Download PDF
Semin Musculoskelet Radiol 2020; 24(05): 523-534
DOI: 10.1055/s-0040-1709210
Review Article

Teeth Impaction and Structural Teeth Anomalies

Danisia Haba 
1   Department of Oral and Maxillofacial Surgery, “Grigore T. Popa” University of Medicine and Pharmacy Iaşi, Iaşi, Romania
,
Yllka Decolli
2   Department of Odontology, Parodontology and Fixed Prothesis, “Grigore T. Popa” University of Medicine and Pharmacy Iaşi, Iaşi, Romania
,
Emilia Marciuc
1   Department of Oral and Maxillofacial Surgery, “Grigore T. Popa” University of Medicine and Pharmacy Iaşi, Iaşi, Romania
,
Ana Elena Sîrghe
1   Department of Oral and Maxillofacial Surgery, “Grigore T. Popa” University of Medicine and Pharmacy Iaşi, Iaşi, Romania
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Dentists and oral and maxillofacial radiologists have used periapical, occlusal, panoramic, and cephalometric radiographs for many years for diagnosing dental anomalies, especially before orthodontic or surgical treatment. Cone beam computed tomography was developed in recent years especially for the dental and maxillofacial region. Thus it has become the imaging modality of choice for many clinical situations, such as the assessment of dental impaction and structural teeth anomalies or other associated diseases and disorders (e.g., Gardner's syndrome, cleidocranial dysplasia). This article reviews different aspects of dental impaction and its possible effects on adjacent structures such as external root resorption, marginal bone loss, as well as describing structural dental anomalies. It provides a systematic analysis of their characteristic features and imaging findings for general radiologists to achieve a precise diagnosis and an optimal interpretation.

Keywords

teeth impaction - dental structure - periapical radiograph - panoramic radiograph - cone beam computed tomography


Publication History

Article published online:
09 October 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 

