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Transmigration of permanent mandibular canines. Case report.

Transmigration is the migration of a tooth across the midline of the jaw. This phenomenon is found only in relation to the permanent mandibular canines. Two cases are reported. In both, the cause of this deviation was an odontome found in the site normally occupied by the mandibular canine. The literature on transmigration is reviewed.

Adult↗

Developmental disturbances of permanent teeth following trauma to the primary dentition.

The topographic relationship of the apices of the primary teeth to the permanent tooth germs explains the potential for possible developmental disturbances of the permanent teeth after injuries to their predecessors. The anatomical, histologic and clinical aspects of permanent tooth malformation following trauma to the primary teeth are described. One hundred and fourteen children with originally 255 traumatized primary teeth have been re-examined (with an average period of 5.1 years after the trauma) to assess any developmental disturbances of the corresponding permanent teeth. Twenty-three per cent of partially or completely erupted permanent teeth showed developmental disturbances. The most frequent malformation was enamel hypoplasia including enamel discoloration and/or enamel defects. The highest prevalence of developmental disturbances of permanent teeth was found after intrusive injuries of primary teeth.

Adolescent↗

Multiple supernumerary premolars: their occurrence in three patients.

The occurrence of supernumerary teeth in the premolar regions of three patients is reported. Of the 20 supernumerary teeth identified, 16 had crowns which resembled premolars and may thus be considered to be supplemental premolars, while the remainder were conical in shape. The delayed development of the supernumerary teeth in the premolar region supports the hypothesis that these teeth were part of a post-permanent dentition. The eruption of six of the eight supernumerary teeth in the 30-year-old patient demonstrated that given time some of these teeth can erupt into the dental arch.

Adolescent↗

Multiple supernumerary teeth. Case report.

The presence of supernumerary teeth, although not uncommon, occurs usually in the premaxillary region. Furthermore, examples of multiple supernumerary teeth in one patient are rare. A case involving the presence of multiple supernumerary teeth in all quadrants in described.

Adolescent↗

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↗

Prophylactic removal of asymptomatic third molars: a review.

Mandibular and maxillary third molars are mostly consigned to 'waste bins' in dental practices because they are terminal in developmental timing and positioning in the dental arches, and regarded as functionally non-essential. Thus, many dental practitioners do not attach significance to the presence of third molars when making therapeutic recommendations to patients about preservation of the dentition. The need for taking more a serious account of third molars is reviewed in this paper.

Forecasting↗

A late developing mandibular premolar supernumerary tooth.

This paper presents a case of a patient who developed a mandibular premolar supernumerary tooth between the age of 11 and 20 years. Evidence for the late development of the supernumerary tooth comes from consecutive panoramic radiographs. A review of the international literature concerning late developing supernumerary teeth is included.

Adult↗

A late developing mandibular premolar supernumerary tooth.

This paper presents a case of a patient who developed a mandibular premolar supernumerary tooth between the age of 11 and 20 years. Evidence for the late development of the supernumerary tooth comes from consecutive panoramic radiographs. A review of the international literature concerning late developing supernumerary teeth is included.

Adult↗

Piggyback archwires.

Commonly, clinicians' principal tool in the alignment phase of orthodontic mechanotherapy is the nickel-titanium wire. During the course of orthodontic treatment, however, there are times when some segments of the dental arch require flexible wires, while the rest would benefit from rigid wires. In this report, we describe a technique where both of these needs are satisfied simultaneously. Specifically, a segment of nickel-titanium wire is piggybacked onto a stainless steel wire in regions where flexibility is desired. This method eliminates the problems associated with the activation, de-activation forces created along a continuous archwire and might be more economical. Clinical pictures illustrate the point.

Adolescent↗

Structural and distribution patterns of surface 'prismless' enamel in human permanent teeth.

Using human permanent teeth, structural and distribution patterns of the surface 'prismless' enamel with the occasional presence of indistinct and/or stunted prism structures were investigated by scanning electron microscopy. The 'prismless' enamel was classified into three shapes: step-like, occurring in mid-coronal enamel; band-like, frequently seen in occlusal and fissure enamel, and island-like, found in occlusal and cuspal-coronal enamel. These three 'prismless' shapes were formed by two structural patterns. One was determined by prisms which gradually changed into 'prismless' structures via indistinct and stunted prisms (prism-dependent; P type), and another, probably a variance of the P type, was characterized by prisms which abruptly changed into 'prismless' structures on the incremental lines of Retzius or the fine laminated striations (Retzius-dependent; R type). The P type pattern clearly forming the band and island-like shapes was found in occlusal and cuspal-coronal enamel, whereas the R type pattern forming some of the band-like shapes as well as the step-like shapes might be observed in almost all surface enamel.

Adolescent↗