Canine Transmigration Research Articles

Unusual intraosseous transmigration of impacted tooth

Transmigration of an impacted tooth through the symphyseal suture is a rare and special developmental anomaly of unknown etiology that is unique to the mandibular canine. Maxillary canine transmigration is even rarer. Transmigrated canines are particularly significant due to the aesthetic and functional importance. A maxillary lateral incisor crossing the mid-palatal suture has never been reported in the literature. The aim of this report is to present the first case of simultaneous transmigration of a lateral incisor and canine in the maxilla. The paper also reports four unusual cases of unilateral canine transmigration in the maxilla and mandible and successful eruption of one of the transmigrated mandibular canines following orthodontic traction. Etiology of transmigration and its clinical considerations are also discussed.

An Unusual Occurrence of Multiple Dental Anomalies in a Single Nonsyndromic Patient: A Case Report

Dental anomalies are the formative defects caused by genetic disturbances or environmental factors during tooth morphogenesis. Simultaneous occurrence of various multiple anomalies has been reported previously, particularly in cases of chromosomal abnormalities that often manifest with multisystem involvement. Very few cases of multiple anomalies have been documented in patients with no known generalized abnormalities. The present paper shows an unusual occurrence of a combination of dental anomalies like mandibular canine transmigration, taurodontism in permanent mandibular molars, congenital agenesis of 14 numbers of permanent teeth excluding third molars, canine impaction, primary molars with pyramidal roots, midline diastema and generalized microdontia in an apparently normal 13-year-old Indian girl.

Frequency and distribution of developmental anomalies in the permanent teeth of a Turkish orthodontic patient population

Background/purpose The aims of this study were to determine the frequency and distribution of developmental anomalies in the permanent teeth of a Turkish orthodontic patient population and determine the relationships between gender and dental anomalies. Materials and methods A retrospective study was performed using pretreatment dental casts, panoramic radiographs, and intraoral photographs of 3165 Turkish orthodontic patients (1940 females and 1225 males) aged 9–25 years. These patients were analyzed for evidence of four types of developmental anomalies (tooth form, number, position, and structural dental anomalies). Descriptive characteristics of these dental anomalies, including gender, jaws, and sides of the jaw were recorded. The Pearson χ 2 test was used for the statistical analysis. Results In 452 (14.3%) of 3165 orthodontic patients, at least one permanent teeth anomaly was detected. Developmental dental anomalies were found in 15.05% of females compared with 13.06% of males. Impacted teeth were the most frequent dental anomaly (4.55%), followed by hypodontia (4.30%), peg-shaped lateral incisors (2.15%), ectopic eruption (1.52%), and hyperdontia (1.30%). Peg-shaped lateral incisors, hypodontia, oligodontia, transposition, transmigrant canines, ectopic eruption of canines, impacted teeth, and amelogenesis imperfecta were more common in females, whereas macrodontia and hyperdontia were more common in males. However, these differences were not statistically significant except for hypodontia and hyperdontia. Conclusion The prevalence of developmental dental anomalies was higher in females than males. Impacted teeth were the most common developmental dental anomaly in this Turkish orthodontic population, followed by hypodontia.

A review of the literature relating to transmigrating canines. An illustrated case report

Canine impaction is not an uncommon finding in the dental literature, but transmigration of mandibular canines is a rare phenomenon, and some of them are far more extreme than others. We report an extremely rare case of bilateral transmigration of impacted permanent canines crossing the midline of the mandible. Clinical Relevance: To understand the role of early interception so that the patient can be treated before canines transmigrate in order to avoid surgical extraction, as well as complex orthodontic and restorative therapies.

Transmigration of impacted canines: prevalence, management and implications on tooth structure and pulp vitality of adjacent teeth

The aim of this study was to estimate the prevalence of transmigrant canines in a sample of panoramic radiographs of a random Greek population, to classify them and evaluate clinically and radiographically all the implications for adjacent teeth. Panoramic radiographs of 3,586 patients retrieved from eight private practices between 1998 and 2009, were examined. Panoramic radiographs with extracted canines were not included in this study. An impacted canine was considered to be transmigrant when at least part of its length had crossed the midline. Six radiographs exhibited transmigrant canines (0.17% of the total sample of panoramic radiographs), of which four were mandibular and two maxillary. Canine transmigration is a rare phenomenon in Greek population. The impact of transmigrant canines on adjacent teeth varied from inclination, calcific metamorphosis and root resorption to no effect. Orthodontic therapy was the treatment of choice for two of the cases, while in the remaining cases the patients were scheduled for periodic recalls. Clinical and radiographic evaluation and early diagnosis are crucial aids in proper treatment planning.

