Intraosseous Transmigration of Mandibular Canines, Classification and Evaluation of Associated Pathologies
Yıl 2023,
Cilt: 12 Sayı: 3, 340 - 347, 25.09.2023
Sefa Çolak
,
Mustafa Sami Demirsoy
,
Aras Erdil
,
Ahmet Altan
,
Nihat Akbulut
,
Göksal Keldal
Öz
Objective: The current study aims to determine the incidence of transmigrated mandibular canines, to examine the treatment modalities and the presence of associated pathologies with a population applying to an Oral and Maxillofacial Surgery Clinic.
Materials and Methods: The study was conducted in a retrospective manner with a cohort of 514 patients referred to our clinic between June 2013 and January 2020 to treat impacted mandibular canines. Transmigrated mandibular canines were classified according to the determined classification system and other related parameters were evaluated.
Results: As a result of the analyzes made according to age, there was a statistically significant difference between orthodontic treatment, transmigration class and age (p= 0.033, 0.036). There was no significant relation between classified transmigrated canines (Type 1, 2, and 5) and gender distribution in the cross-tables analyzes (p=0.165). A statistically significant difference was observed between the transmigration Type 1, 2, 5 and the located quadrant in the cross-tables analyzes (p=0.031).
Conclusion: The most common treatment option for transmigrated mandibular canines was surgical removal of the related teeth. Age, cooperation, presence of cystic pathologies and type of transmigration were among the criteria determining treatment options.
Kaynakça
- 1. Díaz-Sánchez RM, Castillo-de-Oyagüe R, Serrera-Figallo MÁ, Hita-Iglesias P, Gutiérrez-Pérez JL, Torres-Lagares D. Transmigration of mandibular cuspids: review of published reports and description of nine new cases. Br J Oral Maxillofac Surg 2016;54:241–7.
- 2. Aras MH, Büyükkurt MC, Yolcu U, Ertaş U, Dayi E. Transmigrant maxillary canines. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:e48-52.
- 3. Türkmenoğlu A, Yüksel HT, Evi̇rgen Ş. Orta Ege popülasyonunda transmigre kanin insidansının ve radyografik özelliklerinin değerlendirilmesi. Selcuk Dent J 2019;6:440–6.
- 4. Mitchell L. Displacement of a mandibular canine following fracture of the mandible. Br Dent J 1993;174:417–8.
- 5. Broadway RT. A misplaced mandibular permanent canine. Br Dent J 1987;163:357–8.
- 6. Cowman SC, Wootton WR. Bilateral impaction of mandibular canines. N Z Dent J 1979;75:113–4.
- 7. Mupparapu M. Patterns of intra-osseous transmigration and ectopic eruption of mandibular canines: review of literature and report of nine additional cases. Dento Maxillo Facial Radiol 2002;31:355–60.
- 8. Joshi MR, Shetye SB. Transmigration of mandibular canines: a review of the literature and report of two cases. Quintessence Int Berl Ger 1994;25:291–4.
- 9. Aydin U, Yilmaz H, Yildirim D. Incidence of canine impaction and transmigration in a patient population. Dentomaxillofacial Radiol 2004;33:164–9.
- 10. Ando S, Aizawa K, Nakashima T, Sanka Y, Shimbo K, Kiyokawa K. Transmigration Process of the Impacted Mandibular Cuspid. J Nihon Univ Sch Dent 1964;6:66–71.
- 11. Javid B. Transmigration of impacted mandibular cuspids. Int J Oral Surg 1985;14:547–9.
- 12. Tarsitano JJ, Wooten JW, Burditt JT. Transmigration of nonerupted mandibular canines: report of cases. J Am Dent Assoc 1971;82:1395–7.
- 13. Joshi MR, Daruwala NR, Ahuja HC. Bilateral transmigration of mandibular canines. Br J Orthod 1982;9:57–8.
- 14. Herrera-Atoche JR, Esparza-Villalpando V, Martínez-Aguilar VM, Carrillo-Ávila BA, Escoffié-Ramírez M. Treatment options for mandibular canine transmigration - a case series based on dental literature. Br J Oral Maxillofac Surg 2021;59:973–81.
- 15. Gupta I, Chaudhry A, Keluskar V, Mathur H. Varied clinico-radiological presentations of transmigrated canines. J Indian Orthod Soc 2015;49:42–5.
- 16. Sarode GS, Sarode SC, Patil A. A review of the literature relating to transmigrating canines. An illustrated case report. Orthod Update 2011;4:56–60.
- 17. Vichi M, Franchi L. The transmigration of the permanent lower canine. Minerva Stomatol 1991;40:579–89.
- 18. Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 1998;8:1558–64.
- 19. Bertl MH, Frey C, Bertl K, Giannis K, Gahleitner A, Strbac GD. Impacted and transmigrated mandibular canines: an analysis of 3D radiographic imaging data. Clin Oral Investig 2018;22:2389–99.
- 20. Sharma G, Nagpal A. A Study of Transmigrated Canine in an Indian Population. Int Sch Res Not 2014;2014:756516.
