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ORIGINAL RESEARCH article

Front. Dent. Med
Sec. Pediatric Dentistry
Volume 5 - 2024 | doi: 10.3389/fdmed.2024.1456985
This article is part of the Research Topic Uncovering a Multidisciplinary Approach in Pediatric Dentistry View all 6 articles

Assessment of Root Resorption on Lateral Incisors after Primary Canine Extraction treating Mesioangular Displaced Permanent Canines: A Randomised Controlled Trial

Provisionally accepted
Narmin Helal Narmin Helal 1*Reem Naaman Reem Naaman 2Najlaa Alamoudi Najlaa Alamoudi 1Azza El-Housseiny Azza El-Housseiny 1Fatima Jadu Fatima Jadu 1
  • 1 King Abdulaziz University, Jeddah, Saudi Arabia
  • 2 Taibah University, Medina, Al Madinah, Saudi Arabia

The final, formatted version of the article will be published soon.

    Root resorption (RR) of the adjacent maxillary lateral incisors is considered the most common complication of displaced maxillary canines. The aim of this study was to assess the effect of interceptive extraction of the primary canines on the condition of the roots of permanent neighbouring teeth to mesioangular displaced canines (MDC). In addition, this study aimed to investigate the relationship between the position of the unerupted canine and the risk of RR in adjacent lateral incisors.Eighty-five patients 9-12-year-old with MDC were allocated equally to either an extraction group (EG) or a control group (CG). Of the sample, 33 were males (38.8%), and 52 were females (61.2%). Among this sample, 81 canines (51.9%) were buccally displaced, 34 canines (21.8%) were palatally displaced, and 41 canines (26.3%) were mid-alveolar. All subjects underwent cone-beam computed tomography examination to determine the presence, stage, and level of lateral incisor root resorption (RR). Measurements were performed at T0 and repeated at a 12-month follow-up (T2).Root resorption (RR) was present in 28.2% of lateral incisors at the baseline assessment (T0) and exhibited a significant increase at the 12-month follow-up (T12).This marked increase in resorption severity was evident between T0 and T12 (p=0007), regardless of group allocation. There was a significant increase in the degree of resorption between T2 and T0, with a mean difference equals to 0.31 (0.73), P<0.0001. While there was no statistically significant difference in resorption levels between the extraction and control groups at T0 (p=0.11), RR occurred more frequently with midalveolar (34.1%) and palatal (32.3%) displacements than with buccal displacements (23.5%). Severe resorption was observed more frequently in cases involving palatally displaced canines within both groups, but it did not reach statistical significance.Lateral incisor root resorption (RR) progressed significantly within a 12-month period irrespective of treatment modality.RR occurred more frequently with midalveolar and palatal displacement with a trend towards increased RR severity in cases with palatally displaced canines. Early clinical evaluation and consistent monitoring is essential for early detection and potential intervention in patients with mesioangular canine displacement

    Keywords: Disturbances In Dental Development, Growth and Development, occlusion/orthodontics, Radiology, Canine impaction, Root resorption (RR)

    Received: 29 Jun 2024; Accepted: 25 Nov 2024.

    Copyright: © 2024 Helal, Naaman, Alamoudi, El-Housseiny and Jadu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Narmin Helal, King Abdulaziz University, Jeddah, Saudi Arabia

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