Skip to main content
Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 2/2023

29.07.2022 | Original Article

Periodontal health of unilateral labially vs. palatally impacted maxillary canines erupted by closed eruption technique

verfasst von: Associate Professor and Chair Nazli Zeynep Alpaslan Yayli, Associate Professor and Chair Yesim Kaya, Assistant Professor and Chair Saadet Cinarsoy Cigerim

Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Sonderheft 2/2023

Einloggen, um Zugang zu erhalten

Abstract

Objective

This study’s aim was to compare the periodontal health of labially and palatally impacted maxillary canines erupted by closed eruption technique, and to compare them with the contralateral canines that served as control teeth.

Materials and methods

A total of 32 subjects, 17 with unilateral labially impacted maxillary canines and 15 with palatally impacted maxillary canines were enrolled in this study. Pretreatment maxillary canine variables were evaluated from initial panoramic radiographs using Nolla stage, α‑angle, d‑depth and s‑sector. The closed eruption technique was used for surgical exposure of the impacted teeth. Posttreatment periodontal parameters such as plaque index (PI), gingival index (GI), gingival bleeding index (GBI), probing depth (PD), keratinized gingival width (KGW), attached gingival width (AGW), and gingival thickness (GT) were evaluated to compare the periodontal health with the contralateral canines.

Results

Intergroup comparison results exhibited insignificant differences in all periodontal parameters between the labially and palatally impacted maxillary canines. Intragroup comparison results showed a significant increase in PI, GI, GBI, and PD, and a significant decrease in AGW, KGW, and GT in the impacted teeth compared to the controls, except for PI in the palatally impacted maxillary canines.

