Dergiler / Anatolian Current Medical Journal / 2026 / Volume: 8 Issue: 3

The role of angular parameters on panoramic radiographs in the localization of impacted maxillary canines

Anıl Demirel(İNÖNÜ ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0009-0007-1708-0712
Fırat Oğuz(İNÖNÜ ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0001-6040-3790
Sabahattin Bor(İNÖNÜ ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0001-5463-0057
Sayfa
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Yayın Tarihi
2026-05-22
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Conclusions: Angular measurements on panoramic radiographs may assist in differentiating buccal and palatal impactions of maxillary canines and support clinical decision-making.

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Amaç & Hipotez:Aims: To evaluate whether angular measurements obtained from panoramic radiographs can be used to distinguish the buccal or palatal position of impacted maxillary canines.
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Temel Bulgular & Veri:Methods: This retrospective study included 200 impacted maxillary canines (100 buccal, 100 palatal).
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Sonuç & Katkı:Conclusions: Angular measurements on panoramic radiographs may assist in differentiating buccal and palatal impactions of maxillary canines and support clinical decision-making.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:2020-2025 Verileri
⚙️Değişkenler:Impacted maxillary canine · panoramic radiography · angular measurement

Abstract

Aims: To evaluate whether angular measurements obtained from panoramic radiographs can be used to distinguish the buccal or palatal position of impacted maxillary canines. Methods: This retrospective study included 200 impacted maxillary canines (100 buccal, 100 palatal). Panoramic radiographs from 2020-2025 were reviewed, and only cases with corresponding cone-beam computed tomography (CBCT) images were included. Tooth position was confirmed using CBCT. On panoramic radiographs, three angular parameters were evaluated: the angle between the maxillary canine long axis and the midline (alpha), the angle between the canine and lateral incisor long axes (beta), and the angle between the canine long axis and the occlusal plane (gamma). Group comparisons were performed using Mann-Whitney U and Kruskal-Wallis tests. Correlations were analyzed using Pearson or Spearman tests. Reliability was assessed using intraclass correlation coefficients (ICC). Results: Significant differences were found between buccal and palatal groups for all angular measurements (p<0.001). Alpha and beta angles were higher in palatally impacted canines, whereas gamma values were higher in buccally impacted canines. Strong positive correlation was found between alpha and beta, while alpha-gamma and beta-gamma showed negative correlations. Intraobserver and interobserver ICC values exceeded 0.95. Conclusions: Angular measurements on panoramic radiographs may assist in differentiating buccal and palatal impactions of maxillary canines and support clinical decision-making.

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Bu Makaleye Atıf Yap

Demirel, A., Oğuz, F., Bor, S. (2026). The role of angular parameters on panoramic radiographs in the localization of impacted maxillary canines. Anatolian Current Medical Journal, Volume: 8 Issue: 3. https://doi.org/10.38053/acmj.1909739

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Kaynakça (30)

