Prevalence, etiology, clinical features and management associated with impacted and transmigrated mandibular canines: a systematic review

Abstract Background The occurrence of mandibular canine impaction and/ or transmigration is a rare clinical entity but diagnosis and treatment planning is of clinical significance. The associated etiological factors and the clinical guidelines for the management are still not clear. The aim of this...

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Main Authors: Haritha Pottipalli Sathyanarayana, Ludovica Nucci, Fabrizia d’Apuzzo, Letizia Perillo, Sridevi Padmanabhan, Vincenzo Grassia
Format: Article
Language:English
Published: BMC 2023-12-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03717-1
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author Haritha Pottipalli Sathyanarayana
Ludovica Nucci
Fabrizia d’Apuzzo
Letizia Perillo
Sridevi Padmanabhan
Vincenzo Grassia
author_facet Haritha Pottipalli Sathyanarayana
Ludovica Nucci
Fabrizia d’Apuzzo
Letizia Perillo
Sridevi Padmanabhan
Vincenzo Grassia
author_sort Haritha Pottipalli Sathyanarayana
collection DOAJ
description Abstract Background The occurrence of mandibular canine impaction and/ or transmigration is a rare clinical entity but diagnosis and treatment planning is of clinical significance. The associated etiological factors and the clinical guidelines for the management are still not clear. The aim of this systematic review was to summarize the available data to report the prevalence and identify the etiological factors, clinical features, and various treatment outcomes in patients with mandibular canine impaction and/or transmigration. Methods The review protocol was registered in PROSPERO (CRD42021222566) and was conducted and reported according to the PRISMA and Cochrane Handbook / Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. A computerized search of studies published up to April 30, 2023, was conducted using the following databases: Medline, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Scopus, Web of Science, and Latin American and Caribbean Health Sciences Literature. A manual search of the reference and citation lists of eligible articles and existing systematic reviews for any additions were also conducted. The Newcastle–Ottawa Scale quality assessment tool was used to assess the studies' quality. Results After removing 6 duplicates, 3700 articles were identified. For the final analysis, 19 studies published between 1985 and 2023 met all the eligibility criteria and were included. A total of 7 studies presented as good and 12 studies presented as satisfactory. Patients were screened in ten studies and diagnostic records from archives were retrieved in nine studies. The total number of diagnostic records screened was 138.394, and the total number of patients from the included studies was 43.127. Conclusions Based on the findings from this systematic review, the prevalence of mandibular canine impaction ranged from 0.008% to 1.29% while canine transmigration from 0.12% to 0.98%. Crowding of the mandibular arch, the presence of a retained deciduous canine, and odontoma or cyst are the etiological factors more commonly associated with mandibular canine impaction and or transmigration. Surgical extraction and surgical exposure followed by orthodontic traction are the two most frequently carried out treatment modalities in the management of mandibular canine impaction and or transmigration.
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spelling doaj.art-bbb0f09a7b6b425db48f1acdd3425cbd2023-12-10T12:34:09ZengBMCBMC Oral Health1472-68312023-12-0123111610.1186/s12903-023-03717-1Prevalence, etiology, clinical features and management associated with impacted and transmigrated mandibular canines: a systematic reviewHaritha Pottipalli Sathyanarayana0Ludovica Nucci1Fabrizia d’Apuzzo2Letizia Perillo3Sridevi Padmanabhan4Vincenzo Grassia5Department of Orthodontics and Dentofacial Orthopaedics, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education and Research (SRIHER)Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi VanvitelliMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi VanvitelliMultidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi VanvitelliDepartment of Orthodontics and Dentofacial Orthopaedics, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education and Research (SRIHER)Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi VanvitelliAbstract Background The occurrence of mandibular canine impaction and/ or transmigration is a rare clinical entity but diagnosis and treatment planning is of clinical significance. The associated etiological factors and the clinical guidelines for the management are still not clear. The aim of this systematic review was to summarize the available data to report the prevalence and identify the etiological factors, clinical features, and various treatment outcomes in patients with mandibular canine impaction and/or transmigration. Methods The review protocol was registered in PROSPERO (CRD42021222566) and was conducted and reported according to the PRISMA and Cochrane Handbook / Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. A computerized search of studies published up to April 30, 2023, was conducted using the following databases: Medline, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Scopus, Web of Science, and Latin American and Caribbean Health Sciences Literature. A manual search of the reference and citation lists of eligible articles and existing systematic reviews for any additions were also conducted. The Newcastle–Ottawa Scale quality assessment tool was used to assess the studies' quality. Results After removing 6 duplicates, 3700 articles were identified. For the final analysis, 19 studies published between 1985 and 2023 met all the eligibility criteria and were included. A total of 7 studies presented as good and 12 studies presented as satisfactory. Patients were screened in ten studies and diagnostic records from archives were retrieved in nine studies. The total number of diagnostic records screened was 138.394, and the total number of patients from the included studies was 43.127. Conclusions Based on the findings from this systematic review, the prevalence of mandibular canine impaction ranged from 0.008% to 1.29% while canine transmigration from 0.12% to 0.98%. Crowding of the mandibular arch, the presence of a retained deciduous canine, and odontoma or cyst are the etiological factors more commonly associated with mandibular canine impaction and or transmigration. Surgical extraction and surgical exposure followed by orthodontic traction are the two most frequently carried out treatment modalities in the management of mandibular canine impaction and or transmigration.https://doi.org/10.1186/s12903-023-03717-1Mandibular canineImpactionTransmigrationPrevalenceEtiologyTreatment
spellingShingle Haritha Pottipalli Sathyanarayana
Ludovica Nucci
Fabrizia d’Apuzzo
Letizia Perillo
Sridevi Padmanabhan
Vincenzo Grassia
Prevalence, etiology, clinical features and management associated with impacted and transmigrated mandibular canines: a systematic review
BMC Oral Health
Mandibular canine
Impaction
Transmigration
Prevalence
Etiology
Treatment
title Prevalence, etiology, clinical features and management associated with impacted and transmigrated mandibular canines: a systematic review
title_full Prevalence, etiology, clinical features and management associated with impacted and transmigrated mandibular canines: a systematic review
title_fullStr Prevalence, etiology, clinical features and management associated with impacted and transmigrated mandibular canines: a systematic review
title_full_unstemmed Prevalence, etiology, clinical features and management associated with impacted and transmigrated mandibular canines: a systematic review
title_short Prevalence, etiology, clinical features and management associated with impacted and transmigrated mandibular canines: a systematic review
title_sort prevalence etiology clinical features and management associated with impacted and transmigrated mandibular canines a systematic review
topic Mandibular canine
Impaction
Transmigration
Prevalence
Etiology
Treatment
url https://doi.org/10.1186/s12903-023-03717-1
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