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At least 199 records · Page 11Linked to original sources
PubMed1997

A case of hyperodontia with twenty-two supernumeraries: its surgical-orthodontic treatment.

A 10.1-year-old boy showed no permanent teeth, with the exception of the lower central incisors. An x-ray examination revealed that eruption of the permanent dentition was obstructed by 1 deciduous supernumerary and 22 permanent supernumeraries ectopically. Treatment consisted of the following steps: (1) extracting all deciduous and supernumerary teeth; (2) waiting for the roots of the permanent teeth to develop and fitting two temporary partial prostheses; (3) assisting eruption of the permanent teeth by removing the bone that covers the remaining teeth and applying crowns to stimulate the eruption; and (4) bringing the permanent teeth into occlusion with orthodontic treatment. The problem of limiting treatment time was made more difficult by the amount of repositioning needed to bring the teeth into occlusion and by delayed root formation. Therefore the orthodontist decided to use extreme caution in applying forces; as a result, treatment time was lengthened. Success was due to good teamwork between the surgeon with an orthodontic background and the orthodontist, who was familiar with surgical procedures.

Child↗
PubMed2003

Surgical removal of a dislocated lower third molar from the condyle region: case report.

INTRODUCTION: Migration of dislocated lower third molar into the condylar region is quite rare. Attention should be taken to avoid condyle fracture. METHODS: 49-year-old patient had an ectopic lower left third molal in the condylar region, suffered from a submandibular and masseter space abscess. Removal of the molar via intraoral approach was chosen avoiding facial nerve branches and unnecessary scar formation. Coronoid process is removed, the tooth is separated and removed. The defect is filled with iliac cancellous bone. The coronoid process was fixed as a cover with a resorbable plate and screws (BIONX). RESULTS: Removal via intraoral approach is possible. Hypesthesia existed postoperatively, became normal later. CONCLUSION: Annual observation is strongly recommended. Intraoral approach is superior to the extraoral approach. Removal of the coronoid process minimizes the masticator forces. Separation of the tooth is essential. Filling the defect with cancellous bone accelerates the healing.

Abscess↗
PubMed1991

[The transmigration of the permanent lower canine].

A rare dental anomaly--the transmigration--is analysed. This condition, which is sparsely recorded in the literature, typically affects the mandibular canine. Twelve cases in which an unerupted mandibular canine has crossed the midline, are described and discussed. Reference is made to considerations put forward in the past by other Authors on this subject, after which personal conclusions are drawn on the diagnosis, etiology and therapy of this rare but serious behaviour of the mandibular canine. The anomaly can be properly diagnosed only by an attentive radiographic evaluation which is primarily based on the orthopantomogram. A series of successive panoramic radiographs taken over years documents the progressive ectopic movement of an unerupted mandibular canine from its developmental site, through the symphysis of the mandible. Lateral, postero-anterior cephalometric films and periapical radiographs, provide additional important information. After having analysed the most frequent etiological factors of mandibular canine impaction, the authors present their considerations concerning the probable pathogenetic mechanism of transmigration. In addition to the proinclination of the lower incisors and the increasing axial inclination of the unerupted canine, already pointed out by other authors, an enlargement of the symphyseal cross-sectional area has been observed and documented. In conclusion it is important, also from a therapeutical point of view, to keep under control, by periodical panoramic radiographs, all those clinical situations considered at risk due to their possible evolution in transmigration and which are characterized by: 1) an unerupted canine which can be palpated in a mesial position in the labial sulcus; 2) an enlarged symphyseal cross-sectional area; 3) an obstacle to normal eruption (cysts, odontomas, ecc.); 4) a proinclination of the lower incisors. A progressive worsening of the position of the unerupted canine should induce to consider the possibility of an early interception of this anomalous condition, which, once established, results in the definitive impaction of the tooth.

Adolescent↗
PubMed1975

The effect of sulfonamides on pain and swelling following removal of ectopic third molars.

