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A nine-year old male child presented in the Department of Pedodontics with the chief complaint of pain and swelling int the mid-palatal region during mastication. Clinical examination revealed a hard swelling in the palate. Radiographic examination disclosed the presence of an inverted "mesiodens like" supernumerary tooth. Surgical extraction was planned.
The Authors report on a case of interesting tooth transplantation using a supernumerary in the site of a lower premolar root affected by periapical granuloma. Irrespective of local unfavourable conditions, the good result of surgical operation is demonstrated by up to now vitality and stability of transplanted tooth.
Mesiodentes are the most common supernumerary teeth, occurring in 0.15% to 1.9% of the population. Given this high frequency, the general dentist should be knowledgeable about the signs and symptoms of mesiodentes and appropriate treatment. The cause of mesiodentes is not fully understood, although proliferation of the dental lamina and genetic factors have been implicated. Mesiodentes can cause delayed or ectopic eruption of the permanent incisors, which can further alter occlusion and appearance. It is therefore important for the clinician to diagnose a mesiodens early in development to allow for optimal yet minimal treatment. Treatment options may include surgical extraction of the mesiodens. If the permanent teeth do not erupt in a reasonable period after the extraction, surgical exposure and orthodontic treatment may be required to ensure eruption and proper alignment of the teeth. In some instances, fixed orthodontic therapy is also required to create sufficient arch space before eruption and alignment of the incisor(s). Early diagnosis allows the most appropriate treatment, often reducing the extent of surgery, orthodontic treatment and possible complications. This paper outlines the causes and modes of presentation of mesiodentes, and presents guidelines for diagnosis and management of nonsyndromic mesiodentes.
Although uncommon, anterior maxillary supernumerary teeth (mesiodentes) are the most frequent supernumerary teeth. A disturbed or delayed eruption of the adjacent permanent incisors may be due to a mesiodens and should lead to a further radiographic examination. In some cases the exact radiographic location of the mesiodens may prove difficult. The surgical removal of mesiodentes is especially difficult in extreme cranial displacement. The records of 90 patients with 113 mesiodentes are discussed with special reference to their degree of retention, topographical location, width of pericoronal space and surgical removal, and incidence of retention and malposition of the adjacent permanent incisors, respectively.
Facial swelling in a dog was found to be associated with a supernumerary premolar. Extraction of the tooth alleviated the swelling. Although supernumerary teeth are common, they are not known to be associated with facial swelling.
A case of an unusual foreign body (a tip fragment from a plastic chopstick) embedded in one of two unerupted supernumerary teeth in the premaxillary region of a 12-year-old Japanese boy is presented.
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A case of a primary supernumerary tooth in a 18 month old girl was reported. 1. The supernumerary tooth was located in the maxillary incisor area. 2. The maxillary left primary central incisor and the primary supernumerary tooth were impacted. 3. The clinical and radiographic findings indicated that the primary tooth in the mesial position was the supernumerary tooth, and therefore it was removed. 4. Three days after extraction of the mesiodens, the left primary central incisor erupted. The tooth completely erupted in two months. 5. The radiographic examination showed no supernumerary succedenous teeth.
A supernumerary tooth was detected in the left maxilla during an osteology teaching session with undergraduate medical students. Supernumerary teeth have previously been detected in individuals who have approached a dental surgeon with a complaint and who have then been diagnosed by X-ray. Asymptomatic cases are frequently not diagnosed in time and it is only the malalignment or delayed eruption of the tooth which raises the suspicion that this type of dental anomaly is present. The present paper highlights the anatomico-radiological study of a supernumerary maxillary tooth in a bone specimen and describes its clinical implications. Precise anatomical details of the supernumerary maxillary tooth might be of significant clinical interest to dental and maxillofacial surgeons in drawing up a plan for orthodontic treatment and may thus minimise the possible complications involved.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.