Permanent Mandibular Canines Research Articles

Root canal morphology of permanent mandibular anterior teeth in a Pakistani population: A cone beam computed tomography assessment.

To investigate the incidence of accessory canals and the variation in root canal morphology of permanent mandibular incisors and canines in Pakistani population using Cone Beam Computed Tomography (CBCT). A cross-sectional study was conducted in University College of Dentistry, The University of Lahore, Pakistan after getting institutional ethical permission from January 2020 to September 2022. The data included records of 111 patients consisting of 444 permanent mandibular incisors and 222 permanent mandibular canines. Accessory root, root canals and Vertucci canal configuration for each tooth was recorded. Data analysis was done using SPSS v20. Descriptive statistics were calculated for each anatomical parameter. Chi-square test was applied to determine association of gender with the presence of accessory roots and root canals. Among the 111 records evaluated, 48.6% were males and 51.4% were females. No accessory root was found in the central and lateral incisors. However, an accessory root was found in 4.9% of the canines. The incidence of accessory canals in the central incisors, lateral incisors and canines was 18.9%, 25.2% and 10.4% respectively. The most common canal configuration in teeth with accessory canals was Type-III, followed by Type-II and Type-V. None of the central or lateral incisor showed accessory root while it was detected in 4.9% canines. The frequency of accessory root canal was found to be 18.9%, 25.2% and 10.4% in central incisors, lateral incisors and canines respectively. The most common canal configuration was Type-I, followed by Type-III and Type-II. Type-V, VI and VII were less common.

Mandibular Intercanine Width at Three Stages of Mixed Dentition in Children at Namakkal District: A Cross-sectional Study.

To assess and compare the mandibular intercanine width (ICW) of children at three stages of mixed dentition in children at Namakkal district. An analytical cross-sectional study was conducted among 135 schoolchildren aged 7-11 years, with 45 children in each group. Group I included children with completely erupted permanent mandibular central incisors, group II included children with completely erupted permanent mandibular central and lateral incisors, and group III included children with completely erupted permanent mandibular central incisors, lateral incisors, and canines. Impressions were made in the mandibular anterior region, and study casts were prepared. Measurements of the mandibular ICW were taken using a digital vernier caliper. The mean mandibular ICW after the complete eruption of permanent mandibular central incisors, lateral incisors, and canines was 23.7, 25.5, and 25.7 mm, respectively. There was a statistically significant difference in the ICW between the three groups (p < 0.001). Post hoc tests showed that mandibular ICW was statistically significant between groups I and II and group III (p < 0.001). Linear regression analysis showed that age does not contribute to the changes in mandibular ICW. The average mandibular ICW found can be a standard comparison for treatment planning in the western Tamil Nadu population. Mandibular ICW reaches its maximum after the eruption of permanent mandibular lateral incisors. Changes in mandibular ICW should be attributed to the eruption of permanent mandibular anterior teeth and not to the age of the child. Balaraman C, Asokan S, Pollachi Ramakrishnan GP, et al. Mandibular Intercanine Width at Three Stages of Mixed Dentition in Children at Namakkal District: A Cross-sectional Study. Int J Clin Pediatr Dent 2024;17(7):737-741.

Variations in the Root Form and Root Canal Morphology of Permanent Mandibular canine.

Mandibular canines are recognized as usually having one root and one root canal in most cases. However, many investigators have reported the anatomical variations associated with mandibular canines. Thus; the objective of this study is to determine the number of roots and morphology of the root canal system of permanent mandibular canine in a Nepalese population. Cone Beam Computerized Tomography images of 390 patients in a Nepalese population were selected, and a total of 780 mandibular canines were analyzed. The number of root and the canal configurations were investigated. Data were analyzed with descriptive analysis and Chi-square tests using the Statistical Package for the Social Sciences (SPSS) software version 20 (SPSS Inc, Chicago, IL, USA). Out of the 780 mandibular canines, 741(95%) were single-rooted canines while only 39 (5%) were double-rooted canines. The most common type of Vertucci in single-rooted canines was Type I (1-1) in the percentage of 85.6% and the least type was Type IV (1-2) in the percentage of (2.5%). The Chi-square tests showed no significant association between gender and number of roots (P = 0.87) and gender and root canal configuration in single-rooted canine (P = 0.52). All mandibular permanent canines were single rooted but 5.2% of the permanent mandibular canines had two roots.

