Diagnostics for upper impacted canines – based on the literature

Impacted canines are the second most common (after the third molars) impacted teeth. Good diagnostics for impacted canines is possible at approx. 10 years of age, when the incorrect angulation of the crown of the tooth can be seen on the panoramic X-ray. The initial assessment of impacted canines includes a basic dental examination (presence of persistent deciduous teeth, lack of erupted permanent canines in the dental arch after the end of tooth eruption) and a palpative examination of alveolar bone in the vestibulum. The diagnostics is based mainly on X-rays: mainly panoramic images, tooth X-rays and occlusal plate pictures. The new tool in the diagnostics of impacted teeth is computed tomography, especially CBCT. The study collates diagnostic methods based primarily on panoramic X-ray images for the assessment and prediction of the spontaneous eruption chances of maxillary canines

Orthodontic and orthodontic-surgical management of impacted canines – a literature review

The phenomenon of impacted canines is observed in about 0.8–4.9% of patients treated orthodontically. In 85% of cases it is observed unilaterally. Besides the third molars, canines are the largest group of impacted teeth. The impacted tooth diagnosis includes clinical and radiological examination. In this particular case, the screening test is a pantomographic X-ray. The full picture of the location of an impacted tooth and adjacent structures can be obtained only through the use of computed tomography. Only a full diagnosis allows a decision to be made as to the treatment of impacted canines and permits an evaluation of the possibility of treatment success. In the case of impacted teeth, the procedures may be varied. Mostly, the tooth is either left in the bone or tracked orthodontically. Rarely is it extracted. In some cases, the surgical procedure includes the autotransplantation of the impacted tooth