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Keeping your eye on the ball.

Dentigerous cysts develop from unerupted and impacted permanent teeth. Very rarely, supernumerary teeth are associated with dentigerous cysts and constitute about 5-6% of all dentigerous cysts. Although these cysts are not common in the first decade of life, regular thorough inspection of radiographs is of importance, as indicated by this case report. This case shows how an impacted supernumerary canine developed a dentigerous cyst, engulfing the whole of the maxillary antrum.

Child↗

Supplemental mandibular central incisor.

Most of the supernumerary teeth are located in anterior maxillary region with their presence giving rise to a variety of clinical problems. Occurrence of supernumerary supplemental mandibular central incisor is a rare phenomenon. This case report describes a rare case of supernumerary supplemental mandibular central incisor which had erupted labially causig mild crowding in the anterior midline region.

Adolescent↗

[Supernumerary teeth. A case report].

The observation of a clinical case with 10 supernumerary teeth was used as the basis for some remarks on the possible aetiopathogenesis of this anomaly.

Adolescent↗

A case of bilateral supplemental maxillary central incisors.

A case of bilateral supplemental maxillary central incisors is presented. Treatment comprised of extraction of one supplemental and two lateral incisors, preservation of one supplemental incisor, finishing with a 'Cyclops' arrangement of the teeth. The handling of supernumerary teeth in general is discussed.

Adolescent↗

[A second generation of premolars in the mandible].

Two developing supernumerary bicuspids were noticed accidentally in the mandible of a 12 years old girl when evaluating an impacted 35 on a radiograph. The development of these teeth was followed, but at a later stage they were removed. In a 17 years old man multiple complete developed bicuspids were seen on a radiograph. The backgrounds and treatment concerning supernumerary bicuspids in the mandible are discussed.

Adolescent↗

Supernumerary molar teeth: observations in the skulls.

OBJECTIVE: To study the prevalence of supernumerary molar teeth in the skull collection of the Zimbabwe Museum of Human Sciences. DESIGN: Cross sectional anatomical observations on human skulls. SETTING: Zimbabwe Museum of Human Sciences, Harare, and the Department of Anatomy, University of Zimbabwe, Mount Pleasant, Harare. SUBJECTS: 153 skulls with intact maxillae and 112 mandibles from the skeletal collections of the Zimbabwe Museum of Human Sciences representing the Black Zimbabwean population. MAIN OUTCOME MEASURES: Observations on the presence and location of supernumerary molars in the upper and the lower jaws of the human skulls as well as the diameters of supernumerary molars. RESULTS: Two fourth molars were observed in two upper jaws and their prevalence was 0.76%. One fully erupted fourth molar was observed on the left side of the upper jaw distal to the third molar in the alveolar arch of the female skull aged 40 years. Another impacted fourth molar was observed on the right side of the upper jaw of the female aged less than 25 years and was present on maxillary tuberosity. No fourth molars were observed in lower jaw collections. CONCLUSIONS: It appears that the supernumerary molars occur rarely. It would be appropriate to evaluate the prevalence of supernumerary teeth in Zimbabwean population based on clinical and radiological examination rather than observations in the skulls.

Adult↗

[A rare case of hyperodontia].

A rare case of hyperdontia is described to demonstrate that under favourable conditions supernumerary, normally formed teeth must not be extracted, but can be fully included in the planning of orthodontic treatment.

Adolescent↗

The effect of the position and orientation of unerupted premaxillary supernumerary teeth on eruption and displacement of permanent incisors.

The hospital records of 101 consecutive patients admitted for removal of premaxillary supernumerary teeth were examined. From the clinical notes and preoperative anterior occlusal radiographs the following information was noted: the position and orientation of the supernumerary teeth, and whether they caused delayed eruption, rotation or displacement of the associated permanent incisors. There were 140 supernumerary teeth (mean per child = 1.39). Delayed eruption of permanent incisors occurred in 56% of cases. Supernumerary teeth situated between central incisors caused eruption delay infrequently, but were associated with rotation and displacement of permanent incisors more frequently than those that overlapped the incisors on the radiographs. Supernumerary teeth that were orientated vertically caused eruption delay more frequently than those that were inverted, but the orientation of supernumerary teeth did not influence rotation or horizontal displacement of the permanent incisors.

Adolescent↗

Three-dimensional evaluation of a rare case with multiple impacted teeth using CT.

A 15-year-old patient is presented with 11 impacted teeth including 2 supernumerary teeth, who did not exhibit hereditary or clinical disease. The patient showed the extruded and lingually inclined lower incisors, the anteriorly inclined palatal plane, extremely large curve of Spee, and crowding in the bone. A detailed description of the positional relationship between each impacted tooth and the neighboring tooth was given using the 3D CT-image.

Adolescent↗

Supernumerary premolars associated with dens evaginatus: report of 2 cases.

Dens evaginatus is a dental anomaly found predominantly in people of Mongoloid origin. Dentists practising in Western countries should also be aware of this condition because of the increasing migration of people from Asia. Supernumerary premolars are uncommon but may be found incidentally during radiographic examination of teeth with dens evaginatus. This article reports 2 cases of concomitant occurrence of supernumerary premolars and dens evaginatus. The presence of a supernumerary premolar in 1 quadrant is an indication for radiographic examination of all other premolar regions.

Bicuspid↗