Background/Aim. An impacted tooth is a tooth that could not erupt and take
its place in the dental row. Impacted maxillary canines are a very frequent
problem in the orthodontic practices. They are the second most impacted
teeth, right after the third molars. The aim of this cross-sectional study
was to evaluate the two-dimensional and three-dimensional position of the
impacted maxillary canines as well as to make a descriptive study analysis
of possible indicators of the impaction difficulty and risk factors for
adjacent tooth root resorption. Methods. 94 subjects with 116 diagnosed
maxillary canines impaction (CI) were included in the investigation. The
two-dimensional position of the impacted canines (IC) was evaluated on the
panoramic projection of the cone beam computed tomography (CBCT) images.
Canine position (CP) to the X, Y and Z-axis was measured and scored using
the novel classification system that incorporates three-dimensional
information of CBCT imaging, the KPG index. Based on the KPG index value,
impaction was defined as easy, moderate, difficult, and extremely difficult.
Descriptive variables (gender, side of impaction, etc.) and numeric
variables [age, canine distance to the occlusal plane (OccP), etc.] were
tested with multiple logistic regression as potential predictors of the
impaction difficulty and possible risk factors. Results. The mean age of the
subjects was 19.8?5.2 years. The impactions were twice as more prevalent in
females, compared to males. Most impactions were unilateral (71.4%) in
palatal position. Adjacent root resorption was present in 27.3% cases of
impaction, and the central incisor was mostly affected. More than half of
impactions were of moderate level. In univariable analysis, canine distance
to sagittal medial line (SML), canine angulation (CA) to SML and OccP and CA
to first premolar were significant in impaction difficulty prediction.
Multivariable analysis showed that CA to the first premolar could be a risk
factor for adjacent root resorption. Conclusion. Most of the impacted
maxillary canines were in palatal position, with KPG index value of moderate
difficulty. Beside the position to the OccP and SML, CA to the first
premolar should be estimated, as a part of diagnostic procedures, to
evaluate the risk of adjacent root resorption, to prevent resorption and to
decide on the treatment plan.