Bilateral Transmigration of Mandibular Canines: A Rare Occurrence

Transmigration is a phenomenon in which an unerupted tooth migrates and crosses the midline. Transmigration of the mandibular permanent canine is a rare phenomenon. We report a case of bilateral transmigrated mandibular canines, which presented as pain in the lower anterior teeth.

The incidence of impacted transmigrant canines: a retrospective study

Objective The aim of this study was to determine the incidence of transmigrant canines in a Turkish subpopulation. The incidences of impacted maxillary and mandibular canines were also determined.

Canine transmigration: comprehensive literature review and report of 4 new Australian cases

Canine transmigration is a rare dental anomaly unique to the mandibular arch, involving intraosseous migration of the unerupted tooth across the midline. Currently, there is a lack of consensus on the definition of transmigration. This report suggests a unified definition of transmigration, that being when a canine has crossed the midline by more than half its length. Numerous publications reporting mandibular canine transmigration therefore cannot be considered as being truly transmigrated. Here we undertake a comprehensive review of the literature, and report 4 new cases of transmigrated mandibular canines, 2 of which present with unique features. One case shows a vertically positioned transmigrated canine, whereas the other shows a horizontally transmigrated canine underlying an impacted canine. Furthermore, this cohort is the first to be reported in an Australian population.

The incidence of canine transmigration and tooth impaction in a Turkish subpopulation

The purpose of this study was to determine the incidence of transmigrated maxillary and mandibular canine teeth and also of the other impacted teeth in a Turkish subpopulation. Five thousand consecutive panoramic radiographs taken of patients who attended the Department of Oral Diagnosis and Radiology, Selcuk University, for routine examination between 2005 and 2007 were examined to identify incidences of transmigrated and impacted teeth. Demographic information of all patients was also recorded. Transmigrations were categorized according to the classification of Mupparapu. The effect of age, gender, and sidedness (left or right side) on the recorded abnormality was evaluated using a t-test. The incidence of transmigrated upper and lower canine teeth was found to be 0.34 per cent [17 patients, 12 females/5 males, with a mean age of 34 years (range 16-76 years)] and 0.14 per cent [7 patients, 4 females/3 males, with a mean age of 37.1 years (range 17-62 years)]. The incidence of tooth impaction was 2.94 per cent [147 patients, 101 females/46 males, with a mean age of 29.7 years (range 15-80 years)]. The most frequently impacted tooth was the upper canine followed by the lower canine, lower second premolar, and upper second premolar. No incidence of maxillary first molar impaction was found. Gender and sidedness did not show a statistical significance on the recorded abnormality (P = 0.22 and P = 0.48, respectively). However, in the 15-29 year age group, this was statistically different (P < 0.05). The incidence of transmigration of impacted mandibular canine teeth was greater than other teeth. With the increased use of panoramic radiographs, it is inevitable that diagnosis of such anomalies will increase.

Transmigrant mandibular canines: a record of 28 cases and a retrospective review of the literature.

The transmigrant mandibular canine is a rare phenomenon. Most authors have described singular cases of unilateral or bilateral occurrence; however, a few authors have published more cases. This paper describes 28 cases exhibiting transmigratory canines. The observations are compared with observations from 39 earlier reports. Women are affected more than men. The left canine undergoes transmigration more commonly than does the right canine. Transmigration and impaction appear to be more common. Most of the patients do not have any symptoms, and these canines are often discovered at the radiological examination before orthodontic treatment. The etiology is obscure; however, abnormal displacement of the tooth bud in embryonic life is a commonly accepted explanation. Prolonged retention of the deciduous canine is a good clinical sign for a thorough radiological examination, preferably including an orthopantomographic radiograph. This would help in preventive measures. However, once established, a transmigrated canine requires surgical extraction. If possible, and if space is available and the patient is willing, all orthodontic efforts should be made to restore the normal position of this functionally very useful tooth in the human dentition.

