Retrospective evaluation of external root resorption in the associated teeth of impacted maxillary canine and mandibular third molars using Cone Beam Computed Tomography
Öz
OBJECTIVE: To retrospectively evaluate the external root resorption (ERR) of impacted maxillary canine and mandibular third molar (M3) teeth on Cone Beam Computed Tomography (CBCT) images.
MATERAIALS AND METHODS: The study included 407 patients aged 18-47 with impacted maxillary canine and mandibular M3 teeth. Age, gender, type, location, and position of the impacted tooth and the presence/absence and severity of the ERR were recorded. ERR was categorized into four classes: no resorption, mild, moderate, and severe resorption. The localization of ERR was expressed as cervical, middle, apical third of the root and as more than 1/3.
RESULTS: In this study, a total of 480 impacted maxillary canines and mandibular M3 teeth were examined in 407 patients. 45% were impacted maxillary canines, and 55% were mandibular M3 teeth. ERR was detected in 47.3% of the patients in the teeth associated with the impacted teeth. There was no significant difference between the presence of ERR and gender (p=0.071, p>0.05), age range (p=0.784, p>0.05), type of impacted tooth (p=0.591, p>0.05), localization (p=0.383, p>0.05) and position (p=0.144, p>0.05) groups of impacted maxillary canine teeth (p=0.041, p<0.05). It was observed that mandibular M3 teeth in the horizontal position caused more ERR (p<0.05). It was determined that most impacted teeth caused Class 1 severity (p=0.047, p<0.05) ERR localized at the middle of the root (p<0.001).
CONCLUSIONS: The incidence of ERR in the teeth associated with impacted maxillary canine and mandibular M3 teeth was 47.3%. It was determined that impacted mandibular M3 teeth in the horizontal position caused more ERR in the adjacent teeth.
Anahtar Kelimeler
Cone beam computed tomography impacted teeth root resorption
Kaynakça
- Padhye MN, Dabir AV, Girotra CS, Pandhi VH. Pattern of mandibular third molar impaction in the Indian population: a retrospective clinico-radiographic survey. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:e161-6.
- Sarica I, Derindag G, Kurtuldu E, Naralan ME, Caglayan F. A retrospective study: Do all impacted teeth cause pathology? Niger J Clin Pract 2019;22:527-33.
- Li D, Tao Y, Cui M, Zhang W, Zhang X, Hu X. External root resorption in maxillary and mandibular second molars associated with impacted third molars: a cone-beam computed tomographic study. Clin Oral Investig 2019;23:4195-203.
- Jung YH, Liang H, Benson BW, Flint DJ, Cho BH. The assessment of impacted maxillary canine position with panoramic radiography and cone beam CT. Dentomaxillofac Radiol 2012;41:356-60.
- Pan CY, Tseng YC, Lan TH, Chang HP. Craniofacial features of cleidocranial dysplasia. J Dent Sci 2017;12:313-8.
- Arvind TRP, Jain RK, Nagi R, Tiwari A. Evaluation of alveolar bone microstructure around impacted maxillary canines using fractal analysis in dravidian population: A retrospective CBCT study. J Contemp Dent Pract 2022;23:593-600.
- Alberto PL. Surgical exposure of impacted teeth. Oral Maxillofac Surg Clin North Am 2020;32:561-70.
- Kaczor-Urbanowicz K, Zadurska M, Czochrowska E. Impacted teeth: An interdisciplinary perspective. Adv Clin Exp Med 2016;25:575-85.
- Schroder AGD, Guariza-Filho O, de Araujo CM, Ruellas AC, Tanaka OM, Porporatti AL. To what extent are impacted canines associated with root resorption of the adjacent tooth?: A systematic review with meta-analysis. J Am Dent Assoc 2018;149:765-77.e8.
- Ericson S, Kurol J. Incisor root resorptions due to ectopic maxillary canines imaged by computerized tomography: a comparative study in extracted teeth. Angle Orthod 2000;70:276-83.
- Choi J. Risk factors for external root resorption of maxillary second molars associated with third molars. Imaging Sci Dent 2022;52:289-94.
- Baena-de la Iglesia T, Yañez-Vico RM, Iglesias-Linares A. Diagnostic performance of Cone-Beam Computed Tomography To Diagnose In Vivo/In Vitro Root Resorption: A Systematic Review And Meta-Analysis. J Evid Based Dent Pract 2023;23:101803.
- Ma Y, Mu D, Li X. Risk factors for root resorption of second molars with impacted third molars: a meta-analysis of CBCT studies. Acta Odontol Scand 2023;81:18-28.
- Moreira-Souza L, Butini Oliveira L, Gaêta-Araujo H, Almeida-Marques M, Asprino L, Oenning AC. Comparison of CBCT and panoramic radiography for the assessment of bone loss and root resorption on the second molar associated with third molar impaction: a systematic review. Dentomaxillofac Radiol 2022;51:20210217.