Human-like enamel growth in Homo naledi.

A modern pattern (rate and duration) of dental development occurs relatively recently during human evolution. Given the temporal overlap of Homo naledi with the first appearance of fossil Homo sapiens in Africa, this small-bodied and small-brained hominin presents an opportunity to elucidate the evolution of enamel growth in the hominin clade. Here we conduct the first histological study of two permanent mandibular canines and one permanent maxillary first molar, representing three individuals attributed to H. naledi. We reconstruct the rate and duration of enamel growth and compare these findings to those reported for other fossil hominins and recent humans. Thin sections of each tooth were produced using standard histological methods. Daily and longer period incremental markings were measured to reconstruct enamel secretion and extension rates, Retzius periodicity, canine crown and molar cusp formation time. Daily enamel secretion rates overlapped with those from recent hominins. Canine crown formation time is similar to that observed in recent Europeans but is longer than canine formation times reported for most other hominins including Australopithecus and H. neanderthalensis. The extended period of canine formation appears to be due to a relatively tall enamel crown and a sustained slow rate of enamel extension in the cervical portion of the crown. A Retzius periodicity of 11 days for the canines, and nine days for the molar, in H. naledi parallel results found in recent humans. An 11-day periodicity has not been reported for Late Pleistocene Homo (H. erectus, H. neanderthalensis) and is rarely found in Australopithecus and Paranthropus species. Enamel growth of H. naledi is most similar to recent humans though comparative data are limited for most fossil hominin species. The high Retzius periodicity values do not follow expectations for a small-brained hominin.

Transmigrated Kissing Canines: A Case Report of Bilateral Impacted Mandibular Canines

Mandibular canines, also known as the “cornerstone” of the dental arch, are important factors for dental arch stability, masticatory function, and maintaining natural facial expressions and aesthetics. Due to their eruption pattern and sequence, canines are prone to impactions with a 20 times higher frequency for maxillary canines than mandibular canines. Bilateral impactions of permanent mandibular canines are rare occurrences with a low incidence of 0.12%. Migration of teeth is a frequently documented ectopia. However, pre-eruptive migration across the midline of the arch is an unusual occurrence known as transmigration. Hereby the authors presents a 29-year-old female patient who reported with pain and swelling of the anterior mandible. On examination, it was revealed to be associated with bilaterally impacted permanent mandibular canines associated with transmigration. The case was managed by surgical extraction of both impacted teeth leading to resolution of the pain and swelling.

Morphological variation of gubernacular tracts for permanent mandibular canines in eruption: a three-dimensional analysis.

This study aims to evaluate the morphological features of gubernacular tract (GT) for erupting permanent mandibular canines at different ages from 5 to 9 years old with a three-dimensional (3D) measurement method. The cone-beam CT images of 50 patients were divided into five age groups. The 3D models of the GT for mandibular canines were reconstructed and analysed. The characteristics of the GT, including length, diameter, ellipticity, tortuosity, superficial area, volume, and the angle between the canine and GT, were evaluated using a centreline fitting algorithm. Among the 100 GTs that were examined, the length of the GT for mandibular canines decreased between the ages of 5 and 9 years, while the diameter increased until the age of 7 years. Additionally, the ellipticity and tortuosity of the GT decreased as age advanced. The superficial area and volume exhibited a trend of initially increasing and then decreasing. The morphological variations of the GT displayed heterogeneous changes during different periods. The 3D measurement method effectively portrayed the morphological attributes of the GT for mandibular canines. The morphological characteristics of the GT during the eruption process exhibited significant variations. The variations in morphological changes may indicate different stages of mandibular canine eruption.