A double-blind, placebo-controlled trial was carried out to study the value of cones containing sulfanilamide and sulfathiazole in the healing of third molar sockets. On the seventh postoperative day, 94 patients were examined regarding pain, swelling and the overall effect of the operation. Trials were run to compare sulfa cones directly with a placebo: in addition, the placebo and sulfa drugs were each compared with the effects of no medication. Pairs were made of the left and right mandibular third molars in the same patient and the results assessed by sequential analysis. It was found that although sulfa cones were better than the placebo, they themselves were no better or worse than leaving the socket alone.

Clinical Trials as Topic↗
PubMed2006

Ectopic supernumerary tooth on the inferior nasal concha.

Variations regarding the location of an ectopic tooth in the human nasal cavity, although rare, are documented in the literature, but presence of an ectopic tooth on the inferior nasal concha (INC) has not been reported. We observed an anomalous tooth projecting from the posterior margin of the right INC in two adult female skulls. A small quadrangular tooth projected beyond the posterior margin of the hard palate in one of the skulls and a medium sized conical tooth was observed in the other skull. The affected INC in both skulls were located more inferiorly compared to the opposite side and were in close approximation with the hard palate. No similar findings were noted on the contralateral side nor were there any associated congenital or iatrogenic deformity. The phylogenetic, ontogenetic, and clinical importance of this variant is described. Knowledge of such an anomaly is of paramount importance to otorhinolaryngologists, reconstructive and dental surgeons, and radiologists for identification of such rarities encountered during invasive or non-invasive procedures.

Adult↗
PubMed1997

Maxillary incisor root resorption in relation to the ectopic canine: a review of 26 patients.

A retrospective study of 26 patients with maxillary incisor root resorption relating to the presence of an ectopic canine was undertaken from case records. The group consisted of nine male and 17 female patients with a mean age of 12.5 years. There was a total of 35 resorbed teeth, 26 lateral and nine central incisors, and these were related to 32 ectopic canines. The resorption tended to be extensive, 30 teeth had pulpal involvement. In two-thirds of cases the pattern of resorption involved both apical and middle thirds of the root. Despite the extensive nature of the involvement there were few clinical signs and symptoms reported by patients. 43.8 per cent of canines were lying palatal to the arch, 18.7 per cent were in the line of the arch and 37.5 per cent were buccal. Significantly 15.6 per cent were buccal and erupted. The path of canine eruption was mesio-horizontal in 21 cases. No relationship could be found between resorption and the retention or loss of the deciduous canine. The canine root formation was virtually complete in 31 of the involved canines. The study indicated that the problem is often diagnosed late both in relation to the patient's age and the extent of resorption present. It is suggested that the problem may be underestimated by dental practitioners.

Age Factors↗
PubMed1997

Management of palatally impacted canines: the findings of a collaborative study.

The impacted palatal canine requires a combination of both surgical and orthodontic management. Two types of approach are commonly used: simple exposure, or exposure with bracketing at the time of surgery. In this study 104 consecutively treated patients with palatally impacted canines were examined at two centres, one at which the ectopic tooth was surgically exposed alone and the other where an orthodontic bracket was bonded to facilitate early traction, and the flap replaced. The aim was to compare the outcome and complication rate for each type of procedure. In 30.7 per cent of all cases exposed and bracketed a second surgical intervention was required, compared with 15.3 per cent in the simple exposure group. Bracketing, though effective, is a more costly and time-consuming procedure, and it is suggested that simple exposure provides an equally efficient and predictable method of managing the palatally impacted canine with obvious clinical and financial benefits. The long-term periodontal status of the teeth which have been exposed in these two ways, however, needs further investigation.

Adolescent↗
PubMed2001

Intranasal tooth as a complication of cleft lip and alveolus in a four year old child: case report and literature review.

