An examination of CBCT results for ectopic cuspid impaction: a case report

Authors

  • Cek Dara Manja Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universitas Sumatera Utara, Medan, 20155, Indonesia, Indonesia

DOI:

https://doi.org/10.32793/jrdi.v10i1.1499

Keywords:

Cone-beam computed tomography, cuspid, ectopic, impacted

Abstract

Objectives: This case report aims to examine the image of an ectopic canine impaction using cone beam computed tomography (CBCT).

Case Report: A 23-year-old man came to our hospital with complaints of irregular, spaced teeth and a protruding sensation in his gums. There was no history of systemic disease. CBCT examination was performed. Multiplanar reconstruction showed the position of the impacted canine tooth with the crown facing labially and the root facing palatally. The position of the canine tooth caused the crown and root to penetrate the buccal and palatal cortical bone surfaces.

Conclusion: CBCT 3D effectively assesses the position of the impacted canine tooth, including its crown and root, and evaluates its relationship with surrounding structures. This assessment is crucial for determining treatment prognosis, as conventional radiography may misinterpret the tooth's position.

References

1. Vijayalakshmi K. Textbook of orthodontics. Satish Kumar. 2020. p.180.

2. Premkumar S. Textbook of orthodontics-E-Book. Elsevier Heal Sciences. 2015.p.310,597.

3. Iftikhar A, Jahanzeb T. Comparison between KPG Index and OPG Measurements: Predicting Orthodontic Treatment Duration and Difficulty Level in Impacted Canines. Journal of Islamic International Medical College (JIIMC). 2021 Dec 24;16(4):248-54.

4. Vitria E, Tofani I, Kusdhany L, Bachtiar E. Genotyping analysis of the Pax9 Gene in patients with maxillary canine impaction. F1000Research. 2019;8:254 https://doi.org/10.12688/f1000research.17147.1

5. Arisandy M, Yunus B. Assesment impacted canines of two-dimensional and three-dimensional radiographic techniques. Makassar Dent J. 2024 Dec 1;13(3):421–6.

6. Kashmoola M, Mustafa N, Qader O, Jamaluddin S, Noordin S. Retrospective demographic study on tooth impaction in a Malaysian sample. Journal International Dental and Medical Research. 2019 May 1;12(2):548–52.

7. Alshawy ES, Kolarkodi SH. Revealing the effect of impacted canines on the adjacent teeth. A three-dimensional study using CBCT. Journal of Pharmacy and Bioallied Sciences. 2023 Jul 1;15(Suppl 1):S720-4

8. Tajrin A, Faisal. Surgically removal of maxillary impacted canine: labial and palatal approach. Makassar Dent Journal. 2020 Jul 25;9(2):156–9.

9. Ihlis RL, Giovanos C, Liao H, Ring I, Malmgren O, Tsilingaridis G, Benchimol D, Shi XQ. Cone beam computed tomography indications for interdisciplinary therapy planning of impacted canines. Oral surgery, oral medicine, oral pathology, and oral radiology. 2023 Jan 1;135(1):e1-9

10. Manja CD, Salsabila AD. Variations in Mandibular Interdental Bone Density in Indonesian Type 2 Diabetic Patients in Panoramic Radiograph. Journal of International Dental and Medical Research. 2024 Sep 1;17(3):1172-6.

11. Rachmawati I, Firman R. Klasifikasi impaksi caninus rahang atas pada pemeriksaan radiograf panoramik dan CBCT sebagai penunjang odontomy. Journal Radiologi Dentomaksilofasial Indonesia. 2020 Aug 31; 4(2):35–42.

12. Ahn B, Oh S, Heo C, Kim G, Choi Y, Hwang E. Computed tomography cone-beam foramen mandibula dan lingula untuk anestesi mandibula. Imaging Sci Dent. 2020 Jun; 50(2):125–32.

13. Manja CD, Hanafiah OA, Wulandari P, Nadhira J. Estimation of Mandibular Bone Density Loss in Diabetes Mellitus Using Cone Beam Computed Tomography. Journal of Islamic International Medical College (JIIMC). 2024 Dec 27;19(4):255-60.

14. Lam EWN, Mallya SM. White and Pharoah's Oral Radiology: Principles and Interpretation. 9th Ed. Elsevier.2026. 156–84

15. Ramadhan F, Wulansari D, Epsilawati L. Canalis sinuosus approximation on an impacted maxillary canine: a case report. Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI). 2021 Dec 31;5(3):118–21.

16. Miles D. Color atlas of cone beam volumetric imaging for dental applications. 2nd ed. Chicago: Quintessence Publishing Co; 2013. p. 10.

17. Chaushu S, Sharabi S, Becker A. The use of panoramic radiographs to localize displaced maxillary canines. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2015 Aug;120(2):260–6.

18. Yilmaz H, Demirel O, Kirtay M, Al E. Characteristics of unilaterally impacted maxillary canines and effect on environmental tissues: A CBCT study. Child. 2023 Oct;10(10):1694.

19. Park H, Kim W, Cho S, Lee H, Choi S. Treatment outcomes of impacted maxillary canines in relation to age and radiographic factors. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2018 Jun; 125(6):506–13.

20. Faisal L, Ali M, Khurshid A, Al E. Maxillary sinus and nasal cavity anatomical variants evaluation in adult Karachi population, a CBCT based analysis. Jurnal Islam Internasional Medical College (J Isl Int Med Coll). 2024 Jan;7(1):24–32.

21. Park J, Yoon S, Kim H, Kim Y, Lee U, Yu H. Clinical validity and precision of deep learning-based cone-beam computed tomography automatic landmarking algorithm. Imaging Sci Dent2. 2024 Sep;54(3):240–50.

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Published

2026-04-30

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