Craniofacial morphology in patients with impacted canine: a case control-study

Minerva Dent Oral Sci. 2024 Aug;73(4):230-237. doi: 10.23736/S2724-6329.24.04979-9. Epub 2024 Jul 4.

Abstract

Background: The objective of this study was to evaluate the risk of maxillary canine impaction through cephalometric evaluation.

Methods: One hundred and eighty-two Caucasian patients (80 males and 102 females) with a mean age of 12.4±0.5 were retrospectively enrolled in the present study. Ninety patients with impacted canines were compared with ninety-two patients with physiologically erupted canines. The following cephalometric variables were analyzed: SNA, ANB, SN-GOME, GO-ME, SP-CL, SELLA TURCICA DEPHT, A-Pt LINE, B-Pt LINE, A-Pt LINE°, B-Pt LINE°, A1s-Pt, A1i-Pt, A1s-Pt°, A1i-PT°, A-SN, B-SN and SN-U1. When applicable, a paired sample t-test was performed to investigate the difference in means between the two sample groups, while the Mann-Whitney Test was used as a non-parametric test in the case of a non-normal distribution of data. Statistical significance was set at P<0.05.

Results: The group with impacted canines showed an increase in Go-Me distance, SNA angle and A1s-Pt angle compared with the control group. In addition, the same group showed a decrease in A-SN and SP-Cl distance compared with the control group.

Conclusions: An increase in mandibular length (GO-ME) and SNA angle associated with a reduction in A-Sn distance and interclinoid distance (SP-Cl) were observed in patients with impacted canines.

MeSH terms

  • Adolescent
  • Case-Control Studies
  • Cephalometry*
  • Child
  • Cuspid* / diagnostic imaging
  • Cuspid* / pathology
  • Female
  • Humans
  • Male
  • Maxilla / diagnostic imaging
  • Maxilla / pathology
  • Retrospective Studies
  • Tooth, Impacted* / diagnostic imaging
  • Tooth, Impacted* / pathology