The location of the permanent mandibular canine as identified in orthopantomograms from children younger than 5 years of age: a case series study

AimThe aim of this case series study is to describe where the crowns of the permanent mandibular canines are located in early childhood in relation to the preceding primary canines.Materials and methodsFrom a sample of 31 orthopantomograms from children, younger than 5 years of age, the location of the mandibular canines was analysed by visual inspection. The radiographs were taken due to different deviations in the dentition and forwarded during a period of 28 years for elucidating different diagnostic questions. From an embryological point of view, the primary canine was considered as a stable structure in the jawbone. A longitudinal axis through the primary canine was named the canine axis. The initial site of the permanent crown was the site, where the permanent lamina “placed” the tooth bud for final development. A normal site was determined when the canine axis passed though the permanent crown and a pathological site was determined when this did not happen.ResultsNormal sites for the permanent crowns were observed in 19 cases and abnormal sites in 8 cases. In four cases, the interrelationship between the canine axis and the permanent crown could not be decided. The study demonstrated that the tooth germ for the permanent canine can start initial formation misplaced distally or mesially to the preceding primary tooth.ConclusionThe study demonstrates different malpositions of the initial crowns of the permanent mandibular canines in children younger than 5 years of age. The results are considered of importance for future understanding of the aetiology behind ectopic mandibular canines.

Sexual dimorphism in permanent mandibular and maxillary canines of Sri Lankan Sinhalese population

Introduction: Sexual dimorphism is one of the most important implications in forensic investigations and anthropological studies. Teeth are becoming a good source of material for gender determination. The canine is the most preferred tooth for gender determination because the canine is the strongest tooth in the oral cavity. Objectives: To investigate sexual dimorphism in permanent mandibular and maxillary canines of a Sri Lankan Sinhalese population, and to ascertain the most suitable dimension (labiolingual, mesiodistal and crown height) to determine the sex of an individual. Materials &amp; Methods : The study was conducted using 384 dental casts (Males 192, Females 192) aged between 18 and 25 years in a sample of the Sri Lankan population. According to a selection criterion, casts were selected using a convenient random sampling technique. Mesio-distal, Bucco-lingual and Crown height of all the canines in the casts were measured using a digital vernier caliper accurate to 0.01 mm. Results : Statistical analysis was performed using Minitab 17 and SPSS (Version 21). Unpaired sample t-test, paired sample t-test and point-biserial correlation were used for data analysis. The present study revealed that males show larger mean dimensions of canine teeth than females. Out of all four canines, mandibular canines show highly consistent results for sexual dimorphism. Further, crown height is the best measurement to evaluate sexual dimorphism. Conclusion : It can be concluded that out of all the four canines, mandibular canines show highly consistent results for sexual dimorphism. Moreover, crown height is the best measurement to evaluate sexual dimorphism, in identifying an unknown .

Accuracy of dental calcification stages for the identification of craniofacial pubertal growth spurt: proposal of referral parameters.

This study primarily aimed to assess the accuracy of radiographic dental calcification parameters for the identification of specific craniofacial growth stages. Permanent mandibular canines, premolars, and second molars of 288 patients, from 6 to 15years old, were analysed on randomly selected panoramic radiographs, and categorised according to two calcification methods. Reproducibility analyses and data derived from panoramic records were correlated with the gold-standard method, as evaluated from lateral cephalometric teleradiographs. Accuracy tests were finally calculated, considering several cutoff points. Dental calcification methods showed "strong" to "almost perfect" intra- and inter-examiner reproducibility. Significant, although weak correlations were observed for all parameters. Canine and first premolar calcification stage 8 and second premolar and second molar stage 7 showed higher sensitivity rates for identifying the pubertal growth spurt period, as well as the stage F for these teeth. Canine and first premolar stages 10 and H obtained higher specificity rates for identifying the absence of post-pubertal period. The dental calcification parameters showed adequate reproducibility, in addition to significant correlations with cervical vertebrae stages. Radiographic dental calcification parameters used for the mandibular first premolar obtained high accuracy rates and were recommended for identifying specific craniofacial growth periods.

Intra osseous transmigration of mandibular canines – A report of two cases

Background: A canine is classified as "transmigrated" when it crosses the midline. Transmigration of mandibular canines bilaterally is an extremely rare developmental dental ectopia with obscure etiology. Case Description:A 13 year old female and 10 year old male patient reported to the department with the chief complaint of missing teeth in the upper front teeth region and retained deciduous tooth in the lower front teeth region respectively. Panoramic radiographs revealed horizontally impacted permanent mandibular canines crossing the midline and located below the apices of the incisors. Based on the clinical, radiographic and CBCT findings, a diagnosis of transmigration of mandibular canines was established.Conclusion: Dental anomalies and pathologies such as cystic lesions, odontoma and root resorption of the adjacent teeth have been reported to be associated with transmigrated canines. Early diagnosis by radiographic evaluation and correction either by orthodontic intervention or by surgical transplantation is important to protect oral structures and preserve the canines to ensure facial harmony and improved function.