- 21. Azeem M, Afzal A, Ahmed Z, Ali MM, Haq AU, Hamid WU. Investigation of transmigrated mandibular canines. Dent Press J Orthod 2019;24:65–8.
- 22. Plakwicz P, Abramczyk J, Wojtaszek-Lis J, Sajkowska J, Warych B, Gawron K, et al. The retrospective study of 93 patients with transmigration of mandibular canine and a comparative analysis with a control group. Eur J Orthod 2019;41:390–6.
- 23. Dalessandri D, Parrini S, Rubiano R, Gallone D, Migliorati M. Impacted and transmigrant mandibular canines incidence, aetiology, and treatment: a systematic review. Eur J Orthod 2017;39:161–9.
- 24. Aktan AM, Kara S, Akgünlü F, Malkoç S. The incidence of canine transmigration and tooth impaction in a Turkish subpopulation. Eur J Orthod 2010;32:575–81.
- 25. Umashree N, Kumar A, Nagaraj T. Transmigration of Mandibular Canines. Case Rep Dent 2013;2013:e697671.
- 26. Sinko K, Nemec S, Seemann R, Eder-Czembirek C. Clinical Management of Impacted and Transmigrated Lower Canines. J Oral Maxillofac Surg 2016;74:2142.e1-2142.e16.
- 27. Cavuoti S, Matarese G, Isola G, Abdolreza J, Femiano F, Perillo L. Combined orthodontic-surgical management of a transmigrated mandibular canine. Angle Orthod 2015;86:681–91.
- 28. Nag R, Mathur R, Mathur J. Transmigration of Unerupted Mandibular Second Premolar Associated with Chronic Nonspecific Osteomyelitis: Report of a Rare Case. Indian J Stomatol 2014;5:31–2.
- 29. Campbell CM, DiBiase A, Fleming PS. Concomitant dilaceration, transposition, and intraosseous migration: report of a patient treated with maxillary canine-central incisor substitution. Am J Orthod Dentofac Orthop 2014;146:514–21.
Mandibular Kaninlerin İntraosseöz Transmigrasyonu, Sınıflandırılması ve İlişkili Patolojilerin Değerlendirilmesi
Yıl 2023,
Cilt: 12 Sayı: 3, 340 - 347, 25.09.2023
Sefa Çolak
,
Mustafa Sami Demirsoy
,
Aras Erdil
,
Ahmet Altan
,
Nihat Akbulut
,
Göksal Keldal
Öz
Amaç: Bu çalışma, bir Ağız Diş ve Çene Cerrahisi Kliniğine başvuran belirli bir popülasyon arasında transmigre mandibular kaninlerin insidansını belirlemeyi, tedavi protokollerini incelemeyi ve ilişkili olabilecek patolojilerin mevcudiyetini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Gerçekleştirilen retrospektif kohort çalışmasında, Haziran 2013 - Ocak 2020 yılları arasında gömülü kanin dişlerin tedavisi amacı ile Ağız, Diş ve Çene Cerrahisi Kliniğine yönlendirilen 514 hasta değerlendirildi. Belirlenen sınıflama sistemine göre transmigre mandibular kaninlerin sınıflandırılması gerçekleştirildi ve ilişkili diğer parametreler değerlendirildi.
Bulgular: Yaşa göre yapılan analizler sonucunda, ortodontik tedavi görüp görmeme ve transmigrasyon sınıfı ile yaş arasında istatistiksel açıdan anlamlı ilişki görüldü (p= 0.033, 0.036). Transmigrasyon sınıflamasına göre Tip 1, Tip 2 ve Tip 5 sınıfında yer alan gömülü kanin dişler ile cinsiyet açısından oluşturulan çapraz tablolara göre istatistiksel açıdan anlamlı bir ilişki görülmedi (p=0.165). Transmigre gömülü kanin dişler ile yer aldıkları bölge açısından oluşturulan çapraz tablolara göre istatistiksel açıdan anlamlı bir ilişki görüldü (p=0.031).
Sonuç: Transmigre mandibular kaninler için en yaygın tedavi seçeneği, ilgili dişin cerrahi olarak çıkarılmasıydı. Yaş, kooperasyon, kistik patolojilerin varlığı ve transmigrasyon tipi tedavi seçeneklerini belirleyen kriterler arasındaydı.
Kaynakça
- 1. Díaz-Sánchez RM, Castillo-de-Oyagüe R, Serrera-Figallo MÁ, Hita-Iglesias P, Gutiérrez-Pérez JL, Torres-Lagares D. Transmigration of mandibular cuspids: review of published reports and description of nine new cases. Br J Oral Maxillofac Surg 2016;54:241–7.
- 2. Aras MH, Büyükkurt MC, Yolcu U, Ertaş U, Dayi E. Transmigrant maxillary canines. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:e48-52.