- Wang D, He X, Wang Y, Li Z, Zhu Y, Sun C, et al. External root resorption of the second molar associated with mesially and horizontally impacted mandibular third molar: evidence from cone beam computed tomography. Clin Oral Investig 2017;21:1335-42.
- Mitsea A, Palikaraki G, Karamesinis K, Vastardis H, Gizani S, Sifakakis I. Evaluation of lateral incisor resorption caused by impacted maxillary canines based on CBCT: A Systematic Review and Meta-Analysis. Children (Basel) 2022;9.
- Ucar FI, Celebi AA, Tan E, Topcuoğlu T, Sekerci AE. Effects of impacted maxillary canines on root resorption of lateral incisors : A cone beam computed tomography study. J Orofac Orthop 2017;78:233-40.
- Simić S, Nikolić P, Stanišić Zindović J, Jovanović R, Stošović Kalezić I, Djordjević A, et al. Root resorptions on adjacent teeth associated with impacted maxillary canines. Diagnostics (Basel) 2022;12.
- Türker M, & Yücetaş, Ş. Ağız, diş, çene hastalıkları ve cerrahisi. Atlas Kitapçılık1997.
- Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016;15:155-63.
- Razeghinejad MH, Bardal R, Shahi S, Mortezapoor E, Mostafavi M. Volumetric evaluation of maxillary lateral incisor root resorption due to positional variations of impacted canine. Int J Dent 2022;2022:2626222.
- Oenning AC, Freire AR, Rossi AC, Prado FB, Caria PHF, Correr-Sobrinho L, et al. Resorptive potential of impacted mandibular third molars: 3D simulation by finite element analysis. Clin Oral Investig 2018;22:3195-203.
- Tassoker M. What Are the risk factors for external root resorption of second molars associated with impacted third molars? A Cone-Beam Computed Tomography Study. J Oral Maxillofac Surg 2019;77:11-7.
Gömülü maksiller kanin ve mandibular üçüncü molar dişlerin ilişkili oldukları dişlerdeki eksternal kök rezorpsiyonunun Konik Işınlı Bilgisayarlı Tomografi ile retrospektif olarak değerlendirilmesi
Öz
AMAÇ: Gömülü maksiller kanin ve mandibular üçüncü molar (M3) dişlerin, ilişkili oldukları komşu dişlerdeki eksternal kök rezorpsiyonunu (EKR) Konik Işınlı Bilgisayarlı Tomografi (KIBT) görüntülerinde retrospektif olarak değerlendirmektir.
GEREÇ VE YÖNTEM: Çalışmada 18-47 yaş aralığındaki, gömülü maksiller kanin ve mandibular M3 dişi olan 407 hasta dahil edildi. Hastaların yaşı, cinsiyeti, gömülü dişin tipi, lokalizasyonu, pozisyonu, EKR varlığı/yokluğu ve şiddeti kaydedildi. EKR; rezorpsiyon yok, hafif, orta ve şiddetli rezorpsiyon olarak dört sınıfa ayrıldı. EKR’nin lokalizasyonu kökün servikal, orta, apikal üçlüsü ve 1/3’ten fazla olarak ifade edildi.
BULGULAR: Çalışmada 407 hastada toplam 480 gömülü maksiller kanin ve mandibular M3 diş incelendi. Bu dişlerin %45’i gömülü maksiller kanin ve %55’i gömülü mandibular M3 idi. Hastaların %47.3’ünde gömülü dişlerin ilişkili olduğu dişlerde EKR tespit edildi. EKR varlığı ile cinsiyet (p=0.071, p>0.05), yaş aralığı (p=0.784, p>0.05), gömülü diş tipi (p=0.591, p>0.05), gömülü maksiller kanin dişlerin lokalizasyon (p=0.383, p>0.05) ve pozisyon grupları (p=0.144, p>0.05) arasında anlamlı bir farklılık yoktu. Horizontal pozisyondaki mandibular M3 dişlerin daha fazla EKR’ye neden olduğu gözlendi (p=0.041, p<0.05). Gömülü dişlerin en fazla Sınıf 1 şiddetinde (p=0.047, p<0.05) ve kökün orta lokalizasyonunda (p<0.001) EKR’ye neden olduğu tespit edildi.
SONUÇ: Gömülü maksiller kanin ve mandibular M3 dişlerin ilişkili olduğu dişlerde EKR görülme sıklığı %47.3 idi. Horizontal pozisyondaki gömülü mandibular M3 dişlerin ilişkili oldukları dişlerde daha fazla EKR’ye neden olduğu tespit edildi.
Anahtar Kelimeler
Gömülü Diş Konik Işınlı Bilgisayarlı Tomografi kök rezorpsiyonu
Kaynakça
- Padhye MN, Dabir AV, Girotra CS, Pandhi VH. Pattern of mandibular third molar impaction in the Indian population: a retrospective clinico-radiographic survey. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:e161-6.
