Evaluation of maxillary canine root and maxillary bone thickness and density in patients with displaced maxillary canines: A cone-beam tomography study

• Published in: American journal of orthodontics and dentofacial orthopedics Vol. 162; no. 3; pp. 318 - 330
• Main Authors: Al-Tawachi, Akram, Abu Alhaija, Elham S., Al-Jamal, Ghaida A.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2022
• Subjects: Dentistry
• ISSN: 0889-5406; 1097-6752; 1097-6752
• DOI: 10.1016/j.ajodo.2021.03.025

This study investigated lateral incisor and canine morphology and dimensions, maxillary bone density, and volume in subjects with displaced maxillary canines. Cone-beam computed tomography images for 134 palatally displaced canines (PDCs), 57 buccally displaced canines (BDCs), and 87 nondisplaced canines (NDCs) were analyzed. Canine and lateral incisor dimensions, alveolar bone dimensions, and maxillary bone volume and density were measured. The root length of BDCs was short compared with NDC and PDC groups. The lateral incisor was short in the PDC group compared with NDC and BDC groups. In the BDC group, maxillary bone volume was reduced compared with NDCs and PDCs. Significant differences were detected between BDC and PDC groups in bone density buccal to canines and between BDC and NDC groups in bone density distal to canines. The density of maxillary bone was the highest in the PDC group and the lowest in the BDC group compared with the NDC group. Eight variables were associated with the site of maxillary canine displacement: lateral incisor tip, alveolar bone density, alveolar bone width, bone density buccal to canine, canine width labiopalatally, maxillary bone volume, and canine midsagittal width. In PDCs, the maxillary lateral incisor was short, the canine root had a larger crown/root ratio, and maxillary bone volume was increased compared with NDCs. In BDCs, the canine root was shorter than NDCs and PDCs, maxillary bone volume was reduced compared with NDCs, and bone density at the buccal side was reduced compared with the PDC group. •The roots of the adjacent lateral incisors were shorter in palatally displaced canines (PDCs).•Alveolar bone height was similar in all canine groups.•Alveolar bone density was increased in PDC and reduced in buccally displaced canines (BDC) groups.•Maxillary bone volume was increased in PDC and reduced in BDC groups.•The distribution of apical root hooks and curvature is similar in all canine groups.