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Three‐dimensional evaluations of the digital casts of morphologic maxillary teeth symmetry in patients with unilateral palatally displaced canines

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Introduction: The goal of this study was to compare the size and morphologic symmetry of the maxillary teeth in subjects with and without unilateral palatally displaced canines (PDCs). Methods: Plaster… Click to show full abstract

Introduction: The goal of this study was to compare the size and morphologic symmetry of the maxillary teeth in subjects with and without unilateral palatally displaced canines (PDCs). Methods: Plaster casts of 38 subjects (mean age 14.75 ± 0.95 y) with unilateral PDCs were selected (study group [SG]) and compared with casts from an age‐ and sex‐matched control group (CG). Then dental casts of both groups were scanned into 3‐dimensional (3D) models. Tooth sizes (mesiodistal [MD] and buccolingual [BL] widths and volumes) for SG and CG were measured. Afterward, 3D deviation analysis was carried out with the use of Geomagic Control X software. All of the data were normally distributed according to parametric tests. Results: All of the maxillary tooth diameters were smaller in SG than in CG. Statistically significant differences (P ≤ 0.001) were obtained when comparing the widths and volumes of the PDC quadrant and the unaffected quadrant of the same patient. Morphologic tooth symmetry by surface‐to‐surface matching for SG (PDC side vs non‐PDC side) and CG (right vs left quadrant) demonstrated significant (P ≤ 0.001) but small differences, except for the lateral upper incisors (71.27%). Conclusions: Unlike control subjects, PDC patients showed high mismatching of lateral incisor crowns of ˜30%. HIGHLIGHTSSubjects with unilateral palatally displaced canines were compared with control subjects.Mesiodistal and buccolingual widths were smaller in the PDC group than in the control group.Tooth volumes were smaller on both sides in unilateral PDC subjects than in control subjects.Lateral incisor volume was greater on the PDC side than on the non‐PDC side.

Keywords: unilateral palatally; displaced canines; control; maxillary teeth; palatally displaced; symmetry

Journal Title: American Journal of Orthodontics and Dentofacial Orthopedics
Year Published: 2019

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