Eruption pattern of the maxillary canines: features indicating treatment needs as seen in PTG at the late mixed stage-Part II.

AIM: To describe features of maxillary permanent canines in the late mixed stage as seen in panoramic radiograph (PTG) that later needed treatment to erupt into the oral cavity and to compare them with naturally erupted canines. METHODS: The cross-sectional part of this retrospective register-based study consisted of 1454 PTGs of children (mean age 9.3 years) living in Eastern Finland, while the longitudinal part involved patient data on 184 treated maxillary canines. The variables examined were treatment needs, overlapping and inclination of the maxillary canines, the development stage of the canines and lateral incisors and dental age. RESULTS: Only 11.6% of the maxillary canines needed treatment, including interceptive procedures. The treated canines significantly more often had overlapping (p < 0.001), larger inclination (p = 0.001) and incomplete lateral incisors (p = 0.002) than did the naturally erupted canines. The children treated significantly more often had a delayed dental age (p = 0.035). Clear overlapping was closely associated with all treatment modalities, whereas some overlapping and a large inclination angle (≥ 25°) were associated especially in cases of late treatment. An incomplete lateral incisor and delayed dental age were associated with treatment. CONCLUSION: An association with treatment needs was found especially in the case of overlapping and a large inclination angle of the maxillary canine a couple of years before eruption into the oral cavity. These features can be early signs and indications for instant or later treatment of a maxillary canine and underline the importance of monitoring space conditions and erupting canines.

Eruption pattern of the maxillary canines: features of natural eruption seen in PTG at the late mixed stage-Part I.

AIM: To describe the variation of eruption pattern of maxillary canines in the late mixed stage of dentition seen in PTG when eruption was later natural. METHODS: Material for this longitudinal and retrospective register-based study consisted of 1454 PTGs of children living in Eastern Finland (mean age 9.3 years, SD 0.6). Natural eruption of a canine consisted of 744 PTGs (336 girls and 408 boys) including 1488 maxillary canines. The variables examined were treatment/natural eruption, overlapping, inclination, dental age, developmental stage of the canine and lateral incisor. RESULTS: Only 2.0% of maxillary canines had clear overlapping and 56.2% no overlapping was detected at the age of 8.5-10.5 years. Large inclination angle (≥ 25°) was found for 5.5% of examined canines. Overlapping of canine with lateral incisor root decreased as the development of canine root exceeded 1/3. Larger inclinations occurred at earlier stages but decreased significantly as the root developed from 1/3 to 1/2. Mean inclination was significantly larger at children with normal dental age and/or incomplete lateral incisors when overlapping occurred. Regardless overlapping mean inclination was larger if dental age was delayed and/or lateral incisors incomplete. CONCLUSION: Some overlapping and larger inclination in maxillary canine are features of normal eruption pattern at an earlier stage of canine development and while lateral incisor is incomplete in PTG (8.5-10.5 years). In addition to the overlapping and inclination, stages of canine and lateral incisor root as well as dental age should be observed radiologically when evaluating erupting maxillary canine in children of this age.