Palatal and Labially Impacted Maxillary Canine-associated Dental Anomalies: A Comparative Study

To determine the association of impacted maxillary canines with other developmental dental anomalies and compare them with a control population and to compare palatally and labially impacted canine associated anomalies. Ninety non-syndromic orthodontic patients from a south Indian population, with either labial or palatal impactions of one or both maxillary canine teeth, were selected for the study group. A group of 250 patients who had normally erupted maxillary canines were selected as controls. Clinical findings and panoramic radiographs were used to identify dental anomalies. Prevalence of premolar rotation was found to be 80% in the study group followed by canine rotation (20%), taurodontism (26.6%), infraocclusion of premolars (25.5%), impacted mandibular canine (11.1%), and peg lateral (7.7%). Forty-nine (54.4%) palatally impacted, 37 (41.1%) labially impacted, and 4 (4.4%) centrally impacted canines were also observed. Of the 250 subjects in the control group 78.8% presented with premolar rotation. Maxillary canine transmigration, infraocclusion of premolars, anomalies of maxillary lateral incisors, and taurodontism showed significant associations with palatally impacted canines (P<0.05). The present study illustrates a significant association of anomalous maxillary lateral, anomalous mandibular canine, taurodontism, infra occlusion of premolar, over retained deciduous molar, and maxillary canine transmigration with ectopically placed canines. These associations suggest these conditions may share a common genetic origin and existence of these anomalies can anticipate maxillary canine impaction which can help in cautious observation and early treatment for maxillary canine impaction. Anomalous lateral incisors can serve as a predictor for palatal maxillary canine impaction. These anomalies could serve as an easily recognized, early warning sign for the monitoring of the canine position and timely early referral in appropriate cases.

Transmigration of mandibular canines: A report of four unusual Cases

Pre-eruptive migration of the tooth across the midline is termed “transmigration”. Failure of eruption and intraosseous migration of an impacted tooth is an unusual developmental dental anomaly that dental practitioners encounter in daily practice. These are particularly significant if the impacted tooth is a canine due to an aesthetic and functional reason.This article reports rarely seen four cases of mandibular transmigrated canines which were detected incidentally on panoramic radiographs. The presence of an over-retained mandibular deciduous canine or missing permanent canine are the most common findings of an impacted or transmigrated canine and the patient should always be investigated radiographically. With careful examinations of the radiographs, according to the position in the jaws or the pathological entity related with the tooth, most reasonable treatment plan should be decided and carried out or just be kept under periodic radiographic observation.

Transmigration of canines: a review of the literature and report of two cases

Transmigration of canines can be defined as migration of a canine across the midline. All the articles published in the literature on transmigration were reviewed. The Mupparapu's classification of the migratory pattern of the mandibular canines is discussed. Transmigration of maxillary canines is rare, with only nine cases reported recently. We report two cases of mandibular transmigration and discuss important clinical considerations.

Mandibular canine transmigration: aethio‐pathogenetic aspects and six new reported cases

AbstractMandibular canine transmigration is a rare dental ectopia that creates surgical, orthodontic, restorative and interceptive problems. Aethiologic and pathogenetic aspects of mandibular canine transmigration are examined through an international literature review.Six new cases are then presented. All of them involve the left canine in women aged between 7 and 32 years.Finally, a pathogenetic theory is elaborated to explain such long and lasting tooth migration. Two main factors contribute to this movement: a pericoronal osteolitic area and a strong and lasting ‘vis a tergo’ because of the root formation.An early interceptive treatment of mandibular canine migration can avoid tooth extraction as well as complex orthodontic and restorative therapies.

Transmigrant maxillary canines

The objective of this study was to investigate the incidence and pattern of transmigrant maxillary canines. The records of 6000 patients who were presented to our oral and maxillofacial surgery services between January 1998 and January 2007 were reviewed. Observations were made as to the right/left localization and number of transmigrant canines; sex and age of patients; retained deciduous canines; and any other associated pathology. A total of 12 patients presented with transmigrated maxillary canines with 6 females (age 15 to 37) and 6 males (age 17 to 57) in 6000 individuals (0.2%). All transmigrant canines were unilateral. The numbers of left and right transmigrant maxillary canines were equal. Ten individuals in 12 patients had not retained deciduous canines. None of these patients had any pathology associated with impacted canines. The canine transmigration can occur not only in the mandible but also the maxilla. Further studies are necessary to examine this rare phenomenon to allow classification of transmigrant canines in the maxillary arch. Thus, the incidence, demographic factors, and etiology of this phenomenon can be clarified. How transmigrant maxillary canines pass on the contralateral side of the mid palatal suture must be completely clarified.