Conclusion

The decrease in KGW, AGW, and GT was not associated with the pre-eruptive position of the impacted teeth. These side effects seen after orthodontic treatment of impacted teeth should be followed carefully in the long term.
Literatur
1.
Zurück zum Zitat Parkin N, Benson PE, Thind B, Shah A (2008) Open versus closed surgical exposure of canine teeth that are displaced in the roof of mouth. Cochrane Database Syst Rev 8(4):CD6966 Parkin N, Benson PE, Thind B, Shah A (2008) Open versus closed surgical exposure of canine teeth that are displaced in the roof of mouth. Cochrane Database Syst Rev 8(4):CD6966
2.
Zurück zum Zitat Lövgren LM, Dahl O, Uribe P, Ransjö M, Westerlund A (2019) Prevelance of impacted maxillary canines- an epidemiological study in a region with systemically implemented interceptive treatment. Eur J Orthod 41(5):454–459CrossRefPubMed Lövgren LM, Dahl O, Uribe P, Ransjö M, Westerlund A (2019) Prevelance of impacted maxillary canines- an epidemiological study in a region with systemically implemented interceptive treatment. Eur J Orthod 41(5):454–459CrossRefPubMed
3.
Zurück zum Zitat Quirynen M, Op Heij DG, Adriansens A, Opdebeeck HM, van Steenberghe D (2000) Periodontal health of orthodontically extruded impacted teeth. A split-mouth, long-term clinical evaluation. J Periodontol 71(11):1708–1714CrossRefPubMed Quirynen M, Op Heij DG, Adriansens A, Opdebeeck HM, van Steenberghe D (2000) Periodontal health of orthodontically extruded impacted teeth. A split-mouth, long-term clinical evaluation. J Periodontol 71(11):1708–1714CrossRefPubMed
4.
Zurück zum Zitat Sajnani AK, King NM (2014) Prevelance and characteristics of impacted maxillary canines in southern chinese children and adolescents. J Investig Clin Dent 5(1):38–44CrossRefPubMed Sajnani AK, King NM (2014) Prevelance and characteristics of impacted maxillary canines in southern chinese children and adolescents. J Investig Clin Dent 5(1):38–44CrossRefPubMed
5.
Zurück zum Zitat Schubert M, Proff P, Kirschneck C (2018) Improved eruption path quantification and treatment time prognosis in alignment of impacted maxillary canines using CBCT imaging. Eur J Orthod 40(6):597–607CrossRefPubMed Schubert M, Proff P, Kirschneck C (2018) Improved eruption path quantification and treatment time prognosis in alignment of impacted maxillary canines using CBCT imaging. Eur J Orthod 40(6):597–607CrossRefPubMed
6.
Zurück zum Zitat Vanarsdall RL, Corn H (1977) Soft-tissue management of labially positioned unerupted teeth. Am J Orthod 72(1):53–64CrossRefPubMed Vanarsdall RL, Corn H (1977) Soft-tissue management of labially positioned unerupted teeth. Am J Orthod 72(1):53–64CrossRefPubMed
7.
Zurück zum Zitat Parkin NA, Milner RS, Deery C, Tinsley D, Smith AM, Germain P et al (2013) Periodontal health of palatally displaced canines treated with open or closed surgical techniques: a multicenter, randomized controlled trial. Am J Orthod Dentofacial Orthop 144(2):176–184CrossRefPubMed Parkin NA, Milner RS, Deery C, Tinsley D, Smith AM, Germain P et al (2013) Periodontal health of palatally displaced canines treated with open or closed surgical techniques: a multicenter, randomized controlled trial. Am J Orthod Dentofacial Orthop 144(2):176–184CrossRefPubMed
8.
Zurück zum Zitat Mazurova K, Kopp JB, Remkema AM, Pandis N, Katsaros C, Fudalej PS (2018) Gingival recession in mandibular incisors and symphysis morphology—a retrospective cohort study. Eur J Orthod 40(2):185–192CrossRefPubMed Mazurova K, Kopp JB, Remkema AM, Pandis N, Katsaros C, Fudalej PS (2018) Gingival recession in mandibular incisors and symphysis morphology—a retrospective cohort study. Eur J Orthod 40(2):185–192CrossRefPubMed
9.
Zurück zum Zitat Lee JY, Choi YJ, Choi SH, Chung CJ, Yu HS, Kim KH (2019) Labialy impacted maxillary canines after the closed eruption techniques and orthodontic traction: a split-mouth comparison of periodontal recession. J Periodontol 90(1):35–43CrossRefPubMed Lee JY, Choi YJ, Choi SH, Chung CJ, Yu HS, Kim KH (2019) Labialy impacted maxillary canines after the closed eruption techniques and orthodontic traction: a split-mouth comparison of periodontal recession. J Periodontol 90(1):35–43CrossRefPubMed
10.
Zurück zum Zitat Manjunath RG, Rana A, Sarkar A (2015) Gingival biotype assessment in healthy periodontium: transgingival probing method. J Clin Diagn Res 9(5):66–69 Manjunath RG, Rana A, Sarkar A (2015) Gingival biotype assessment in healthy periodontium: transgingival probing method. J Clin Diagn Res 9(5):66–69
11.
