Evaluation of the relationship between maxillary canine impaction with arch dimensions and maxillary sinus dimensions using Cone Beam Computed Tomography (CBCT ).

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.2.32
Homa Farhadifard, Abbas Shokri, Maryam Salehzadeh, Maryam Farhadian, Yousef Ahmadpour
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Abstract

Background: We aimed to evaluate the morphology of maxilla and sinus dimensions in subjects with unilaterally and bilaterally impacted canine using cone beam computed tomography (CBCT) records.

Methods: CBCT records taken during 2020-2022 of 120 patients were obtained to investigate the relationship between impacted canine and maxillary morphology as well as sinus dimensions. The CBCT images were then divided into three groups: control, unilaterally canine impaction and bilaterally canine impaction. Then morphology-related variables (arch circumference, arch length, inter molar width, inter first premolar width, palatal depth, anterior posterior dimension of the right and left sinuses, and mediolateral dimension of the right and left sinuses) were analyzed and compared between groups. All measurements were done by Ondeman 3D dental software. Statistical analysis was carried out by SPSS software version 21 using one-way ANOVA.

Results: There were meaningful differences in patients with canine impaction compared with control group in arch circumference (P value= 0.004) and arch length (P value= 0.001), inter molar width (P value= 0.001), inter first premolar width (P value= 0.001), mediolateral dimension of the right (P value=0.001) and left (P value= 0.001) sinuses of maxilla. Furthermore, Palatal depth and anterior posterior dimension of the right and left sinuses did not show statistically significant difference between groups.

Conclusion: Canine impaction can considerably affect the morphology of maxillary and sinuses dimensions. Nevertheless, future studies are needed to determine the exact structural and molecular effects of the canine impaction on maxillary sinuses and neighboring tissues.

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使用锥形束计算机断层扫描(CBCT)评估上颌犬牙嵌塞与牙弓尺寸和上颌窦尺寸之间的关系。
背景:我们旨在使用锥形束计算机断层扫描(CBCT)记录评估单侧和双侧犬齿撞击患者的上颌骨形态和鼻窦尺寸:方法: 我们获取了 120 名患者在 2020-2022 年期间的 CBCT 记录,以研究撞击性犬齿与上颌骨形态和上颌窦尺寸之间的关系。然后将 CBCT 图像分为三组:对照组、单侧犬齿撞击组和双侧犬齿撞击组。然后分析形态相关变量(牙弓周长、牙弓长度、臼齿间宽度、第一前臼齿间宽度、腭深度、左右窦的前后侧尺寸以及左右窦的内外侧尺寸),并进行组间比较。所有测量均由 Ondeman 3D 牙科软件完成。统计分析使用 SPSS 软件 21 版,采用单因素方差分析:结果:与对照组相比,犬齿嵌塞患者在牙弓周长(P值= 0.004)、牙弓长度(P值= 0.001)、磨牙间宽度(P值= 0.001)、第一前磨牙间宽度(P值= 0.001)、上颌右窦内侧尺寸(P值= 0.001)和左窦内侧尺寸(P值= 0.001)方面均存在显著差异。此外,腭深和左右颌窦的前后侧尺寸在组间无统计学差异:结论:犬齿嵌塞会严重影响上颌和上颌窦的形态。结论:犬齿嵌塞会严重影响上颌和上颌窦的形态和尺寸,然而,未来的研究还需要确定犬齿嵌塞对上颌窦和邻近组织的确切结构和分子影响。
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