title: Skeletal features in patient affected by maxillary canine impaction.
abstract: OBJECTIVE
  To analyze the skeletal features of patients with maxillary canine impaction.
  
  
  METHODS
  The complete pre-treatment records of 1674 orthodontic patients were examined. From the subjects with maxillary impacted canine 12 patients were excluded , remaining 108. The subjects with maxillary impacted canine were divided into two study groups: a palatally displaced canine group (PDCG) (77 patients) and a buccally displaced canine group (BDCG) (31 patients). The values of the skeletal features measured on the lateral cephalometric radiograph were compared with a control group (CG) of 121 subjects randomly selected from the initial sample without maxillary canine impaction. The statistical analysis of the difference between the study groups and the CG was tested using χ(2) test and Fisher's exact test. The level of significance was set at P ≤ 0.05.
  
  
  RESULTS
  The CG was characterized by increased values of sella- nasion- A point angle (ANB) and by a retro-positioned or smaller lower jaw. PDCG patients showed normal skeletal features compared to the CG, presenting mainly I class and lower rank of II and III sagittal skeletal features. PDCG subjects presented also normal values of the Steiner vertical skeletal relationship angles with normal facial divergence compared to the CG. PDCG cases were also characterized by horizontal and prognathic growth. BDCG did not present significant differences in skeletal features compared to the CG, except for an increased ANB.
  
  
  CONCLUSIONS
  Palatally displaced canine (PDC) was frequently the only orthodontic problem of patients and was not associated whit altered skeletal features. The frequent absence of malocclusion in PDC patients explains the delayed identification of this problem. BDCG patients did not present significant differences in skeletal features with respect to the orthodontic population (CG). The presence of both buccally displaced canine (BDC) and malocclusion makes the patient with BDC both aware of the need for, and motivated to undergo, orthodontic treatment.
authors.affiliation: Department of Oral and Maxillo-Facial Sciences, Sapienza, University of Rome, Italy.
authors.forename: Emanuele
authors.initials: E
authors.lastname: Mercuri
authors.forename: Michele
authors.initials: M
authors.lastname: Cassetta
authors.forename: Costanza
authors.initials: C
authors.lastname: Cavallini
authors.forename: Donatella
authors.initials: D
authors.lastname: Vicari
authors.forename: Rosalia
authors.initials: R
authors.lastname: Leonardi
authors.forename: Ersilia
authors.initials: E
authors.lastname: Barbato
mesh_terms: D000293:Adolescent; D002508:Cephalometry; D002648:Child; D003481:Cuspid; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla; D012886:Skull / Q000033:anatomy & histology*; D014095:Tooth, Impacted / Q000150:complications; D055815:Young Adult