- 3. Türkmenoğlu A, Yüksel HT, Evi̇rgen Ş. Orta Ege popülasyonunda transmigre kanin insidansının ve radyografik özelliklerinin değerlendirilmesi. Selcuk Dent J 2019;6:440–6.
- 4. Mitchell L. Displacement of a mandibular canine following fracture of the mandible. Br Dent J 1993;174:417–8.
- 5. Broadway RT. A misplaced mandibular permanent canine. Br Dent J 1987;163:357–8.
- 6. Cowman SC, Wootton WR. Bilateral impaction of mandibular canines. N Z Dent J 1979;75:113–4.
- 7. Mupparapu M. Patterns of intra-osseous transmigration and ectopic eruption of mandibular canines: review of literature and report of nine additional cases. Dento Maxillo Facial Radiol 2002;31:355–60.
- 8. Joshi MR, Shetye SB. Transmigration of mandibular canines: a review of the literature and report of two cases. Quintessence Int Berl Ger 1994;25:291–4.
- 9. Aydin U, Yilmaz H, Yildirim D. Incidence of canine impaction and transmigration in a patient population. Dentomaxillofacial Radiol 2004;33:164–9.
- 10. Ando S, Aizawa K, Nakashima T, Sanka Y, Shimbo K, Kiyokawa K. Transmigration Process of the Impacted Mandibular Cuspid. J Nihon Univ Sch Dent 1964;6:66–71.
- 11. Javid B. Transmigration of impacted mandibular cuspids. Int J Oral Surg 1985;14:547–9.
- 12. Tarsitano JJ, Wooten JW, Burditt JT. Transmigration of nonerupted mandibular canines: report of cases. J Am Dent Assoc 1971;82:1395–7.
- 13. Joshi MR, Daruwala NR, Ahuja HC. Bilateral transmigration of mandibular canines. Br J Orthod 1982;9:57–8.
- 14. Herrera-Atoche JR, Esparza-Villalpando V, Martínez-Aguilar VM, Carrillo-Ávila BA, Escoffié-Ramírez M. Treatment options for mandibular canine transmigration - a case series based on dental literature. Br J Oral Maxillofac Surg 2021;59:973–81.
- 15. Gupta I, Chaudhry A, Keluskar V, Mathur H. Varied clinico-radiological presentations of transmigrated canines. J Indian Orthod Soc 2015;49:42–5.
- 16. Sarode GS, Sarode SC, Patil A. A review of the literature relating to transmigrating canines. An illustrated case report. Orthod Update 2011;4:56–60.
- 17. Vichi M, Franchi L. The transmigration of the permanent lower canine. Minerva Stomatol 1991;40:579–89.
- 18. Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA. A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 1998;8:1558–64.
- 19. Bertl MH, Frey C, Bertl K, Giannis K, Gahleitner A, Strbac GD. Impacted and transmigrated mandibular canines: an analysis of 3D radiographic imaging data. Clin Oral Investig 2018;22:2389–99.
- 20. Sharma G, Nagpal A. A Study of Transmigrated Canine in an Indian Population. Int Sch Res Not 2014;2014:756516.
- 21. Azeem M, Afzal A, Ahmed Z, Ali MM, Haq AU, Hamid WU. Investigation of transmigrated mandibular canines. Dent Press J Orthod 2019;24:65–8.
- 22. Plakwicz P, Abramczyk J, Wojtaszek-Lis J, Sajkowska J, Warych B, Gawron K, et al. The retrospective study of 93 patients with transmigration of mandibular canine and a comparative analysis with a control group. Eur J Orthod 2019;41:390–6.
- 23. Dalessandri D, Parrini S, Rubiano R, Gallone D, Migliorati M. Impacted and transmigrant mandibular canines incidence, aetiology, and treatment: a systematic review. Eur J Orthod 2017;39:161–9.
- 24. Aktan AM, Kara S, Akgünlü F, Malkoç S. The incidence of canine transmigration and tooth impaction in a Turkish subpopulation. Eur J Orthod 2010;32:575–81.
- 25. Umashree N, Kumar A, Nagaraj T. Transmigration of Mandibular Canines. Case Rep Dent 2013;2013:e697671.
- 26. Sinko K, Nemec S, Seemann R, Eder-Czembirek C. Clinical Management of Impacted and Transmigrated Lower Canines. J Oral Maxillofac Surg 2016;74:2142.e1-2142.e16.
- 27. Cavuoti S, Matarese G, Isola G, Abdolreza J, Femiano F, Perillo L. Combined orthodontic-surgical management of a transmigrated mandibular canine. Angle Orthod 2015;86:681–91.
- 28. Nag R, Mathur R, Mathur J. Transmigration of Unerupted Mandibular Second Premolar Associated with Chronic Nonspecific Osteomyelitis: Report of a Rare Case. Indian J Stomatol 2014;5:31–2.
- 29. Campbell CM, DiBiase A, Fleming PS. Concomitant dilaceration, transposition, and intraosseous migration: report of a patient treated with maxillary canine-central incisor substitution. Am J Orthod Dentofac Orthop 2014;146:514–21.