Positional factors affecting the surgical management of impacted permanent mandibular canines.

To assess which positional factors influence the decision to surgically remove or expose an impacted mandibular canine. Clinical and radiographic assessment are important considerations when treatment planning for the management of impacted mandibular canines. A cross-sectional study. The Royal Surrey County Hospital, Guildford, UK. The clinical notes and orthopantomogram radiographs were assessed for all patients aged 21 years or under who underwent surgical management of impacted mandibular canine teeth between 2017 and 2019. The following variables were recorded: angulation, horizontal position, vertical height, overlap of the adjacent tooth and bucco-lingual position of the canine. From the 67 patients and 77 canines included, surgical extraction was performed for 48 canines (62%) and surgical exposure was performed for 29 canines (38%). Chi-square and multivariable logistic regression revealed canine angulation to the midline, horizontal position of the canine root apex, vertical height of the canine crown and canine overlap of the adjacent tooth to be associated with the decision to remove or expose an impacted permanent mandibular canine (P < 0.001). The bucco-lingual position of the canine did not influence the decision to remove or expose an impacted permanent mandibular canine (P = 0.159). The decision to expose or remove an impacted mandibular canine is guided by its angulation, horizontal position and vertical position, and by the degree of overlap of the adjacent tooth. However, the bucco-lingual position is not related to the decision to surgically remove or expose an impacted permanent mandibular canine.

Buccolingual root dimension of permanent mandibular canines as a complementary estimator of sex: a pilot study

Objective: To evaluate the potential of the buccolingual dimension of the permanent mandibular canine roots as a sex estimator, using midsagittal cone-beam computed tomography images. Methods: In this retrospective study, 58 Portuguese patients (27 female and 31 male) aged 18-60 years were assessed. The maximum buccolingual dimension of the cervical root was measured in the midsagittal plane through cone-beam computed tomography images. The Bland-Altman method was applied for the reliability analysis, and a receiver operating characteristics (ROC) curve was obtained for accuracy analysis. Results: The buccolingual root dimension on the mandibular canine showed statistically significant differences between sexes (t56 df = 4.871; p&lt;0.0005). The optimal cut-off to differentiate males from females was 6.64 mm. The area under the curve (AUC) was 83.5% (p&lt;0.0005). An overall accuracy of 79% was obtained. The percentage of males correctly estimated was 77.4%, compared to 81.5% of females. Conclusions: Our data suggest that canines’ buccolingual root dimension can serve as a complementary tool for sex estimation in a forensic context.

Root and Root Canal Morphology of Permanent Mandibular Anterior Teeth in a Sample of Egyptian Population

Objectives The aim of this work was to study the morphology of root and root canals of permanent mandibular anterior teeth in a sample of the Egyptian population. Methods A total of 16 permanent mandibular central incisors (I1), 25 permanent mandibular lateral incisors (I2) and 15 permanent mandibular canines (C) were collected and classified into groups according to shape and number of roots. Molds of pink wax with the samples were submitted for cone beam computed tomography (CBCT). The number and shapes of roots were determined and types of root canals were assessed and classified according to Vertucci's classification. Finally, data was statistically analyzed. Results Regarding the macroscopic appearance of I1, all the samples had one root while I2 had one root with 92%. As for C, 80% of the sample was with one root. CBCT revealed the following configurations, according to Vertucci's classification; Regarding I1, Type I was the most common canal configuration (75%) followed by type II (12.5%) and type III (12.5%) Regarding I2, Type I (60%) was the most common configuration followed by type III (28%). As for C, 66.7% of the sample was represented by type I followed by type III and IV, where each was represented by 13.3%. Conclusions There are morphological variations in the root and root canal anatomies of the mandibular central incisors, lateral incisors, and canines of Egyptian population as compared to other populations.

An assessment of root stage of canine and premolar teeth at alveolar eruption.

