Prevalence And Distribution Pattern Of Dilacerated Tooth Among Orthodontic Patients Using Cone-Beam Computed Tomography: A Prospective Multicenter Study. Original Research

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Published: Jan 10, 2024
DOI: https://doi.org/10.56501/intjorthodrehabil.v14i4.942
Keywords:
Dilaceration, CBCT radiography, Pattern of distribution, Tooth movement

Main Article Content

Hasan Sabah Hasan
Orthodontic Department-Azadi Dental Center, General Directorate Of Hawler, Ministry Of Health, Erbil-Iraq.
Shaho Z Al-Talabani
Department of Pedodontics, Orthodontics and Preventive Dentistry, College of Dentistry-Hawler Medical University, Erbil-Iraq.
Sarkawt Hamad Ali
Oral Diagnosis Department, College of Dentistry-Hawler Medical University, Erbil- Iraq
Fedil Andraws Yalda
Department of Oral Diagnosis, College of Dentistry/Hawler Medical University, Erbil-Iraq.
Omar Fawzi Chawshli
Department of Pedodontics, Orthodontics and Preventive Dentistry, College of Dentistry, Hawler Medical University, Erbil-Iraq.
Ayshan Kolemen
Orthodontic Department, Al-Mustaqbal University College Dentistry, Babil-Iraq.
Alaa Elhusseiny Shehata Elgizawy
Orthodontic Department, Perfect Braces Academy, Cairo-Egypt.
Omer Y Mostafa
Orthodontic Department, Cairo University, Cairo-Egypt.

Abstract

Objectives: The objectives of this study were to ascertain the prevalence, distribution pattern, and root shape of dilaceration for each type of tooth, and to examine the association between dilaceration and gender.


Material and Methods: The study was carried out at multiple centers- College of Dentistry at Hawler Medical University, Azadi Dental Center and Khanzad Teaching Center in Erbil City, from 2019-2023. 1420 patients received treatment and were assessed, of which 389 individuals (age range 17-45 years) satisfied the inclusion criteria. Among these, 143 were males (36.8%), 246 were females (63.2%). Three orthodontists conducted clinical examinations using standard diagnostic techniques. Cone beam computed tomography (CBCT) was utilized to determine the location of root deviation, whether it was in the apical, middle, or coronal third of the root.


Results: Statistical analyses employed Pearson's chi-square test and Fisher's exact test. The occurrence of root dilacerations in the jaw was highest in the third molars (79.5%), followed by first molars (6.8%), second molars (6.8%), and second premolars (6.8%). Root dilacerations were most prevalent in the lateral incisors (40.2%) within the maxilla, followed by the canine (26.1%) and central incisors (14.1%). Females had a higher prevalence of tooth dilacerations compared to males. The majority of dilacerations occurred at the apical region (66.1%), with the middle region accounting for 30.6% and the coronal region accounting for 3.3%.


Conclusion: Based on these findings, it is advised that orthodontists conduct a thorough examination of dilacerated teeth during orthodontic treatments. CBCT can serve as a supplementary technique for identifying the arrangement of root dilaceration. Our findings highlight the significance of doing a diagnostic radiographic evaluation prior to devising a treatment plan for permanent teeth.

Article Details

How to Cite
Sabah Hasan , H., Al-Talabani, S. Z., Hamad Ali, S., Andraws Yalda, F., Fawzi Chawshli , O., Kolemen, A., Shehata Elgizawy, A. E., & Mostafa, O. Y. (2024). Prevalence And Distribution Pattern Of Dilacerated Tooth Among Orthodontic Patients Using Cone-Beam Computed Tomography: A Prospective Multicenter Study.: Original Research. International Journal of Orthodontic Rehabilitation, 14(4), 33–44. https://doi.org/10.56501/intjorthodrehabil.v14i4.942
Issue
Vol. 14 No. 4 (2023): International Journal of Orthodontic Rehabilitation
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Articles
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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