S'abonner

Treatment for critically impacted maxillary canines: Clinical versus scientific evidence – A systematic review - 24/04/21

Doi : 10.1016/j.jormas.2021.03.013 
Koenraad Grisar a, , Benjamin Denoiseux a, Catalina Martin a, Theo Hoppenreijs c, Flavia Calburean a, Constantinus Politis a, Reinhilde Jacobs a, b
a OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, University Leuven, Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium 
b Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden 
c Department of Oral and Maxillofacial Surgery, Rijnstate Hospital, Arnhem 

Corresponding author at: Department of Oral and Maxillofacial Surgery University Hospitals Leuven, Kapucijnenvoer 33, 3000, Leuven, SwedenDepartment of Oral and Maxillofacial Surgery University Hospitals LeuvenKapucijnenvoer 33Leuven3000Sweden
Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Saturday 24 April 2021
Cet article a été publié dans un numéro de la revue, cliquez ici pour y accéder

Abstract

Background

Critically impacted maxillary canines are prone to fail to respond to conventional surgical exposure and orthodontic traction. Correct identification of a critical impaction requires enhanced diagnosis modalities and might lead to incorporating alternative surgical strategies in the treatment plan. Predictability of techniques such as apicotomy or tooth autotransplantation is, however, yet to be determined. The objective of this study was to systematically review treatment perspectives for critically impacted maxillary canines.

Methods

A systematic review of the available literature until april 2020 was conducted using an electronic search in Embase, Cochrane Central, Web of Science and PubMed databases. Randomised and non-randomised studies investigating treatment options and treatment outcome for buccally and/or palatally critically impacted maxillary canines were considered for the review. Information recorded concerned study design and setting, participants’ characteristics and details regarding the type of intervention, types of outcomes measured and follow-up time. The included studies received a methodological quality scoring and risk of bias analysis according to a tool suggested by Murad et al (2018).

Results

Five studies were included in the quality analysis, all case series. The included studies enrolled a total of 302 patients and counted 346 critical maxillary canine impactions. Apicotomy and autotransplantation were listed as potential surgical approaches with surgical outcome presented for both surgical strategies. Adequate esthetical and/or functional outcomes were reported in most of the included studies. According to the quality assessment tool used, the reviewed studies scored medium on the proposed scale.

Discussion

Literature featuring protocols for identifying and treating critical maxillary canine impaction only consists of case series and case reports, which provide low level of evidence. The rather good results reported by the reviewed studies must be put into perspective as the methodology of these studies was insufficient and potential bias was identified. Comprehensive clinical research is needed to further investigate treatment options and form a basis for clinical guidelines.

Le texte complet de cet article est disponible en PDF.

Keywords : Maxillary canine impaction, Critical impaction, Apicotomy, Tooth aututransplantation


Plan


 Authors’ contributions
 BD, CM and KG screened the literature for studies. KG and CP participated in the design of the study and performed the data analysis. RJ, TH and CP conceived of the study, and participated in its design and coordination and helped to draft the manuscript. All authors read and approved the final manuscript.


© 2021  Elsevier Masson SAS. Tous droits réservés.
Ajouter à ma bibliothèque Retirer de ma bibliothèque Imprimer
Export

    Export citations

  • Fichier

  • Contenu

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

Mon compte


Plateformes Elsevier Masson

Déclaration CNIL

EM-CONSULTE.COM est déclaré à la CNIL, déclaration n° 1286925.

En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.
Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.
Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers.


Tout le contenu de ce site: Copyright © 2024 Elsevier, ses concédants de licence et ses contributeurs. Tout les droits sont réservés, y compris ceux relatifs à l'exploration de textes et de données, a la formation en IA et aux technologies similaires. Pour tout contenu en libre accès, les conditions de licence Creative Commons s'appliquent.