Ectopic position of teeth is not rare. The presence of teeth have been reported in ovaries, testes, anterior mediastinum, and pre-sacral regions. In the maxillofacial region, teeth have been found in maxillary sinus, mandibular condyle, coronoid process, chin, nose, and even orbit. Approximately 50 cases of a tooth in the nasal cavity have been reported in literature. However, an intranasal tooth in cases of cleft lip and palate is comparatively rare. Intranasal teeth can cause problems such as nasal obstruction, chronic rhinorrhea and speech problems. Sometimes however, they are totally symptom-free. We present here an interesting case of an intranasal tooth in a four year-old-boy, who was operated on for cleft lip and alveolus at 6 months of age. The intranasal tooth did not cause any symptoms. The tooth was extracted under general anaesthesia when it was found to be very loosely attached to the nasal mucosa. The case is discussed in the light of relevant literature on intranasal teeth in cases of cleft lip and palate.

Child, Preschool↗
PubMed2000

Cherubism: a 36-year long-term follow-up of 2 generations in different families and review of the literature.

OBJECTIVE: To clarify the relationships between the varying clinical or radiographic features of cherubism. STUDY DESIGN: Nonparametric statistics were used in a long-term follow-up of 18 patients through 2 generations from 6 Danish families. RESULTS: The radiographic grade of cherubism was significantly related to sex, maximal buccal bone expansion, course of cherubism, and number of aplasia or ectopic impacted teeth, but it was not related to families. Normal dentition in nonaffected regions was present or was obtained in 14 of 14 patients (age, >14 years). Surgical treatment did not provoke growth of lesional tissue in 22 of 22 cases. Radiographically, the bone structure in the lesional areas was related to age in all grades of cherubism: new bone formation in radiolucent areas (age, >20 years), normal bone structure with multilocular sketches (age, 32 to 39 years), and completely normal bone structure (age, >41 years), also found in 7 of 7 carriers of cherubism (age, >32 years). CONCLUSIONS: This group analysis verifies the knowledge of cherubism previously based on cumulative reviews of findings in single-family and case reports.

Adolescent↗
PubMedDate not supplied

Sequelae and prognosis of intruded primary incisors: a retrospective study.

PURPOSE: This study was designed to assess the sequelae and prognosis of intruded primary incisors. METHODS: Of 196 children who visited the emergency clinic due to intrusion of 310 maxillary primary incisors, 110 children (172 teeth) were available for follow-up examination (study group). Eighty-six children (138 teeth) did not show for the follow-up examination (non-respondents group). Male/female ratio was 1.7:1. Age range of children at time of injury was 12-72 months (mean 28). Follow-up time ranged between 0 and 59 months (mean 27). RESULTS: Fifty-seven percent of all teeth were completely intruded. In 80%, the root was pushed labially. All but two ankylosed teeth re-erupted, and 37% of these re-erupted into an ectopic position. Completely intruded incisors re-erupted into an ectopic position in a higher percentage (45%) than partially intruded teeth (30%). Fifty-two percent of the teeth presented pulp canal obliteration (PCO). Sixty-four percent of the completely intruded incisors presented PCO compared to 40% of partially intruded teeth. Arrest of dentin apposition was found in 15% of the teeth, and was not affected by the degree of intrusion. Twenty-three teeth were extracted shortly after the injury due to suspect of contact with the developing permanent successor (19 teeth) and severe caries (4 teeth). Sixty-eight percent of the intruded teeth survived more than 36 months after the injury. Twenty-three percent were extracted due to periodontal breakdown and 5% due to repeated trauma. Antibiotic therapy did not have any effect on the survival rate. CONCLUSION: The majority of intruded primary incisors may re-erupt and survive with no complications after more than 36 months post trauma even in cases of complete intrusion and fracture of the labial bone plate.

Age Distribution↗
PubMed2002

Patterns of intra-osseous transmigration and ectopic eruption of mandibular canines: review of literature and report of nine additional cases.

