Subclinical Radiographic Alterations in Maxillary Central Incisors Adjacent to Impacted Mesiodens Without Clinical or Radiographic Complications: A Cone-Beam Computed Tomography Study.
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引用次数: 0
Abstract
Background: The subclinical effects of impacted mesiodens without clinical or radiographic complications on adjacent permanent incisors remain unclear.
Aim: This study aimed to assess whether impacted mesiodens without clinical or radiographic complications are associated with quantitative radiographic changes in adjacent maxillary central incisors (MCIs).
Design: This cross-sectional study analyzed cone-beam computed tomography images of 53 patients aged 10-15 years with a unilateral impacted mesiodens using an intraindividual contralateral control design. Mesiodens morphology, position, length, and minimum distance to the adjacent tooth were recorded. Root canal volume and dentin gray values were quantified in the adjacent and contralateral MCIs; associations were tested with nonparametric correlation and multivariable regression analyses (p < 0.05).
Results: Adjacent MCIs showed lower canal volumes and higher dentin gray values than contralateral controls (p < 0.001). Shorter mesiodens-tooth distance was associated with greater canal volume reduction (p = 0.006) and higher dentin gray values (p = 0.002). Mesiodens length was significantly associated with root canal volume reduction (p = 0.013) but not with dentin gray values (p > 0.05), whereas no significant associations were observed for morphological or positional classifications (p > 0.05).
Conclusions: Impacted mesiodens without clinical or radiographic complications may be associated with subclinical radiographic alterations in adjacent MCIs, warranting consideration beyond routine clinical and radiographic assessment.
期刊介绍：
The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide.
International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.
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