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PubMed1991

A survey on supernumerary molars.

The contemporary literature concerning the etiology, frequency, and classification of supernumerary teeth, specifically molars, is reviewed in this article. Also, methods for their early detection, as well as the prognosis and treatment of supernumerary molars, are discussed. Eight cases at the University of Athens and 105 others obtained from the literature were subjected to statistical analysis to examine sexual dimorphism and the position, impactions, and bilateral presence of supernumerary molars. Super-numerary molars occurred more frequently in the maxilla (79.7%), often were impacted (88.7%), and were found bilaterally 23.9% of the time. No great difference was found between the sexes in the frequency of supernumerary molars.

Adolescent↗
PubMed2003

The conservative approach to managing unerupted lower premolars -- two case reports.

General dental practitioners frequently refer patients with unerupted premolars for specialist management. The frequency of unerupted lower second premolars in 15-year-old children has been cited as high as 9.7%. Two cases are discussed involving unilateral unerupted premolars, which initially appear to be in unfavourable positions. The first patient was referred at 16 years of age and presented with an unerupted lower left first premolar positioned along the lower border of the mandible. The second patient presented with an unerupted distally inclined, horizontally positioned second premolar impacting on the roots of the first permanent molar. Both cases were reviewed without any treatment, and both premolars erupted into excellent positions. This raises important questions concerning the possible treatment options for such teeth as well as the timing of any interceptive treatment. In cases where premolars are unerupted or impacted, a multidisciplinary approach is indicated involving orthodontics, paedodontics and oral surgery to establish the optimal treatment plan.

Adolescent↗
PubMed1999

Root resorption of mandibular second molar teeth associated with the presence of the third molars.

Although pressure resorption of second molars is associated with impacted and/or erupting third molars, the relationship between pressure resorption and age is unclear. In order to investigate this relationship, 3883 dental radiographs were studied in 3174 individuals of various ages. The incidence of superimposition of the second molar on the third molar was not elevated in any subgroup except that of women of 16-40 years of age. There were no age or sex differences for the incidence of second molar root resorption. In older individuals, root resorption associated with a completely impacted third molar was more frequent than with a partially impacted third molar, and root resorption at the apex was mainly seen in individuals over 50 years of age. There was a higher incidence of superimposition and root resorption in men than women. Apical root resorption may be seen long after the formation of completely impacted third molars in both genders.

Adolescent↗
PubMedDate not supplied

Supernumerary molars. A review of 53 cases.

Supernumerary molars are not uncommon and may be found nearly anywhere in the dental alveolar arches. A series of 36 patients that presented with 53 supernumerary molars are reviewed. They occurred more frequently in the maxilla (86.8%), had little or no clinical significance, tended to be impacted, and were not associated with the impactation of the third molar. Four cases of maxillary fifth molars are described.

Adolescent↗
PubMed1986

Oral surgery. Basic techniques.

Some of the clinical problems most frequently seen in veterinary dentistry and their surgical solutions are discussed. Extraction of teeth, surgical repositioning of teeth, tooth transplant, oral abscesses of tooth origin, impaction of teeth, repair of maxillary canine oronasal fistula, and simple techniques for oral wiring are among the issues considered.

Animals↗
PubMed2003

Cone beam volume tomography: an imaging option for diagnosis of complex mandibular third molar anatomical relationships.

Complex impacted third molars present potential treatment complications and possible patient morbidity. Objectives of diagnostic imaging are to facilitate diagnosis, decision making, and enhance treatment outcomes. As cases become more complex, advanced multiplane imaging methods allowing for a 3-D view are more likely to meet these objectives than traditional 2-D radiography. Until recently, advanced imaging options were somewhat limited to standard film tomography or medical CT, but development of cone beam volume tomography (CBVT) multiplane 3-D imaging systems specifically for dental use now provides an alternative imaging option. Two cases were utilized to compare the role of CBVT to these other imaging options and to illustrate how multiplane visualization can assist the pretreatment evaluation and decision-making process for complex impacted mandibular third molar cases.

Adult↗
PubMed1995

Multiple impacted and erupted supernumerary premolars.

The authors present a case of a 22-years-old patient with five supernumerary impacted and erupted premolars in the mandible. This dental anomaly is relatively rare occurring from 0.14% to 0.64% of the general population. About 75% of supernumerary premolars seen to be erupted.