Zurück zum Zitat Alves PHM, Alves TCLP, Pegoraro TA, Costa YM, Bonfante EA, de Almeida ALPF (2018) Measurement properties of gingival biotype evaluation methods. Clin Implant Dent Relat Res 20(3):280–284CrossRefPubMed Alves PHM, Alves TCLP, Pegoraro TA, Costa YM, Bonfante EA, de Almeida ALPF (2018) Measurement properties of gingival biotype evaluation methods. Clin Implant Dent Relat Res 20(3):280–284CrossRefPubMed
12.
Zurück zum Zitat Caprioglio A, Comaglio I, Siani L, Fastuca R (2019) Effects of impaction severity of treated palatally displaced canines on periodontal outcomes: a retrospective study. Prog Orthod 20(1):5CrossRefPubMedPubMedCentral Caprioglio A, Comaglio I, Siani L, Fastuca R (2019) Effects of impaction severity of treated palatally displaced canines on periodontal outcomes: a retrospective study. Prog Orthod 20(1):5CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Caprioglio A, Vanni A, Bolamperti L (2013) Long-term periodontal response to orthodontic treatment of palatally impacted maxillary canines. Eur J Orthod 35(3):323–328CrossRefPubMed Caprioglio A, Vanni A, Bolamperti L (2013) Long-term periodontal response to orthodontic treatment of palatally impacted maxillary canines. Eur J Orthod 35(3):323–328CrossRefPubMed
14.
Zurück zum Zitat Mummolo S, Nota A, De Felice ME, Marcattili D, Tecco S, Marzo G (2018) Periodontal status of buccally and palatally impacted maxillary canines after surgical-orthodontic treatment with open technique. J Oral Sci 60(4):552–556CrossRefPubMed Mummolo S, Nota A, De Felice ME, Marcattili D, Tecco S, Marzo G (2018) Periodontal status of buccally and palatally impacted maxillary canines after surgical-orthodontic treatment with open technique. J Oral Sci 60(4):552–556CrossRefPubMed
15.
Zurück zum Zitat Bollero P, Danesi C, Ricchiuti MR, Milazzo A, Mampieri G, Agrestini C et al (2017) Long-term periodontal status of palatally and buccally impacted canines after closed surgical-orthodontic approach. Oral Implantol 10(2):162–171CrossRef Bollero P, Danesi C, Ricchiuti MR, Milazzo A, Mampieri G, Agrestini C et al (2017) Long-term periodontal status of palatally and buccally impacted canines after closed surgical-orthodontic approach. Oral Implantol 10(2):162–171CrossRef
16.
Zurück zum Zitat Bishara SE (1992) Impacted maxillary canines: a review. Am J Orthod Dentofacial Orthop 101(2):159–171CrossRefPubMed Bishara SE (1992) Impacted maxillary canines: a review. Am J Orthod Dentofacial Orthop 101(2):159–171CrossRefPubMed
17.
Zurück zum Zitat Vermette ME, Kokich VG, Kennedy DB (1995) Uncovering labially impacted teeth: apically positioned flap and closed eruption techniques. Angle Orthod 65(1):23–32PubMed Vermette ME, Kokich VG, Kennedy DB (1995) Uncovering labially impacted teeth: apically positioned flap and closed eruption techniques. Angle Orthod 65(1):23–32PubMed
18.
Zurück zum Zitat Carvalho CV, Bauer FP, Romito GA, Pannuti CM, De Micheli G (2006) Orthodontic extrusion with or without circumferential supracrestal fiberotomy and root planing. Int J Periodontics Restorative Dent 26(1):87–93PubMed Carvalho CV, Bauer FP, Romito GA, Pannuti CM, De Micheli G (2006) Orthodontic extrusion with or without circumferential supracrestal fiberotomy and root planing. Int J Periodontics Restorative Dent 26(1):87–93PubMed
19.
Zurück zum Zitat Silness J, Löe H (1964) Periodontal disease in pregnancy. II. correlation between oral hygiene and periodontal condtion. Acta Odontol Scand 22:121–135CrossRefPubMed Silness J, Löe H (1964) Periodontal disease in pregnancy. II. correlation between oral hygiene and periodontal condtion. Acta Odontol Scand 22:121–135CrossRefPubMed
20.
Zurück zum Zitat Löe H, Silness J (1963) Periodontal disease in pregnancy. I. Prevelance and severity. Acta Odontol Scand 21:533–551CrossRefPubMed Löe H, Silness J (1963) Periodontal disease in pregnancy. I. Prevelance and severity. Acta Odontol Scand 21:533–551CrossRefPubMed
21.
Zurück zum Zitat Ainamo J, Bay I (1975) Problems and proposals for recording gingivitis and plaque. Int Dent J 25(4):229–235PubMed Ainamo J, Bay I (1975) Problems and proposals for recording gingivitis and plaque. Int Dent J 25(4):229–235PubMed
22.
Zurück zum Zitat Smailiene D, Kavaliauskiene A, Pacauskiene I, Zasciurinskiene E, Bjerklin K (2013) Palatally impacted maxillary canines: choice of surgical-orthodontic treatment method does not influence post-treatment periodontal status. A controlled prospective study. Eur J Orthod 35(6):803–810CrossRefPubMed Smailiene D, Kavaliauskiene A, Pacauskiene I, Zasciurinskiene E, Bjerklin K (2013) Palatally impacted maxillary canines: choice of surgical-orthodontic treatment method does not influence post-treatment periodontal status. A controlled prospective study. Eur J Orthod 35(6):803–810CrossRefPubMed