  • References

  • 1 Baron C, Houchmand-Cuny M, Enkel B, Lopez-Cazaux S. Prevalence of dental anomalies in French orthodontic patients: A retrospective study. Arch Pediatr 2018; 25 (07) 426-430
    CrossrefPubMedSearch in Google Scholar
  • 2 Berkovitz BK, Holland GR, Moxham BJ. Development of the dentitions. In: Oral Anatomy, Embryology, and Histology. 4th ed.. Edinburgh, UK: Mosby; 2009: 358
    Search in Google Scholar
  • 3 Vani NV, Saleh SM, Tubaigy FM, Idris AM. Prevalence of developmental dental anomalies among adult population of Jazan, Saudi Arabia. The Saudi Journal for Dental Research 2016; 7: 29-33
    CrossrefPubMedSearch in Google Scholar
  • 4 Vanhoenacker C, Vanhoenacker F, Vannitsen L. et al. Dental cone beam CT: a primer for clinical radiologists [EP-1]. Paper presented at: European Society of Head and Neck Radiology (ESHNR); September 25–27, 2014 ; Marseille, France
    PubMedSearch in Google Scholar
  • 5 Becker A. Orthodontic Treatment of Impacted Teeth. 2nd ed. West Sussex, UK: Wiley-Blackwell; 2012: 11-21
    CrossrefSearch in Google Scholar
  • 6 Whaites E, Drage N. Essentials of Dental Radiography and Radiology. 5th ed. Philadelphia, PA: Churchill Livingstone Elsevier; 2013: 85-118 , 129–134, 171–208
    Search in Google Scholar
  • 7 Kumar M, Shanavas M, Sidappa A, Kiran M. Cone beam computed tomography—know its secrets. J Int Oral Health 2015; 7 (02) 64-68
    PubMedSearch in Google Scholar
  • 8 White SC, Pharoah MJ. Oral Radiology. Principles and Interpretation. 3rd ed. Philadelphia, PA: Elsevier; 2014: 582-611
    Search in Google Scholar
  • 9 Scafe WC, Angelopoulos C. Maxillofacial Cone Beam Computed Tomography, Principles, Technique and Clinical Applications. New York, NY: Springer; 2018: 115-211 , 646–743
    CrossrefSearch in Google Scholar
  • 10 Bass TB. Observations on the misplaced upper canine tooth. Dent Pract Dent Rec 1967; 18 (01) 25-33
    PubMedSearch in Google Scholar
  • 11 Pedro FL, Bandéca MC, Volpato LE. et al. Prevalence of impacted teeth in a Brazilian subpopulation. J Contemp Dent Pract 2014; 15 (02) 209-213
    CrossrefPubMedSearch in Google Scholar
  • 12 European Commission. Radiation protection: European guidelines on radiation protection in dental radiology; 2004. . Available at: https://ec.europa.eu/energy/sites/ener/files/documents/136.pdf . Accessed December 10, 2019
    PubMed
  • 13 Benghiac AG, Sava A, Haba MSC, Dumitrescu AM, Haba D. CBCT pre-surgical assessment of the impacted mandibular third molars: two case reports. Rev Rom Anat Funcţ Clin MacroMicrosc Antropol 2015; 14 (03) 490-494
    PubMedSearch in Google Scholar
  • 14 Petersen LB, Olsen KR, Matzen LH, Vaeth M, Wenzel A. Economic and health implications of routine CBCT examination before surgical removal of the mandibular third molar in the Danish population. Dentomaxillofac Radiol 2015; 44 (06) 20140406
    CrossrefPubMedSearch in Google Scholar
  • 15 Matzen LH, Petersen LB, Wenzel A. Radiographic methods used before removal of mandibular third molars among randomly selected general dental clinics. Dentomaxillofac Radiol 2016; 45 (04) 20150226
    CrossrefPubMedSearch in Google Scholar
  • 16 Maglione M, Costantinides F, Bazzocchi G. Classification of impacted mandibular third molars on cone-beam CT images. J Clin Exp Dent 2015; 7 (02) e224-e231
    CrossrefPubMedSearch in Google Scholar
  • 17 Matzen LH, Berkhout E. Cone beam CT imaging of the mandibular third molar: a position paper prepared by the European Academy of DentoMaxilloFacial Radiology (EADMFR). Dentomaxillofac Radiol 2019; 48 (05) 20190039
    CrossrefPubMedSearch in Google Scholar
  • 18 Hermann L, Wenzel A, Schropp L, Matzen LH. Impact of CBCT on treatment decision related to surgical removal of impacted maxillary third molars: does CBCT change the surgical approach?. Dentomaxillofac Radiol 2019; 48 (08) 20190209
    CrossrefPubMedSearch in Google Scholar
  • 19 Manne R, Gandikota C, Juvvadi SR, Rama HR, Anche S. Impacted canines: Etiology, diagnosis, and orthodontic management. J Pharm Bioallied Sci 2012; 4 (Suppl. 02) S234-S238
    CrossrefPubMedSearch in Google Scholar
  • 20 Sajnani AK, King NM. Early prediction of maxillary canine impaction from panoramic radiographs. Am J Orthod Dentofacial Orthop 2012; 142 (01) 45-51
    CrossrefPubMedSearch in Google Scholar
  • 21 Yamamoto G, Ohta Y, Tsuda Y, Tanaka A, Nishikawa M, Inoda H. A new classification of impacted canines and second premolars using orthopantomography. Asian J Oral Maxillofac Surg 2003; 15: 31-37
    CrossrefPubMedSearch in Google Scholar
  • 22 Botticelli S, Verna C, Cattaneo PM, Heidmann J, Melsen B. Two- versus three-dimensional imaging in subjects with unerupted maxillary canines. Eur J Orthod 2011; 33 (04) 344-349
    CrossrefPubMedSearch in Google Scholar
  • 23 Oberoi S, Gill P, Chigurupati R, Hoffman WY, Hatcher DC, Vargervik K. Three-dimensional assessment of the eruption path of the canine in individuals with bone-grafted alveolar clefts using cone beam computed tomography. Cleft Palate Craniofac J 2010; 47 (05) 507-512
    CrossrefPubMedSearch in Google Scholar
  • 24 Alqerban A, Jacobs R, Fieuws S, Willems G. Comparison of two cone beam computed tomographic systems versus panoramic imaging for localization of impacted maxillary canines and detection of root resorption. Eur J Orthod 2011; 33 (01) 93-102