Transmigrant impacted mandibular canines: A retrospective study of 15 cases

Transmigration of mandibular canines across the midline is rare. The authors describe the clinical and radiologic characteristics of patients with transmigrant impacted mandibular canines. The authors conducted a retrospective observational study of 14 patients with transmigrant canines. They diagnosed transmigrant canines in all of the patients on the basis of the clinical and radiological findings, and they obtained the data from the patients' case histories and panoramic radiographs. They considered a canine to be transmigrant when one-half or more of its length crossed the mandibular midline. There were 15 transmigrated canines in 14 patients aged 16 to 60 years. Primary canines were present in 10 cases. One case involved a pericoronal infection, two involved supernumerary teeth, one was associated with an odontoma, and in two a pericoronal radiolucency was seen that was compatible with a follicular cyst. Treatment consisted of surgical extraction for eight patients, and periodic clinical and radiologic follow-up visits for six patients. Radiographic examination is necessary to diagnose impacted transmigrant canines, among other anomalies. Surgical extraction is the treatment of choice for patients with transmigrant canines involving associated pathology. In some cases, the management of asymptomatic impaction can be limited to periodic clinical and follow-up visits. The absence of the permanent canine within the arch beyond the normal time of eruption suggests the presence of an impacted canine. A transmigrant canine may develop an associated pathology.

Transmigrant Mandibular Canines

The aim of the present study was to investigate the patterns of transmigrant mandibular canines, the incidence and classification of transmigrant canines, and the associated pathology of these teeth. This retrospective cohort study was composed of 4,500 panoramic radiographs of patients who presented to our Oral and Maxillofacial Surgery Services from January 1998 to December 2005. Panoramic radiographs were reviewed. Observations were made on the status of missing permanent mandibular canines, retained deciduous canines, side and number of transmigrant canines, gender and age of patients, and any other associated pathology. In the present study, a total of 15 patients had transmigrated canines-6 females (ages 13-33 years) and 9 males (ages 13-57 years). All transmigrant canines were unilateral. Two canines were impacted in the mandible enveloped in cystic lesions. The rest of the transmigrated canines were in varying stages of intraosseous travel and positioning within the mandible, with no pathological entity. The use of a panoramic radiograph is imperative and is recommended for discovering such rare malpositions. If the mandibular canine that has migrated across the mandible is associated with pathology, it may be removed. Otherwise, it should be kept under observation.

Transmigration of Mandibular Canines: A Report of Six Cases and a Review of the Literature

The transmigration of a mandibular canine is a rare phenomenon, the etiology of which is not clear. The literature on this rare condition is reviewed, and six cases of transmigrated mandibular canines are presented. Panoramic radiographic examination of six patients revealed each patient had one impacted transmigrated mandibular canine. Of the six impacted teeth, the left mandibular canine was involved in four instances and the right in two. In one case the transmigrated canine was associated with a dentigerous cyst. Transmigration of the mandibular canine is a rare event, and early radiographic examination of the patient is important for treatment. In addition, future studies may lead to a better understanding of this rare anomaly and improvement of the classification criteria.

Incidence of canine impaction and transmigration in a patient population.

In this study, 4500 consecutive panoramic radiographs were prospectively reviewed. The incidence of canine impaction was found to be 3.58% and the incidence of canine transmigration was 0.31%. There were six maxillary and eight mandibular transmigrant canines. The incidence of impacted canine teeth and transmigration of maxillary and mandibular canines may be more frequent than was previously thought, at least in some populations.

On the phenomenon of intraosseous migration of nonerupting teeth

Little is know about intraosseous migration of nonerupting teeth, a rare natural condition of horizontal tooth movement and impaction. It occurs only in the mandible and involves primarily the second premolar or the canine. When the second premolar is the affected tooth, it always is found distal to its normal position. The origins of the second premolar intraosseous migration phenomenon are obscure and usually no treatment is recommended. Intraosseous migration involving the canine is commonly called transmigration because the affected canine moves mesially across the mandibular symphysis to the opposite side of the mandible. Analysis of 50 published cases of canine transmigration indicated higher occurrence in women and no sidedness preference. In over 80% of the studied cases, the canine remained nonerupted and, of the 24 cases receiving some treatment, all but two underwent extraction of the anomalous canine. The canine transmigration phenomenon appears to show signs of having some genetic determinants. (Am J Orthod Dentofacial Orthop 1998;113:515-7.)