23.
Zurück zum Zitat Parkin NA, Freeman JV, Deery C, Benson PE (2015) Esthetic judgments of palatally displaced canines 3 months postdebond after surgical exposure with either a closed or an open eruption technique. Am J Orthod Dentofacial Orthop 147(2):173–181CrossRefPubMed Parkin NA, Freeman JV, Deery C, Benson PE (2015) Esthetic judgments of palatally displaced canines 3 months postdebond after surgical exposure with either a closed or an open eruption technique. Am J Orthod Dentofacial Orthop 147(2):173–181CrossRefPubMed
24.
Zurück zum Zitat Parkin NA, Deery C, Smith AM, Tinsley D, Sandler J, Benson PE (2012) No difference in surgical outcomes between open and closed exposure of palatally displaced maxillary canines. J Oral Maxillafac Surg 70(9):2026–2034CrossRef Parkin NA, Deery C, Smith AM, Tinsley D, Sandler J, Benson PE (2012) No difference in surgical outcomes between open and closed exposure of palatally displaced maxillary canines. J Oral Maxillafac Surg 70(9):2026–2034CrossRef
25.
Zurück zum Zitat Gharaibeh TM, Al-Nimri KS (2008) Postoperative pain after surgical exposure of palatally impacted canines: closed-eruption versus open-eruption, a prospective randomized study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106(3):339–342CrossRefPubMed Gharaibeh TM, Al-Nimri KS (2008) Postoperative pain after surgical exposure of palatally impacted canines: closed-eruption versus open-eruption, a prospective randomized study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106(3):339–342CrossRefPubMed
26.
Zurück zum Zitat Londhe SM, Kumar P, Datana S, Kotwal A, Saxena V (2014) Guided tooth eruption: comparison of open and closed eruption techniques in labially impacted maxillary canines. J Dent Res Rev 1:148–151 Londhe SM, Kumar P, Datana S, Kotwal A, Saxena V (2014) Guided tooth eruption: comparison of open and closed eruption techniques in labially impacted maxillary canines. J Dent Res Rev 1:148–151
27.
Zurück zum Zitat Cassina C, Papageorgiou SN, Eliades T (2018) Open versus closed surgical exposure for permanent impacted canines: a systematic review and meta-analyses. Eur J Orthod 40(1):1–10CrossRefPubMed Cassina C, Papageorgiou SN, Eliades T (2018) Open versus closed surgical exposure for permanent impacted canines: a systematic review and meta-analyses. Eur J Orthod 40(1):1–10CrossRefPubMed
28.
Zurück zum Zitat Grisar K, Luyten J, Preda F, Martin C, Hoppenreijs T, Politis C, Jacobs R (2021) Interventions for impacted maxillary canines: a systematic review of the relationship between initial canine position and treatment outcome. Orthod Craniofac Res 24(2):180–193CrossRefPubMed Grisar K, Luyten J, Preda F, Martin C, Hoppenreijs T, Politis C, Jacobs R (2021) Interventions for impacted maxillary canines: a systematic review of the relationship between initial canine position and treatment outcome. Orthod Craniofac Res 24(2):180–193CrossRefPubMed
29.
Zurück zum Zitat Kavadia-Tsatala S, Tsalikis L, Kaklamanos EG, Sidiropoulou S, Antoniades K (2004) Orthodontic and periodontal considerations in managing teeth exhibiting significant delay in eruption. World J Orthod 5(3):224–229PubMed Kavadia-Tsatala S, Tsalikis L, Kaklamanos EG, Sidiropoulou S, Antoniades K (2004) Orthodontic and periodontal considerations in managing teeth exhibiting significant delay in eruption. World J Orthod 5(3):224–229PubMed
30.
Zurück zum Zitat González-Martín O, Solano-Hernandez B, González-Martín A, Avila-Ortiz G (2020) Orthodontic extrusion: guidelines for contemporary clinical practice. Int J Periodontics Restorative Dent 40(5):667–676CrossRefPubMed González-Martín O, Solano-Hernandez B, González-Martín A, Avila-Ortiz G (2020) Orthodontic extrusion: guidelines for contemporary clinical practice. Int J Periodontics Restorative Dent 40(5):667–676CrossRefPubMed
31.
Zurück zum Zitat Reichardt E, Krug R, Bornstein MM, Tomasch J, Verna C, Krastl G (2021) Orthodontic forced eruption of permanent anterior teeth with subgingival fractures: a systematic review. Int J Environ Res Public Health 18(23):12580CrossRefPubMedPubMedCentral Reichardt E, Krug R, Bornstein MM, Tomasch J, Verna C, Krastl G (2021) Orthodontic forced eruption of permanent anterior teeth with subgingival fractures: a systematic review. Int J Environ Res Public Health 18(23):12580CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Vandana KL, Savitha B (2005) Thickness of gingiva in association with age, gender and dental arch location. J Clin Periodontol 32(7):828–830CrossRefPubMed Vandana KL, Savitha B (2005) Thickness of gingiva in association with age, gender and dental arch location. J Clin Periodontol 32(7):828–830CrossRefPubMed