The primary aim was to evaluate the degree of root development of permanent canines at the time of alveolar eruption. We also aimed to assess whether differences in the degree of root development at alveolar eruption exist between permanent canines and premolars and between maxilla and mandible. A cross-sectional study. Barts and The London School of Medicine and Dentistry, Queen Mary University of London. Two hundred dental panoramic radiographs taken as part of routine dental care. Radiographs were assessed for canine and premolar root development stage and eruption level with calibration and repeat measurements undertaken. Two hundred and sixty teeth were identified as being at the level of alveolar eruption. The majority of maxillary canines reached alveolar eruption when root formation was complete. Most premolars and mandibular canines reached alveolar eruption when roots were three-quarters developed. At alveolar eruption, canines were statistically more mature than premolars (p<0.001) and maxillary teeth were more mature than mandibular teeth (p<0.05). Root development appears to be particularly advanced for maxillary permanent canines, being essentially root-complete at alveolar eruption, while premolars and mandibular permanent canines appear to have three-quarters root development at this stage. This information may be used to inform whether and when to extract primary teeth for orthodontic reasons.

Mono-Radicular mandibular canine with complex canal anatomy — A unique case report

A comprehensive knowledge of the root canal anatomy is essential for successful endodontic treatment. However, presence of anatomic variation in the tooth can be diagnostically and technically challenging and hence may pose difficulties during endodontic therapy. The anatomical variations associated with permanent mandibular canines have been reported by several investigators. Mandibular canines are recognized as usually having one root with one root canal in majority of cases. The occurrence of two root canals in single-rooted mandibular canine is considered unusual in Indian population. This case report describes non-surgical endodontic management of right permanent mandibular canine having one root with two canals and one apical foramen (Vertucci Type II).

Stress analysis of over-denture abutments treated with two obturation techniques

Aim: Evaluation of stresses induced on over-denture abutments endodonticaly treated with two different obturation techniques.Materials and methods: eight mandibular permanent canines were inserted in four pesudo-realistic models. In each model two canines were placed in it. One canine was treated with lateral obturation technique and the other canine with vertical obturation technique. Four over-denture prostheses were fabricated on the four models. Then strain gauges were attached on the coronal one third of the root buccally and lingually for all eight canines. A metal rod was placed occlusally on the premolar –molar area, and a 50 N load was applied on the middle of the rod using the universal testing machine. Readings were collected. Results: from the collected data the lateral obturation showed 85.25±104.901 µε and the vertical obturation showed 4.875±3.555 µε with significance difference of P&lt;0.05 between the groups.Conclusion: it can be concluded that the abutments treated with vertical obturation techniques reduced the stresses induced to the supporting structures when compared with the lateral condensation technique.

Diagnostic Accuracy of CBCT for Detection of Second Canal of Permanent Teeth: A Systematic Review and Meta-Analysis.

Introduction Missed canal is one of the common reasons for nonsurgical endodontic retreatments. The missed canals were frequently associated with periapical pathology. The aim of this systematic review was to find the diagnostic accuracy of CBCT for detection of the second canal of the root canal system of permanent teeth. Materials and Methods The articles were selected from seven electronic databases according to selection criteria. All eligible studies were judged by the reviewers. The selected studies were checked with the QUADAS-2 tool for risk of bias and applicability concerns. Finally, 12 studies were selected for qualitative and quantitative analyses. The summary estimates of sensitivities and specificities and SROC curves were calculated and drawn by RevMan 5.3 and MetaDTA software. Results Summary estimates of CBCT for detection of second canal anatomy in permanent teeth were 94% sensitivity and 93.1% specificity. 96.6% sensitivity of MB2 was followed by 88.8% sensitivity of maxillary and mandibular premolars and 81% that of mandibular molars. The specificity of 97.6% for premolars was trialed by 85% specificity of mandibular molars and MB2. For permanent mandibular canines, 67% sensitivity and 100% specificity were estimated. CBCT showed more agreement with detecting the second canal with micro-CT, estimating 100% sensitivity and 95.6% specificity. The highest prevalence of the second canal comprised the highest sensitivity of 99.1% and lowest specificity of 77.5%. After the exclusion of case-control studies, a 3% drop of sensitivity from the summary estimate was observed. Multiple spectrum of the second canal had 8.6% higher sensitivity and 4.4% lower specificity than single spectrum. Conclusion CBCT is informative for detecting the second canal. Clinicians should keep in mind that the accuracy can vary in different types of teeth, with the prevalence of second canal across different populations, and with the spectrum of second canal anatomy in spite of the reviewers having postulated overestimation of the findings.