Adult↗
PubMed1998

Evaluation of a new radiographic technique: diagnostic accuracy for mandibular third molars.

OBJECTIVE: To compare the accuracy of Scanora with that of traditional panoramic and intra-oral radiography for the assessment of impacted mandibular third molars. METHODS: Two hundred and fifty-four patients referred for removal of impacted or partly erupted third molars were randomly allocated to one of two groups; 133 were examined by the Scanora system and 121 by a panoramic plus a series of three intra-oral radiographs. The radiographs were read by a trained oral radiologist and her diagnoses validated against the surgeons' findings at operation. RESULTS: There was agreement about the state of tooth eruption in 71.4% of Scanora and 74.4% of conventional examinations and about tooth position in 77.2 and 69.7% respectively (P < 0.05). The number of roots was assessed more accurately by Scanora (82.7% agreement) than by conventional (71% agreement) examination (P < 0.05). There was agreement about the root morphology in 70.4% of Scanora and 62.4% of conventional examinations. In 12% of the patients, the roots were in very close contact with the canal determined by the surgeon. In approximately 50% of these cases, the close contact to the canal was found by radiography with no significant differences between the methods. CONCLUSION: The Scanora method was more accurate when validated against the surgeons' findings for the position and number of roots of ectopic mandibular third molars while both methods were equally accurate in demonstrating the relation between the roots and the inferior alveolar nerve.

Adolescent↗
PubMed1993

Third molars confusing the diagnosis of carcinoma.

The purpose of this study was to describe cases of oral cancer in which the initial presenting symptoms were considered to be due to third molars and in which the underlying carcinoma therefore escaped early diagnosis. Between 1986 and 1990 a total of five cases with squamous cell carcinoma associated with a third molar (impacted, partially or totally erupted, or recently extracted) were treated at our unit. Because of acute or chronic symptoms related to disturbed eruption of third molars, the detection of a simultaneous malignant change and referral were delayed. In conclusion, all third molars, especially impacted, partially erupted, or overerupted ones, should be examined critically, especially if the patient has symptoms.

Adult↗
PubMed1996

Completely impacted teeth in dentate and edentulous jaws.

Panoramic radiographs from 1026 patients were examined for the presence of completely impacted teeth. The prevalence of completely impacted teeth in the edentulous jaw was lower than that in the dentate jaw in both the upper and lower jaws. The prevalence of completely impacted third molars in the edentulous jaw was also lower than that in the dentate jaw. However, there was no difference in the prevalence of completely impacted canine teeth and completely impacted anterior maxillary supernumerary teeth (mesiodens) in the edentulous jaw. These findings may indicate that completely impacted canine teeth and impacted anterior maxillary supernumerary teeth (mesiodens) are not influenced by the loss of erupted teeth.

Adult↗
PubMed1990

[The condition of dentition and the prediction of eruption at lower third molars of Japanese adolescent males].

This study was examined the relationships between the condition of dentition of lower third molar and malocclusions and shape of mandibles, and to predict eruption for third molars by their relationships. Data were obtained from 90 degrees and 60 degrees rotated cephalometlic radiographs, orthopantomographic radiographs, mandibular occlusal films and gnathostatic models of 101 males showing a complete permanent dentition anterior to the second molars and who had not had extraction lower their molars and orthodontic treatments, were selected from 147 dental students at Asahi University. they were divided into 8 groups by condition of lower third molar dentitions. Bilateral presence of lower third molar occurred in 69.3% and unilateral in 20.8% on 60 degrees rotated cephalometlic radiographs. Bilateral eruption or half eruption occurred in 24.7% and impaction in 44.6% on gnathostatic models. Coronal arch length of erupted cases was longer than that of impacted cases. A apired t-test revealed the significant difference (p less than 0.05). Over bite of impacted cases were deeper than that of erupted cases (p less than 0.05). Arch length discrepancy of presented and impacted cases were larger. There were normal occlusions in each group. Most mal-occlusions were prognathia, second to deep bite, bi-maxillary. The most frequent lower arch conditions were crowding (65%). I. M. P. A. of bilateral impacted cases were langer. Mandiblar length (Cd-Pog) of erupted cases were longer. The distance from Xi-point to the distal surface of second molar was border at 25mm for lower third molar eruption.

Adolescent↗
PubMedDate not supplied

[Impacted teeth].

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Humans↗