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A case of supernumerary teeth existence in maxilla and mandible in 21-years' old female patient has been described. The possibility of utilization one of them situated in the dental arch as an abutement for prosthetic crown has been considered.
The paper presents a discussion on etiology and treatment of maxillary central incisors impactions. Different treatment approaches which advocate teamwork approach, and importance of early diagnosis of such conditions is discussed.
Supernumerary teeth and localized juvenile periodontitis in the same patient is a very unusual finding. Only 5 cases are reported, 2 of which were identical twins. An additional 2 cases are presented in which localized juvenile periodontitis was associated with multiple supernumerary premolars. These cases are strikingly similar to 3 of the previously reported cases, raising the possibility that this combination of disorders may be more than a chance association.
A case of a child with a maxillary primary left lateral incisor fused to a supernumerary was presented. The teeth were separated and restored using stainless steel crowns with composite facings. The described treatment permitted a maximum level of esthetics, function, and cleansability of the primary dentition, without compromising the permanent dentition.
The present study was carried out to ascertain frequency of multiple supernumerary teeth not associated with syndrome in Nigerians. A total of 13 patients comprising of 10 males (76.92%) and 3 female (23.07%) representing 0.098% of the study population had multiple supernumerary teeth. Multiple supernumerary teeth without any associated systemic diseases or syndrome are rare as reported by BLUMENTHAL (3) RUHLMAN and NEELY (17), KANTOR et al. (10) is not the case in this study. The maxillary region has the highest frequency of occurrence with 12 times (66.67%) followed by the mandibular premolar region with 4 times (22.22%) while maxillary premolar and mandibular anterior region shared (5.55%) respectively. The conical and tuberculate types of supernumerary teeth were found in the midline region, while the supplemental supernumerary teeth were more in the mandibular premolar region with 12 (70.58%) follow by maxillary midline 4 (23.52%) and the lower incisor region 1 (5.88%) which is in consonant with WINTER and BROOK (2), STAFNE (19) NAZIF, FUTALO ZULLO (15). The role of genetics in the aetiology of multiple supernumerary teeth as found in this study, the occurrence of supernumerary teeth on two brothers and a daughter to one of the affected brothers, tends, to suggest an autosomal dominant mode of inheritance and the challenges to management by the orthodontists are discussed.
A patient with multiple anomalies of the maxillary teeth, including shovel-shaped incisors, talon cusp, bilateral dens invaginatus and bilateral peg-shaped supernumerary incisors is reported. The patient also exhibited Carabelli's cusp on both maxillary first molars. No developmental syndrome was identified. This very unusual combination of anomalies has not been reported previously.
Oral-facial-digital syndrome type I (OFDI) is a congenital X-linked dominant disorder characterized by anomalies of the oral cavity, face and digits sometimes associated to cerebral malformations and polycystic kidney disease. The gene, responsible for this syndrome, is ofd1. Clinically it is seen only in females. Lesions of the mouth include median pseudoclefting of the upper lip, clefts of the palate and tongue, and dental anomalies (missing or supernumerary teeth, enamel hypoplasia, and teeth malpositions). Dysmorphic features affecting the head include hypertelorism, frontal bossing, micrognathia, facial asymmetry and broadened nasal ridge. The digital abnormalities are syndactyly, clinodactyly, brachydactyly and, rarely, pre or post-axial polydactyly. Less frequently ex-pressed phenotypic anomalies include skin milia, alopecia, deafness and trembling. Sometimes the diagnosis of OFDI can be difficult because there is an overlap with other types of oral-facial-digital syndromes. A sporadic case of OFDI, with 7 lower incisors, both in the primary and permanent dentition, is reported. This dental anomaly is very unusual because in literature only supernumerary cuspids are reported. In the light of this case, the authors discuss the oral phenotypic expression of ofd1 gene and its role in human odontogenesis.
Through a study of 68 patients, presenting 84 supernumerary teeth all together and, after a thorough survey of the literature, we can now state accurately about the frequency, location, surgery, X-Ray and heredity involved. After recalling and discussing the various pathological theories already set up, a theory has been put forward, more specifically intent on the explanation of frequent supernumerary teeth in the upper front teeth area. Nevertheless, the theories of extra growth and the overgrowth of the external layer remain worth while to explain some other locations.
Cleidocranial dysplasia is associated with the formation of many supernumerary teeth which usually fail to erupt. In later life, cysts may form around the embedded teeth. The following report describes the management of such a case with a method which promotes satisfactory prosthodontic rehabilitation.
