Department of Pediatric Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
Eur J Orthod. 2012 Jun;34(3):302-6. doi: 10.1093/ejo/cjr002. Epub 2011 Feb 8.
The purpose of this study was to evaluate the position and aspects of maxillary canine impactions in the Korean population and investigate its comparison with the previous reports, while aiding in the establishment of diagnosis and treatment planning by revealing the influential factors of root resorption associated with such impactions. The subjects of this study consisted of 186 teeth from 148 patients, who had visited Seoul National University Dental Hospital due to impacted canines and had taken computerized tomographic images and panorama radiographic images. As a result, maxillary canine impaction in the Korean population occurred 1.5 times more often in females (F:M = 89:59) than males. Regarding the position of impaction, there were three times more buccal impactions (B:P = 140:46) than palatal impactions. The occurrence of root resorption was as high as 49.5 per cent. In evaluating the influential factors affecting adjacent root resorption, the significance of the impacted angulation was insufficient (P = 0.652). However, the buccopalatal position (P < 0.0001) and mesiodistal placement (P = 0.006, 0.037) of the impacted tooth were determined to be significant factors. Therefore, the adjacent root resorption caused by impacted maxillary canines can be stated to exhibit a greater amount of resorption as the positional proximity of the canine crown and lateral incisor root increases.
本研究旨在评估韩国人群上颌尖牙阻生的位置和角度,并与以往的报告进行比较,同时通过揭示与阻生相关的牙根吸收的影响因素,为诊断和治疗计划的制定提供帮助。本研究的受试者为 148 名因尖牙阻生而就诊于首尔国立大学牙科医院的患者的 186 颗牙齿,这些患者均接受了计算机断层扫描和全景 X 光检查。结果显示,在韩国人群中,女性上颌尖牙阻生的发生率(F:M = 89:59)是男性的 1.5 倍。就阻生位置而言,颊侧阻生(B:P = 140:46)的发生率是腭侧阻生的三倍。牙根吸收的发生率高达 49.5%。在评估影响邻牙根吸收的影响因素时,阻生角度的影响并不显著(P = 0.652)。然而,牙冠颊腭向位置(P < 0.0001)和近远中位置(P = 0.006,0.037)是显著的影响因素。因此,可以认为上颌尖牙阻生引起的邻牙根吸收随着犬牙冠和侧切牙根的位置接近而增加。