33.
Zurück zum Zitat Ksv R, Swetha P, Krishnan V, Mythili R, Alla RK, Manikandan D (2014) Assessment of thickness of palatal masticatory mucosa and maximum graft dimensions at palatal vault associated with age and gender—a clinical study. J Clin Diagn Res 8(5):9–13 Ksv R, Swetha P, Krishnan V, Mythili R, Alla RK, Manikandan D (2014) Assessment of thickness of palatal masticatory mucosa and maximum graft dimensions at palatal vault associated with age and gender—a clinical study. J Clin Diagn Res 8(5):9–13
34.
Zurück zum Zitat Bhatia G, Kumar A, Khatri M, Bansal M, Saxena S (2015) Assessment of the width of the attached gingiva using different methods in various age groups: a clinical study. J Indian Soc Periodontol 19(2):199–202CrossRefPubMedPubMedCentral Bhatia G, Kumar A, Khatri M, Bansal M, Saxena S (2015) Assessment of the width of the attached gingiva using different methods in various age groups: a clinical study. J Indian Soc Periodontol 19(2):199–202CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat Ainamo J, Talari A (1976) The increase with age of the width of attached gingiva. J Periodontal Res 11(4):182–188CrossRefPubMed Ainamo J, Talari A (1976) The increase with age of the width of attached gingiva. J Periodontal Res 11(4):182–188CrossRefPubMed
36.
Zurück zum Zitat Crescini A, Nieri M, Buti J, Bacetti T, Pini Prato GP (2007) Pre-treatment radiographic features for the periodontal prognosis of treated impacted canines. J Clin Periodontol 34(7):581–587CrossRefPubMed Crescini A, Nieri M, Buti J, Bacetti T, Pini Prato GP (2007) Pre-treatment radiographic features for the periodontal prognosis of treated impacted canines. J Clin Periodontol 34(7):581–587CrossRefPubMed
37.
Zurück zum Zitat Grenga C, Guarieri R, Grenga V, Bovi M, Bertoldo S, Galluccio G et al (2021) Periodontal evaluation of palatally impacted canines treated by closed approach with ultrasonic surgey and orthodontic treatment: a retrospective pilot study. Sci Rep 11(1):2843CrossRefPubMedPubMedCentral Grenga C, Guarieri R, Grenga V, Bovi M, Bertoldo S, Galluccio G et al (2021) Periodontal evaluation of palatally impacted canines treated by closed approach with ultrasonic surgey and orthodontic treatment: a retrospective pilot study. Sci Rep 11(1):2843CrossRefPubMedPubMedCentral
38.
Zurück zum Zitat Hansson C, Rindler A (1998) Periodontal conditions following surgical and orthodontic treatment of palatally impacted maxillary canines—a follow-up study. Angle Orthod 68(2):167–172PubMed Hansson C, Rindler A (1998) Periodontal conditions following surgical and orthodontic treatment of palatally impacted maxillary canines—a follow-up study. Angle Orthod 68(2):167–172PubMed
39.
Zurück zum Zitat Wennström JL, Lindhe J, Sinclair F, Thilander B (1987) Some periodontal tissue rections to orthodontic tooth movement in monkeys. J Clin Periodontol 14(3):121–129CrossRefPubMed Wennström JL, Lindhe J, Sinclair F, Thilander B (1987) Some periodontal tissue rections to orthodontic tooth movement in monkeys. J Clin Periodontol 14(3):121–129CrossRefPubMed
Metadaten
Titel
Periodontal health of unilateral labially vs. palatally impacted maxillary canines erupted by closed eruption technique
verfasst von
Associate Professor and Chair Nazli Zeynep Alpaslan Yayli
Associate Professor and Chair Yesim Kaya
Assistant Professor and Chair Saadet Cinarsoy Cigerim
Publikationsdatum
29.07.2022
Verlag
Springer Medizin
Erschienen in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Ausgabe Sonderheft 2/2023
Print ISSN: 1434-5293
Elektronische ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-022-00413-7

Weitere Artikel der Sonderheft 2/2023

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 2/2023 Zur Ausgabe

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Parodontalbehandlung verbessert Prognose bei Katheterablation

19.04.2024 Vorhofflimmern Nachrichten

Werden Personen mit Vorhofflimmern in der Blanking-Periode nach einer Katheterablation gegen eine bestehende Parodontitis behandelt, verbessert dies die Erfolgsaussichten. Dafür sprechen die Resultate einer prospektiven Untersuchung.

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.