The authors report a case of a young patient with conical midline supernumerary teeth. In cases where such supernumeraries are likely to erupt, early surgical intervention, often necessitating the administration of a general anaesthetic, should be avoided if possible. Extraction under local anaesthesia on eruption was preferred for this patient, and resulted in the normal eruption of the permanent central incisors.
The literature is reviewed and three cases of simultaneous presence of partial anodontia and supernumerary teeth are reported. In all three cases the abnormality involved both the maxilla and the mandible. The role of the panoramic radiograph in the detection of rare cases of this kind is emphasized and illustrated.
Multiple supernumerary teeth, often associated with various syndromes, is a relatively uncommon isolated dental anomaly. We present a case of a 9-year-old black male patient with complete duplication of the premolar dentition and premolarization of the permanent canines.
INTRODUCTION: The purpose of this study was to investigate the differences in the prevalence of cleft sidedness, the number of congenitally missing or malformed permanent maxillary lateral incisors (MLIs), and the presence of supernumerary teeth in Korean patients with unilateral cleft lip and alveolus (UCLA) and those with unilateral cleft lip and palate (UCLP). METHODS: Seventy-five patients with UCLA and 129 patients with UCLP (ages, 6.0 to 13.0 years) were studied by using their charts, models, radiographs, and intraoral photographs. The chi-square test, the binomial test, and the relative risk assessment were used. RESULTS: There was a male dominant tendency in both UCLP (P <.001) and UCLA (P <.05) patients. The UCLP patients were 1.3 times more involved on the left side and had 2.2 times more congenital missing MLI than did the UCLA patients. When an MLI was present, malformation occurred more frequently than normal shape in the UCLA (P <.001) and UCLP (P <.01) patients. Incidence of supernumerary teeth was 4.6 times higher in UCLA than in UCLP patients. CONCLUSIONS: When the cleft extended to the secondary palate, left-sided involvement was more predominant than in UCLA patients. When cleft involvement was confined to the primary palate, present MLIs were more common than congenitally missing teeth, and supernumerary teeth were more prevalent than in UCLP patients. These are important characteristics to be considered in the diagnosis and treatment planning of cleft patients.
This case report presents the dental management of a 13-year-old girl with mosaic trisomy 9. She had: (1) severe psychomotor retardation; (2) short stature; (3) progressive microcephaly; (4) flat feet; (5) genu valgum; and (6) severe kyphoscoliosis. Dysmorphic facial features included: (1) maxillary prognathism; (2) narrow high-arched palate; (3) short philtrum; (4) small low posterior dysplastic ears; and (5) down slanting palpebral fissures with right eye ptosis. The case report describes initial treatment under general anesthesia and further treatments using conscious sedation. Emphasis was placed on the need to adjust the treatment to patient's skeletal malformations and respiratory problems by adjusting her ability to sit in the dental chair in an upright position. Supernumerary premolars and opalescent changes of the maxillary incisors might be part of the clinical features related to trisomy 9 mosaic syndrome.
A rare case of fusion between maxillary primary central incisors and supplemental teeth occurring bilaterally, accompanied by succedaneous supernumerary teeth, is presented. The patient was an 8.5-year-old Japanese boy. Intraoral examination revealed fusion of left and right maxillary primary central incisors to supplemental teeth, which had labial and lingual grooves. The maxillary primary lateral incisors were present. Radiographs showed that the fused teeth had separate roots, pulp chambers and root canals. There were two impacted supernumerary teeth and eruption of the permanent maxillary central incisors was delayed. Treatment was performed and the fused primary teeth and the impacted supernumerary teeth were extracted. After 6 months observation, surgical exposure of the two crowns of the permanent maxillary central incisors was performed. The teeth began to erupt and have since been kept under observation.
Concomitant hypodontia and supernumeraries in a patient suffering from Down syndrome are presented. Concomitant hypodontia and supernumerary teeth are relatively rare, and this is the first case reported in a patient with Down syndrome. A conservative approach to management will be pursued, with the accent on oral hygiene reinforcement and prevention.
Supernumerary teeth are considered one of the most significant dental anomalies during the primary and early mixed dentition stages. A total of 50 patients, ranging in age from 16 months to 17 years, were studied before, during, and after the surgical removal of their supernumerary teeth. Early removal of such teeth is recommended if they impede the eruption of adjacent permanent teeth, appear inverted or rudimentary, or if they are associated with certain pathological conditions. Complications associated with early removal are infrequent and seem minor in nature.
Supernumerary teeth are common and can occur throughout the oral cavity. Molariform supernumerary teeth in the maxillary central incisor area have rarely been reported. This article reports the presence of mesiodentes in two siblings, one of whom exhibited an unusual molariform mesiodens. The clinical and radiographic appearance of the anomalies and treatment modalities are discussed.