OBJECTIVES: The purpose of this study is to (1). investigate the patterns of transmigration and eruption of permanent mandibular canines, plus the mechanisms affecting the eruption path, (2). classify the transmigration paths. MATERIAL AND METHODS: :A retrospective radiographic study using full mouth (FMX) and panoramic radiographs of dental radiology patients between July 1996 and July 2000. Transmigrated canines were identified from the radiographic records of 2150 new patients. The literature was reviewed regarding the individual patterns of canine transmigration and their final position within the mandible. A pattern classification was developed using literature data and the additional nine cases reported here. RESULTS: In the present study, mandibular canines were found transmigrated on nine occasions and, in a further six cases, found impacted without transmigration. Out of the nine cases, seven were female (ages 17-38) and two were male (ages 20 and 69). One female patient had a bilateral transmigration of the mandibular canines. A total of 127 transmigrated canines were reported in 50 published studies from the literature. Transmigrated canines appear to fall into five patterns (Type 1-5) depending on their path of deviation. Type 1 was most common (45.6%) followed by Type 2 (20%), Type 4(17%), Type 3(14%) and Type 5 (1.5%). CONCLUSIONS: Patterns of mandibular canine transmigration can be classified into five distinct patterns. The majority of cases demonstrated Type 1 transmigratory pattern. No clear aetiology of this disorder could be found.

Adolescent↗
PubMed1984

Treatment of children with ectopic eruption of the maxillary first permanent molar by cervical traction.

The sequelae of extraction of the second deciduous molar due to irreversible ectopic eruption of the maxillary first permanent molar are mesial tipping of the permanent molar and subsequent space loss. The purpose of this study was to evaluate the effects of early treatment with the Kloehn type of cervical headgear. Forty-six children with ectopic eruption were treated. The mean age at the start of treatment was 8.3 years (range, 6.5 to 9.9 years) and the mean treatment time was 0.8 year (range, 0.5 to 1.0 year). Nineteen variables from orthopantomograms, lateral head films, and dental casts were analyzed by one-way analysis of variance. The registrations were made at the start of treatment, at the end of treatment, and 1 year posttreatment. The treatment resulted in distal tipping of the first permanent molar to a good occlusion in all children. The s-n-ss angle decreased during treatment in all children, and a mean proclination of the maxillary incisors of 3 degrees was registered. Proclination was independent of the type of occlusion and was unchanged 1 year posttreatment. The ss-n-sm angle was also reduced during treatment and was unchanged 1 year posttreatment. The most favorable time for treatment seems to be when the second premolar is close to eruption or erupting at the end of the treatment period. Because of the risk of inhibited sagittal growth of the maxilla with this type of treatment, careful cephalometric evaluation is considered important before the start of treatment.

Cephalometry↗
PubMedDate not supplied

Orthodontic treatment for an adolescent with a history of acute lymphoblastic leukemia.

This case report describes the treatment of a Class I malocclusion that involved ectopic position of the maxillary permanent left canine and the mandibular permanent right second molar. The patient was an adolescent who presented with a medical history that was remarkable for diagnosis and treatment of acute lymphoblastic leukemia (ALL). Dental history was remarkable for significant, generalized shortened roots that were more severe in the mandibular arch. The treatment included fixed appliance therapy in the maxillary arch only and surgical luxation of the mandibular second molar. Successful integration of the maxillary permanent left canine was accomplished without excessive flaring of the maxillary permanent incisors or disruption of the buccal segment occlusion. The risk of external root resorption on teeth with abnormal root morphology, as a result of fixed appliance therapy, should be weighed against the relative benefits that are expected from treatment.

Adolescent↗
PubMed2002

Malposition of unerupted mandibular second premolar associated with agenesis of its antimere.

Aberrant tooth positions--such as infraocclusion, mesially ectopic maxillary first molar, palatally displaced canine, tooth transposition, and tooth rotation--are gaining attention as variables in a putative, genetically related pattern of dental anomalies. This study, using panoramic roentgenograms, was undertaken to measure the angular position of the unerupted mandibular second premolar (MnP2) in children. The experimental subjects were 17 children with an unerupted MnP2 and agenesis of the other MnP2, a likely indicator of site-specific genetic disturbance. An age/sex-matched control-reference group was similarly measured for comparison. The hypothesis tested was that the unerupted, developing MnP2 teeth in the experimental subjects would show measurably greater malpositions than those of the control sample. The results indicated a 10 degrees increase in distoangular inclination for the unerupted MnP2 in the agenesis sample; this was a highly significant difference statistically (P = .003), compared with the MnP2 inclinations in the control sample. These findings, associating exaggerated distoangular malposition of the unerupted MnP2 in children with agenesis of the contralateral MnP2, identify a new phenotype of dental developmental disturbance to add to the accumulated evidence supporting shared genetic mechanisms for dental anomaly patterns.

