Risk factors for maxillary impacted canine–linked severe lateral incisor root resorption: A cone-beam computed tomography study

• Published in: American journal of orthodontics and dentofacial orthopedics 2020-09, Vol.158 (3), p.410-419
• Main Authors: Wang, Han, Li, Tiancheng, Lv, Chunxiao, Huang, Li, Zhang, Cheng, Tao, Guiyu, Li, Xiaobing, Zou, Shujuan, Duan, Peipei
• Format: Article
• Language: English
• Subjects: Cone-Beam Computed Tomography; Cuspid; Dentistry; Female; Humans; Incisor; Maxilla; Risk Factors; Root Resorption; Tooth, Impacted
• ISSN: 0889-5406; 1097-6752
• DOI: 10.1016/j.ajodo.2019.09.015

Impacted maxillary canine–linked severe lateral incisor root resorption (SIRRc) is rare, but it greatly influences the survival of the affected teeth. Our study was designed to investigate the risk factors for SIRRc. Eighty-two patients with SIRRc and 81 patients with impacted maxillary canines but without SIRRc were included and evaluated by cone-beam computed tomography in software programs by 1 examiner (H.W.). Age, sex, positions, and dental follicles and angular inclinations of impacted canines were measured in this study. Binary logistic regression was used to analyze the risk factors for SIRRc. SIRRc was highly related to sex, vertical and mesiodistal position, dental follicles sizes of canines, and intersection angles in 3 dimensions. The regression analysis showed female sex, dental follicles between 1 mm and 3 mm, mesial third and apical third position, vertical angle smaller than 30°, and the relative angle between 30° and 60° were significant risk factors for SIRRc. Early diagnosis and treatment for SIRRc are imperative, especially in Asian patients that are female with apically and mesially positioned canines as well as wider dental follicles. Vertical angles and relative angles of impacted canines should also be noticed. •This study focused on the predictors for severe lateral incisor root resorption (SIRRc) by CBCT.•Asian females with mesially and apically impacted canines were at risk for SIRRc.•A vertical angle smaller than 30° might cause a higher occurrence of SIRRc.•The relative angle between 30° and 60° might be a risk factor for SIRRc.•Dental follicles between 1 mm and 3 mm might promote the incidence of SIRRc.