Journal Article

The effect of tooth position on the image of unerupted canines on panoramic radiographs

V Gavel and L Dermaut

in The European Journal of Orthodontics

Published on behalf of European Orthodontics Society

Volume 21, issue 5, pages 551-560
Published in print October 1999 | ISSN: 0141-5387
Published online October 1999 | e-ISSN: 1460-2210 | DOI: http://dx.doi.org/10.1093/ejo/21.5.551
The effect of tooth position on the image of unerupted canines on panoramic radiographs

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The purpose of this study was to evaluate whether panoramic tomograms, which are routinely used in orthodontic practice, can provide adequate information to localize an impacted canine. The effect of changes in position and inclination of an impacted canine on orthopantomograms was investigated in an experimental set-up. An upper canine was removed from a human skull and replaced in a positioning system, enabling simulated positional variations in impactions.

In comparison with the image of a contralateral well-aligned canine, the length of the impacted tooth always decreased or remained unchanged, whereas the tooth width increased or remained unchanged. The angulation of the image was unaffected by varying the position of the impacted canine, but altered when the inclination of the tooth in a sagittal or frontal direction was changed. If there was any transversal shift of the impacted canine on the orthopantomogram, it was always towards the mid-sagittal plane. The curvature of the tooth increased after dorsal inclination and decreased after ventral inclination (in comparison with the contralateral well-aligned canine).

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Subjects: Restorative Dentistry and Orthodontics

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