    CrossrefPubMedSearch in Google Scholar
  • 25 Alqerban A, Hedesiu M, Baciut M. , et al; SedentexCT Consortium. Pre-surgical treatment planning of maxillary canine impactions using panoramic vs cone beam CT imaging. Dentomaxillofac Radiol 2013; 42 (09) 20130157
    CrossrefPubMedSearch in Google Scholar
  • 26 Kapila SD, Nervina JM. CBCT in orthodontics: assessment of treatment outcomes and indications for its use. Dentomaxillofac Radiol 2015; 44 (01) 20140282
    CrossrefPubMedSearch in Google Scholar
  • 27 Plaisance F, Kerbrat JB, Goudot P. Three-dimensional reconstructions of CT scans and cone beam CT of impacted maxillary canines in order to locate areas of ankylosis before orthodontic traction. Int Orthod 2017; 15 (04) 575-587
    CrossrefPubMedSearch in Google Scholar
  • 28 Matsumoto MAN, Stuani MBS. Tooth transposition: a multidisciplinary approach. Dental Press J Orthod 2018; 23 (01) 97-107
    CrossrefPubMedSearch in Google Scholar
  • 29 Koenig LJ. Diagnostic Imaging: Oral and Maxillofacial. 2nd ed.. Philadelphia, PA: Elsevier; 2017
    Search in Google Scholar
  • 30 Hsiao CC, Boynton JR. Etiology, classification and management of ectopic eruption of permanent first molars. J Mich Dent Assoc 2016; 98 (01) 26-30
    PubMedSearch in Google Scholar
  • 31 Benghiac AG, Dumitrescu Fochi MA, Haba D. Implicaţiile utilizării computer tomografiei volumetrice cu fascicul conic în prevenirea afectării iatrogene a nervului alveolar inferior [The role of CBCT in preventing inferior alveolar nerve iatrogenic injuries]. In: Zegan G, Bârlean L. , eds. Politici de Sănătate Orală [Oral Health Politics]. Iaşi, Romania: Gr. T. Popa UMPh Publishing; 2015: 212-219
    Search in Google Scholar
  • 32 Ansari G, Golpayegani M, Welbury R. Atlas of Pediatric Oral and Dental Developmental Anomalies. Oxford, UK: John Wiley & Sons; 2019: 21-30
    Search in Google Scholar
  • 33 Rakhshan V. Congenitally missing teeth (hypodontia): a review of the literature concerning the etiology, prevalence, risk factors, patterns and treatment. Dent Res J (Isfahan) 2015; 12 (01) 1-13
    CrossrefPubMedSearch in Google Scholar
  • 34 Haque S, Alam MK. Common dental anomalies in cleft lip and palate patients. Malays J Med Sci 2015; 22 (02) 55-60
    PubMedSearch in Google Scholar
  • 35 Lubinsky M, Kantaputra PN. Syndromes with supernumerary teeth. Am J Med Genet A 2016; 170 (10) 2611-2616
    CrossrefPubMedSearch in Google Scholar
  • 36 Anthonappa RP, King NM, Rabie AB. Diagnostic tools used to predict the prevalence of supernumerary teeth: a meta-analysis. Dentomaxillofac Radiol 2012; 41 (06) 444-449
    CrossrefPubMedSearch in Google Scholar
  • 37 Gurgel CV, Costa AL, Kobayashi TY. et al. Cone beam computed tomography for diagnosis and treatment planning of supernumerary teeth. Gen Dent 2012; 60 (03) e131-e135
    PubMedSearch in Google Scholar
  • 38 Katheria BC, Kau CH, Tate R, Chen JW, English J, Bouquot J. Effectiveness of impacted and supernumerary tooth diagnosis from traditional radiography versus cone beam computed tomography. Pediatr Dent 2010; 32 (04) 304-309
    PubMedSearch in Google Scholar
  • 39 Lucey S, Heath N, Welbury RR, Wright G. Case report: Cone-beam CT imaging in the management of a double tooth. Eur Arch Paediatr Dent 2009; 10 (Suppl. 01) 49-53
    CrossrefPubMedSearch in Google Scholar
  • 40 Syed AZ, Alluri LC, Mallela D, Frazee T. Concrescence: cone-beam computed tomography imaging perspective. Case Rep Dent 2016; 8597872
    PubMedSearch in Google Scholar
  • 41 Alani A, Bishop K. Dens invaginatus. Part 1: classification, prevalence and aetiology. Int Endod J 2008; 41 (12) 1123-1136
    CrossrefPubMedSearch in Google Scholar
  • 42 Manjunatha BS, Kumar Kovvuru S. Taurodontism—a review on its etiology, prevalence and clinical considerations. J Clin Exp Dent 2010; 2 (04) e187-e190
    CrossrefPubMedSearch in Google Scholar
  • 43 Aldred MJ, Savarirayan R, Crawford PJ. Amelogenesis imperfecta: a classification and catalogue for the 21st century. Oral Dis 2003; 9 (01) 19-23
    CrossrefPubMedSearch in Google Scholar
  • 44 Chaudhary M, Dixit S, Singh A, Kunte S. Amelogenesis imperfecta: report of a case and review of literature. J Oral Maxillofac Pathol 2009; 13 (02) 70-77
    CrossrefPubMedSearch in Google Scholar
  • 45 Crawford PJ, Aldred M, Bloch-Zupan A. Amelogenesis imperfecta. Orphanet J Rare Dis 2007; 2: 17
    CrossrefPubMedSearch in Google Scholar
  • 46 de La Dure-Molla M, Philippe Fournier B, Berdal A. Isolated dentinogenesis imperfecta and dentin dysplasia: revision of the classification. Eur J Hum Genet 2015; 23 (04) 445-451
    CrossrefPubMedSearch in Google Scholar
  • 47 Kim JW, Simmer JP. Hereditary dentin defects. J Dent Res 2007; 86 (05) 392-399
    CrossrefPubMedSearch in Google Scholar
  • 48 Fulari SG, Tambake DP. Rootless teeth: dentin dysplasia type I. Contemp Clin Dent 2013; 4 (04) 520-522
    CrossrefPubMedSearch in Google Scholar
  • 49 Daryani D, Nair G, Naidu G. Dentin dysplasia type II: an exclusive report of two cases in siblings. J Indian Acad Oral Med Radiol 2017; 29 (02) 132-134
    CrossrefPubMedSearch in Google Scholar