  1. Pop MA, Bucur SM, Porumb A. Permanent canine impaction: a systematic review of incidence, distribution, and etiology. Medicina. 2026;62(4):681. doi:10.3390/medicina62040681
  2. Becker A, Chaushu S. Etiology of maxillary canine impaction: a review. Am J Orthod Dentofacial Orthop. 2015;148(4):557-567. doi:10.1016/j.ajodo.2015.06.013
  3. Mohammad RJ. Orthodontic evaluation of impacted maxillary canine by panoramic radiograph-a literature review. J Med Dent. 2021;9:220-227.
  4. Minhas S, Wu TH, Kim DG, Chen S, Wu YC, Ko CC. Artificial intelligence for 3D reconstruction from 2D panoramic X-rays to assess maxillary impacted canines. Diagnostics (Basel). 2024;14(2):196. doi:10. 3390/diagnostics14020196
  5. Takahama Y, Aiyama Y. Maxillary canine impaction as a possible microform of cleft lip and palate. Eur J Orthod. 1982;4(4):275-277. doi: 10.1093/ejo/4.4.275
  6. Sacerdoti R, Baccetti T. Dentoskeletal features associated with unilateral or bilateral palatal displacement of maxillary canines. Angle Orthod. 2004;74(6):725-732. doi:10.1043/0003-3219(2004)074 2.0.CO;2
  7. Hou R, Kong L, Ao J, et al. Investigation of impacted permanent teeth except the third molar in Chinese patients through an X-ray study. J Oral Maxillofac Surg. 2010;68(4):762-767. doi:10.1016/j.joms.2009.04.137
  8. Baccetti T. A controlled study of associated dental anomalies. Angle Orthod. 1998;68(3):267-274. doi:10.1043/0003-3219(1998)068 2.3.CO;2
  9. Peck S, Peck L, Kataja M. The palatally displaced canine as a dental anomaly of genetic origin. Angle Orthod. 1994;64(4):249-256. doi:10. 1043/0003-3219(1994)064 2.0.CO;2
  10. Jacoby H. The etiology of maxillary canine impactions. Am J Orthod. 1983;84(2):125-132. doi:10.1016/0002-9416(83)90176-8
  11. Counihan K, Al-Awadhi EA, Butler J. Guidelines for the assessment of the impacted maxillary canine. Dent Update. 2013;40(9):770-777. doi: 10.12968/denu.2013.40.9.770
  12. Behera S, Pyne A, Mahawar N, Tandon R. Management of ectopically placed and impacted canine based on their position: a case series. Asian J Oral Health Allied Sci. 2023;13(1):33. 10.25259/AJOHAS_25_2022
  13. Alqerban A, Jacobs R, Fieuws S, Willems G. Comparison of two cone beam computed tomographic systems versus panoramic imaging for localization of impacted maxillary canines and detection of root resorption. Eur J Orthod. 2011;33(1):93-102. doi:10.1093/ejo/cjq034
  14. Hajem S, Brogårdh-Roth S, Nilsson M, Hellén-Halme K. CBCT of Swedish children and adolescents at an oral and maxillofacial radiology department. A survey of requests and indications. Acta Odontol Scand. 2020;78(1):38-44. doi:10.1080/00016357.2019.1645879
  15. Hidalgo Rivas JA, Horner K, Thiruvenkatachari B, Davies J, Theodorakou C. Development of a low-dose protocol for cone beam CT examinations of the anterior maxilla in children. Br J Radiol. 2015;88(1054):20150559. doi:10.1259/bjr.20150559
  16. Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75-80.
  17. Theodorakou C, Walker A, Horner K, et al. Estimation of paediatric organ and effective doses from dental cone beam CT using anthropomorphic phantoms. Br J Radiol. 2012;85(1010):153-160. doi:10.1259/bjr/19389412
  18. Kadesjö N, Lynds R, Nilsson M, Shi XQ. Radiation dose from X-ray examinations of impacted canines: cone beam CT vs two-dimensional imaging. Dentomaxillofac Radiol. 2018;47(3):20170305. doi:10.1259/dmfr.20170305
  19. Clark CA. A method of ascertaining the relative position of unerupted teeth by means of film radiographs. Proc R Soc Med. 1910;3(Odontol Sect):87-90. doi:10.1177/003591571000301012
  20. Sudhakar S, Patil K, Mahima VG. Localization of impacted permanent maxillary canine using single panoramic radiograph. Indian J Dent Res. 2009;20(3):340-345. doi:10.4103/0970-9290.57381
  21. Katsnelson A, Flick WG, Susarla S, Tartakovsky JV, Miloro M. Use of panoramic x-ray to determine position of impacted maxillary canines. J Oral Maxillofac Surg. 2010;68(5):996-1000. doi:10.1016/j.joms.2009.09.022
  22. Nagpal A, Pai KM, Setty S, Sharma G. Localization of impacted maxillary canines using panoramic radiography. J Oral Sci. 2009;51(1):37-45. doi: 10.2334/josnusd.51.37
  23. Mason C, Papadakou P, Roberts GJ. The radiographic localization of impacted maxillary canines: a comparison of methods. Eur J Orthod. 2001;23(1):25-34. doi:10.1093/ejo/23.1.25
  24. Sumer AP, Duran H, Uzun C, Sumer M, Cankaya S. Panoramik radyograflarda gömülü maksiller kanin lokalizasyonunun değerlendirilmesi. Selçuk Univ Dis Hek Fak Derg. 2013;22(2):68-71.
  25. An S, Wang J, Li J, et al. Comparison of methods for localization of impacted maxillary canines by panoramic radiographs. Dentomaxillofac Radiol. 2013;42(8):20130129. doi:10.1259/dmfr.20130129
  26. Dinu Ş, Todor L, Zetu IN, et al. Radiographic methods for locating impacted maxillary canines. Rom J Morphol Embryol. 2022;63(4):599-606. doi:10.47162/RJME.63.4.01
  27. Laurenziello M, Montaruli G, Gallo C, et al. Determinants of maxillary canine impaction: Retrospective clinical and radiographic study. J Clin Exp Dent. 2017;9(11):e1304-e1309. doi:10.4317/jced.54095
  28. Topsakal KG, Gökmen Ş, Uçaker YE, Öztürk T, Yağci A. Assessment of the positional and morphological differences of unilaterally impacted canines: a cross-sectional study. J Stomatol Oral Maxillofac Surg. 2024; 125(4S):101920. doi:10.1016/j.jormas.2024.101920
  29. Guarnieri R, Cavallini C, Vernucci R, Vichi M, Leonardi R, Barbato E. Impacted maxillary canines and root resorption of adjacent teeth: a retrospective observational study. Med Oral Patol Oral Cir Bucal. 2016; 21(6):e743-e750. doi:10.4317/medoral.21337
  30. Razeghinejad MH, Bardal R, Shahi S, Mortezapoor E, Mostafavi M. Volumetric evaluation of maxillary lateral incisor root resorption due to positional variations of impacted canine. Int J Dent. 2022;2022:2626222. doi:10.1155/2022/2626222