Adolescent↗
PubMed2003

Personal computer-based three-dimensional computed tomographic images of the teeth for evaluating supernumerary or ectopically impacted teeth.

This study describes the use of personal computer (PC)-based three-dimensional computed tomographic (3D CT) images in the evaluation of supernumerary and ectopically impacted teeth. Three selected cases were presented as examples of the more complex cases in which 3D CT imaging added information not readily available from periapical, occlusal, or panoramic radiographs. Patients were CT scanned from the occlusal plane to the periapical region of the impacted teeth. Digital Image and Communications in Medicine CT data were transferred to a personal laptop computer using a network line. 3D volume rendering was performed using PC-based volumetric analysis software. 3D CT-reformatted imaging of the teeth is a useful way to investigate and localize supernumerary or impacted teeth. Newer software that enables this investigation using a PC provides a relatively inexpensive way to carry out such investigations, making it easier for dental practitioners to request such investigations and to view the results in real time in their own offices.

Adolescent↗
PubMed1979

The radiological assessment of ectopic lower third molars.

Experiments using observers ranging in experience from undergraduates to consultants showed that the orthopantomograph can be used satisfactorily to predict the time taken to remove those ectopic lower third molars capable of being put into Winter's classification. When used for this purpose this radiograph compared well with the lateral oblique view of the mandible. There were differences with the intraoral view, but it could not be certain which was superior. The value of the orthopantomogram in predicting impaired postoperative labial sensation was tested. It became apparent that there were cases in which the nerve was clearly at risk and others in which it was clearly not at risk. Variations in the anatomy of the canal and the quality of its image could give rise to doubt, some of which could be resolved by taking intraoral views. An unsuccessful attempt using analysis of multiple regression was made to select and quantify those features of the radiograph important for predicting the time taken for removal of the teeth. A simple points scoring method was evolved which agreed with current practice and was capable of being used effectively by undergraduates, some of whom had made inadequate assessments hitherto.

Humans↗
PubMed2002

Unilateral distalization of a maxillary molar with sliding mechanics: a case report.

INTRODUCTION: A unilateral Class II relationship could arise due to early loss of an upper second deciduous molar on one side during the mixed dentition period. This would allow the mesial drift of the molars, which may block the eruption of the second premolar. METHODS AND RESULTS: A 15-year 8-month-old male patient presented with a Class II molar relationship on the right, and Class I canine and molar relationship on the left side. His E was extracted when he was 5 years old. The 54 were impacted and the 3 was ectopically positioned due to the space loss from the mesial migration of the 76. In addition 21 1 were in cross-bite. Skeletally he had Class III tendency with low MMPA. He presented with a straight profile and retruded upper lip. For maxillary molar distalization, a newly developed 'Keles Slider' was used. The appliance was composed of one premolar and two molar bands, and the anchorage unit was composed of a wide Nance button. 46 were connected to the Nance button and, therefore, included into the anchorage unit. The point of distal force application was close to the centre of resistance of the 6 and parallel to the occlusal plane. Ni-Ti coil springs were used and 200 g of distal force was applied. Seven months later the space required for eruption of the permanent premolars and canine was regained, and the anterior cross-bite corrected. The appliance was removed and final alignment of the teeth was achieved with fixed appliances. CONCLUSION: At the end of the second phase treatment Class I molar and canine relationship was achieved on the both sides, the anterior cross-bite was corrected, inter-incisal angle was improved, and ideal overbite and overjet relationship was achieved. The active treatment time was 27 months.

Adolescent↗