SURGICAL ACCESS OF BILATERAL TRANSMIGRATED IMPACTED MANDIBULAR CANINES: A RARE PHENOMENON - CASE REPORT

Bilateral transmigration of impacted mandibular permanent canines,an extremely uncommon occurrence.The mid-symphyseal region is where,the intraosseous tooth migration takes place.The tooth does not erupt in its usual occusal position and it crosses the mandible\'s midline. Here, a 28 year old male reported to the department of oral surgery,with chief complaints of pain and sensitivity in the lower front teeth region since 1 month. The mandibular right and left deciduous canines were seen to be retained on intraoral inspection. Orthopantomogram revealed mandibular right and left horizontal impacted permanent canines migrated towards the midline and situated below the apices of incisives.The two impacted canines were surgically removed,along with retained deciduous canines were also extracted out normally under local anaesthesia and under preoperative intravenous antibiotic medications. A follow-up on the patient is underway.

Odontometric analysis using CBCT for sexual dimorphism in Egyptian-Fayoum population in case of normal occlusion

Objectives of this study was to evaluate odontometric linear measurements obtained from CBCT software including mesiodistal, tooth length dimensions and enamel thickness of the mandibular canine and mandibular first molar and arch measurements for sexual dimorphism in Egyptian population sample. Material and Methods: The study was carried out on 100 patients who visited the department of oral and maxillofacial radiology, Fayoum University for dental treatments. The study sample were grouped into two groups, group A (50 males) and group B (50 females) aged between 18-25 years old. The teeth which were selected for linear measurements using CBCT in the present study were 100 mandibular permanent canines (Lower 3) and 100 mandibular permanent 1st molar (Lower 6), for each group respectively. The linear measurements were taken on crown width and height, Enamel thickness, arch depth and width. Results: There was a highly significant difference between Male and Female for odontometric measurements of mandibular right and left canines and 1st molars including (CWL3, CLL3, CWL6 and CLL6) while enamel thickness measurements showed non-significant differences between males and females including (ETL3 at cusp tip, ETML6, ETDL6 and ETL6 at mesio-lingual cusp tip). Arch measurements including (ICW, IMW through fossa and IMW through contact) showed high significant differences between males and females. Conclusion: Odontometric parameters including mandibular canine, mandibular first molar crown width and length, inter-canine width and inter-molar width measurements based on CBCT imaging show highly significant gender difference. Thus, the parameters can be simple and reliable sexual dimorphism for medicolegal purpose.

FREQUENCY OF TWO ROOTS IN PERMANENT MANDIBULAR CANINE OF PAKISTANI POPULATION: A CONE BEAM COMPUTERIZED TOMOGRAPHY (CBCT) STUDY

BACKGROUND &amp; OBJECTIVE: Missed root/canal is one of the main causes of endodontic failure. Permanent mandibular canine is considered to be a single rooted tooth. The complex pattern of root canal system poses difficulty in the root canal treatment and the prognosis becomes uncertain if the debridement and obturation of the root canals is not satisfactory therefore our objective of the study is to assess frequency of two roots in permanent mandibular canine of Pakistani population using CBCT scan.&#x0D; METHODOLOGY: A descriptive; retrospective study was planned by using Cone Beam Computerized Tomography (CBCT) images of the past 02 year, i.e. December 2017 till November 2018. Images were assessed for the number of roots in permanent mandibular canines using software NNTVIEWER NewTOM. Data was entered and analyzed using SPSS 21.&#x0D; &#x0D; RESULTS: 134 permanent mandibular canines of 67 patients were studied. 64.2% of the images were of male patients while 35.8% were of females. Mean age of the patients was 48.12 ± 15.92 years. 7 (5.22%) out of 134 canines had two roots. 4 patients (5.97%) had canines with 2 roots of which 3 patients (4.48%) had bilateral two-rooted canines and 1 patient (1.49%) had unilateral two-rooted canines. Frequency of two roots in mandibular canines had no association with gender (p= 0.127).&#x0D; CONCLUSION: All mandibular permanent canines were single rooted but 5.2% of the permanent mandibular canines had two roots.&#x0D;