- Sarica I, Derindag G, Kurtuldu E, Naralan ME, Caglayan F. A retrospective study: Do all impacted teeth cause pathology? Niger J Clin Pract 2019;22:527-33.
- Li D, Tao Y, Cui M, Zhang W, Zhang X, Hu X. External root resorption in maxillary and mandibular second molars associated with impacted third molars: a cone-beam computed tomographic study. Clin Oral Investig 2019;23:4195-203.
- Jung YH, Liang H, Benson BW, Flint DJ, Cho BH. The assessment of impacted maxillary canine position with panoramic radiography and cone beam CT. Dentomaxillofac Radiol 2012;41:356-60.
- Pan CY, Tseng YC, Lan TH, Chang HP. Craniofacial features of cleidocranial dysplasia. J Dent Sci 2017;12:313-8.
- Arvind TRP, Jain RK, Nagi R, Tiwari A. Evaluation of alveolar bone microstructure around impacted maxillary canines using fractal analysis in dravidian population: A retrospective CBCT study. J Contemp Dent Pract 2022;23:593-600.
- Alberto PL. Surgical exposure of impacted teeth. Oral Maxillofac Surg Clin North Am 2020;32:561-70.
- Kaczor-Urbanowicz K, Zadurska M, Czochrowska E. Impacted teeth: An interdisciplinary perspective. Adv Clin Exp Med 2016;25:575-85.
- Schroder AGD, Guariza-Filho O, de Araujo CM, Ruellas AC, Tanaka OM, Porporatti AL. To what extent are impacted canines associated with root resorption of the adjacent tooth?: A systematic review with meta-analysis. J Am Dent Assoc 2018;149:765-77.e8.
- Ericson S, Kurol J. Incisor root resorptions due to ectopic maxillary canines imaged by computerized tomography: a comparative study in extracted teeth. Angle Orthod 2000;70:276-83.
- Choi J. Risk factors for external root resorption of maxillary second molars associated with third molars. Imaging Sci Dent 2022;52:289-94.
- Baena-de la Iglesia T, Yañez-Vico RM, Iglesias-Linares A. Diagnostic performance of Cone-Beam Computed Tomography To Diagnose In Vivo/In Vitro Root Resorption: A Systematic Review And Meta-Analysis. J Evid Based Dent Pract 2023;23:101803.
- Ma Y, Mu D, Li X. Risk factors for root resorption of second molars with impacted third molars: a meta-analysis of CBCT studies. Acta Odontol Scand 2023;81:18-28.
- Moreira-Souza L, Butini Oliveira L, Gaêta-Araujo H, Almeida-Marques M, Asprino L, Oenning AC. Comparison of CBCT and panoramic radiography for the assessment of bone loss and root resorption on the second molar associated with third molar impaction: a systematic review. Dentomaxillofac Radiol 2022;51:20210217.
- Wang D, He X, Wang Y, Li Z, Zhu Y, Sun C, et al. External root resorption of the second molar associated with mesially and horizontally impacted mandibular third molar: evidence from cone beam computed tomography. Clin Oral Investig 2017;21:1335-42.
- Mitsea A, Palikaraki G, Karamesinis K, Vastardis H, Gizani S, Sifakakis I. Evaluation of lateral incisor resorption caused by impacted maxillary canines based on CBCT: A Systematic Review and Meta-Analysis. Children (Basel) 2022;9.
- Ucar FI, Celebi AA, Tan E, Topcuoğlu T, Sekerci AE. Effects of impacted maxillary canines on root resorption of lateral incisors : A cone beam computed tomography study. J Orofac Orthop 2017;78:233-40.
- Simić S, Nikolić P, Stanišić Zindović J, Jovanović R, Stošović Kalezić I, Djordjević A, et al. Root resorptions on adjacent teeth associated with impacted maxillary canines. Diagnostics (Basel) 2022;12.
- Türker M, & Yücetaş, Ş. Ağız, diş, çene hastalıkları ve cerrahisi. Atlas Kitapçılık1997.
- Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016;15:155-63.
- Razeghinejad MH, Bardal R, Shahi S, Mortezapoor E, Mostafavi M. Volumetric evaluation of maxillary lateral incisor root resorption due to positional variations of impacted canine. Int J Dent 2022;2022:2626222.
- Oenning AC, Freire AR, Rossi AC, Prado FB, Caria PHF, Correr-Sobrinho L, et al. Resorptive potential of impacted mandibular third molars: 3D simulation by finite element analysis. Clin Oral Investig 2018;22:3195-203.
- Tassoker M. What Are the risk factors for external root resorption of second molars associated with impacted third molars? A Cone-Beam Computed Tomography Study. J Oral Maxillofac Surg 2019;77:11-7.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Ağız, Diş ve Çene Radyolojisi |
| Bölüm | Özgün Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 5 Mayıs 2025 |
| Gönderilme Tarihi | 12 Mart 2024 |
| Kabul Tarihi | 2 Temmuz 2024 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 42 Sayı: 2 |
