Department of Periodontology, Medical University of Warsaw, Warsaw.
Department of Orthodontics, Medical University of Warsaw, Warsaw.
Eur J Orthod. 2019 Aug 8;41(4):390-396. doi: 10.1093/ejo/cjy067.
The aim of this study was to evaluate characteristics of patients with unilateral transmigration of a mandibular canine in the largest study group presented until now.
The study group consisted of 93 patients with unilateral transmigration of mandibular canine; the control group included 85 non-affected patients. Type of transmigration, status of deciduous and permanent canines, prevalence of missing teeth, class of occlusion, and space conditions were assessed to draw comparisons between groups.
In this study, 64.5 per cent patients presented type 1 of transmigration; types 2, 3, 4, and 5 were present in, respectively, 23.7, 5.4, 4.3, and 2.1 per cent patients. There was a clear, statistically significant difference (P < 0.0001) between the mean crown and apex migration and angulation for the three groups of canines (transmigrated, contralateral, and control), whereas no differences were observed for the total number of permanent teeth present. In the study group, 73.1 per cent patients retained their primary canine on the affected side and 18.3 per cent on the contralateral side; in the control group, 22.3 per cent subjects had at least one primary canine. There was a statistically significant difference in the distribution of types of malocclusion between the study and the control groups.
Transmigration of mandibular canine was associated with the presence of retained primary canine on the affected side, higher mesial tilting of contralateral mandibular canine when compared to the canines in the control group. Additionally, higher prevalence of Angle's Class I occlusion in patients with canine transmigration was recorded.
本研究旨在评估迄今为止最大的单侧下颌尖牙迁移患者群体的特征。
研究组包括 93 例单侧下颌尖牙迁移患者;对照组包括 85 例未受影响的患者。评估了尖牙迁移类型、乳牙和恒牙的状态、缺牙率、咬合类型和间隙情况,以比较组间差异。
在本研究中,64.5%的患者表现为 1 型迁移;2 型、3 型、4 型和 5 型分别占 23.7%、5.4%、4.3%和 2.1%。迁移、对侧和对照组三组的牙冠和根尖迁移和倾斜的平均值存在明显的统计学差异(P<0.0001),而存在的恒牙总数无差异。在研究组中,73.1%的患者在受影响侧保留了其原始尖牙,18.3%的患者在对侧保留了原始尖牙;在对照组中,22.3%的患者至少有一颗原始尖牙。研究组和对照组的错颌类型分布存在统计学差异。
下颌尖牙迁移与受影响侧保留原始尖牙、与对照组相比,对侧下颌尖牙向近中倾斜较大有关。此外,记录到尖牙迁移患者的 Angle Ⅰ类咬合的发生率更高。