ABSTRACT
The aim of this study was to assess the severity of any underlying malocclusion in subjects presenting for treatment of a palatally impacted canine (PIC) using a modification of the Dental Health Component (DHC) of the Index of Treatment Need (MIOTN), which does not factor in the impacted canine. The pre-treatment study models of 54 subjects who had previously undergone surgical exposure of a PIC, followed by fixed appliance orthodontic alignment, were scored independently by two examiners on two occasions using the MIOTN system. Unweighted kappa statistics revealed good intraoperator agreement for the two examiners and a moderate level of interexaminer agreement. Forty-six and 41 per cent of the sample still scored either an MIOTN grade 4 or 5 (i.e. a great or very great need of orthodontic treatment). However, 20 and 25 per cent of the subjects were graded with a MIOTN score of 1 or 2, indicating little or no need for treatment when the PIC was not taken into consideration. This finding emphasizes the importance of early diagnosis of an impacted canine and the need to institute interceptive measures where necessary, as up to 25 per cent of patients might otherwise require no other orthodontic treatment.
Subject(s)
Cuspid/pathology , Health Services Needs and Demand , Malocclusion/classification , Tooth, Impacted/complications , Adolescent , Adult , Child , Early Diagnosis , Humans , Malocclusion/therapy , Needs Assessment , Orthodontics, Interceptive , Palate , Tooth, Impacted/diagnosis , Young AdultABSTRACT
The authors describe a patient who presented with a left sublingual swelling. Ultrasonic and sialographic investigation showed no salivary tissue in the expected left submandibular region, but a large salivary gland in the left floor of the mouth deep to the mylohyoid muscle. This is likely to represent an ectopically positioned submandibular gland.
Subject(s)
Choristoma/diagnostic imaging , Mouth Diseases/diagnostic imaging , Submandibular Gland , Adult , Female , Humans , Mouth Floor/diagnostic imaging , UltrasonographyABSTRACT
Supernumerary teeth are more common in the permanent than the primary dentition. In the latter, the majority occur in the maxillary lateral incisor region or as a mesiodens. Indeed, in one study conducted in the USA, all 26 cases of primary supernumerary teeth examined were found to be lateral incisors. This report describes a case presenting with three erupted supernumerary (supplemental) teeth in the primary dentition, including, somewhat unusually, bilateral duplication of maxillary canines.
