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Predisposing factors for severe incisor root resorption associated with impacted maxillary canines
Stella Chaushu1, Karolina Kaczor-Urbanowicz2, Małgorzata Zadurska3
1Associate professor and chair, Department of Orthodontics, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
Summary
Severe incisor root resorption (SIRR) linked to impacted canines is rare. Female patients with enlarged dental follicles and normal lateral incisors face a significantly higher risk, necessitating careful screening.
Area of Science:
- Dentistry
- Orthodontics
- Oral Surgery
Background:
- Severe incisor root resorption (SIRR) associated with impacted maxillary canines is an uncommon but significant clinical concern.
- Early identification and management of SIRR are crucial for preserving dental health.
Purpose of the Study:
- To investigate and identify predisposing factors for SIRR specifically linked to impacted maxillary canines.
Main Methods:
- A comparative analysis of clinical and radiographic data from 55 patients with SIRR and 96 impacted canines against 57 control subjects.
- Variables assessed included patient age and sex, canine impaction position, dental follicle size, and lateral incisor anomalies.
Main Results:
- SIRR predominantly affected lateral incisors, with bilateral occurrences being frequent.
- Significant associations for SIRR included female sex, canine displacement in the middle third of incisor roots, enlarged dental follicles (>2 mm), and normal lateral incisors.
- Multivariate analysis revealed increased SIRR risk in females (4.2x), those with enlarged follicles (8.3x), and normal lateral incisors (5.8x).
Conclusions:
- Female patients with enlarged dental follicles and normal lateral incisors require vigilant screening for SIRR.
- The degree of canine displacement may also correlate with the risk of developing SIRR.
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