position of the canine was evaluated by analyzing the α-angle, d-distance and s-sector based on a modified version of the criteria proposed by Ericson and Kurol. A stepwise logistic regression was conducted to estimate the prognostic value of following parameters for the development of abnormal pulpal condition: alignment time, age at start of treatment, α-angle, d-distance and s-sector. Results: Occurrence of abnormal pulpal condition of the impacted canine was significantly correlated with patient's age at the start of orthodontic treatment (p < 0.001), canine inclination (p = 0.005), distance between the canine and the occlusal plane (p = 0.002) and impaction location between the upper jaw midline and the axis of the central incisor (p = 0.012). Conclusion: Beginning treatment of palatally impacted canines at an early age can avoid pulpal damage. Besides, inclination, distance to the occlusal plane and initial location require special orthodontic management to ensure pulpal protection.Oskar BaussStratos VassisElsevierarticlePulpal conditionPalatally impacted caninesImpacted caninesSurgical exposure and orthodontic alignmentInternal medicineRC31-1245SurgeryRD1-811ENAdvances in Oral and Maxillofacial Surgery, Vol 5, Iss , Pp 100214- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pulpal condition Palatally impacted canines Impacted canines Surgical exposure and orthodontic alignment Internal medicine RC31-1245 Surgery RD1-811
spellingShingle	Pulpal condition Palatally impacted canines Impacted canines Surgical exposure and orthodontic alignment Internal medicine RC31-1245 Surgery RD1-811 Oskar Bauss Stratos Vassis Unilateral palatally impacted canines: Evaluation of pulpal condition after surgical exposure and orthodontic alignment
description	Objective: The study aimed to assess changes in the pulpal condition of unilateral palatally impacted canines during and after orthodontic alignment. In particular, the effects of patient's age at treatment start, treatment duration and angle of canine displacement were analyzed. Materials and methods: Clinical and radiographical examinations were conducted on a total of 66 patients with a unilateral palatally impacted canine, who previously underwent surgical exposure and were treated with multi-bracket appliances afterwards. After assessing the pulpal condition, the position of the canine was evaluated by analyzing the α-angle, d-distance and s-sector based on a modified version of the criteria proposed by Ericson and Kurol. A stepwise logistic regression was conducted to estimate the prognostic value of following parameters for the development of abnormal pulpal condition: alignment time, age at start of treatment, α-angle, d-distance and s-sector. Results: Occurrence of abnormal pulpal condition of the impacted canine was significantly correlated with patient's age at the start of orthodontic treatment (p < 0.001), canine inclination (p = 0.005), distance between the canine and the occlusal plane (p = 0.002) and impaction location between the upper jaw midline and the axis of the central incisor (p = 0.012). Conclusion: Beginning treatment of palatally impacted canines at an early age can avoid pulpal damage. Besides, inclination, distance to the occlusal plane and initial location require special orthodontic management to ensure pulpal protection.
format	article
author	Oskar Bauss Stratos Vassis
author_facet	Oskar Bauss Stratos Vassis
author_sort	Oskar Bauss
title	Unilateral palatally impacted canines: Evaluation of pulpal condition after surgical exposure and orthodontic alignment
title_short	Unilateral palatally impacted canines: Evaluation of pulpal condition after surgical exposure and orthodontic alignment
title_full	Unilateral palatally impacted canines: Evaluation of pulpal condition after surgical exposure and orthodontic alignment
title_fullStr	Unilateral palatally impacted canines: Evaluation of pulpal condition after surgical exposure and orthodontic alignment
title_full_unstemmed	Unilateral palatally impacted canines: Evaluation of pulpal condition after surgical exposure and orthodontic alignment
title_sort	unilateral palatally impacted canines: evaluation of pulpal condition after surgical exposure and orthodontic alignment
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/99398bccc0e14bf8bdf25e5fa3d79b69
work_keys_str_mv	AT oskarbauss unilateralpalatallyimpactedcaninesevaluationofpulpalconditionaftersurgicalexposureandorthodonticalignment AT stratosvassis unilateralpalatallyimpactedcaninesevaluationofpulpalconditionaftersurgicalexposureandorthodonticalignment
_version_	1718443867574894592

Unilateral palatally impacted canines: Evaluation of pulpal condition after surgical exposure and orthodontic alignment

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