[A case of the reversed occlusion with a supernumerary primary tooth].
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Child, Preschool↗
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The supernumerary cheek tooth in tabby/EDA mice-a reminiscence of the premolar in mouse ancestors.
OBJECTIVE: A supernumerary cheek tooth occurs mesially to the first molar in tabby/EDA (Ta) mice affected by hypohidrotic ectodermal dysplasia. The supernumerary tooth (S) has been hypothetically homologized to the premolar, which has disappeared during mouse evolution. DESIGN: This hypothesis was tested using available morphological data on the lower cheek teeth in wild type (WT) and Ta mice. RESULTS: The presence of S is accompanied by a reduction in the mesial portion of the M(1) in mutant mice. 3D reconstructions suggest that the S in Ta homo/hemizygous embryos originates from a split off the mesial portion of the first molar (M(1)) cap. In WT embryos, two vestigial tooth primordia are transiently distinct in front of the M(1). The distal vestige has the form of a wide bud and participates during the development of the mesial portion of the M(1). This bud has been homologized with the vestigial primordium of the fourth premolar of mouse ancestors. The premolar disappearance coincided with a mesial lengthening of the M(1) during mouse evolution. The incorporation of the distal premolar vestige into the mesial part of the M(1) in WT embryos can be regarded as a repetition of the premolar disappearance during evolution. CONCLUSION: : Ontogenetic and phylogenetic data support that the S in Ta mice arises due to the segregation of the distal premolar vestige from the molar dentition and thus represents an evolutionary throwback (atavism).
Animals↗
Supernumerary teeth associated with primary and permanent teeth: a case report.
Concomitant presence of a supernumerary tooth in the primary dentition and another supernumerary tooth associated with permanent tooth in the same location is an uncommon condition. Presence of supernumerary tooth in the primary dentition itself is a rare phenomenon. Presented here, is the first such case of simultaneous presence of supernumerary tooth in primary and permanent maxillary lateral incisor region.
Child↗
Cleidocranial dysplasia: a light microscope, electron microscope, and crystallographic study.
An unusual case of cleidocranial dysplasia associated with more than 60 unerupted teeth is presented and examined with light and scanning electron microscopes and crystallographic techniques. The present case revealed pseudoprognathism with facial asymmetry, the right side being larger than the left. The extracted teeth showed enamel hypoplasia in light and scanning electron microscopy, yet the crystalline composition did not differ from that of the normal teeth. The potential causes of lack of eruption and supernumerary tooth formation in cleidocranial dysplasia are discussed.
Adult↗
Lower mesiodens: report of an unusual case.
This report describes a case of an 11 years old girl presenting a supernumerary tooth between lower central incisors. The case initially required only surgical treatment to remove the lower mesiodens. Sequentially, the patient was referred to an orthodontic therapy due to a presence of diastema.
Child↗
Simultaneous presence of a congenitally missing premolar and supernumerary incisor in the same jaw: report of case.
Supernumerary teeth and hypodontia can be regarded as opposite developmental phenomena. An eight-year-old girl presented a concomitant occurrence of a supernumerary tooth and two congenitally missing teeth. The supernumerary tooth was found in the left maxillary incisor region, while the left second premolar in the maxilla and the left lateral incisor in the mandible were congenitally missing. The supernumerary tooth showed a similar color and morphology to those of the maxilla lateral incisor, and the lateral incisor on the mesial side was diagnosed as a supernumerary tooth from dental age, eruption time, and mesiodistal crown dimension. The supernumerary incisor was guided labially to cure an anterior cross-bite, and the lateral incisor, canine, and first premolar were guided distally to compensate for the space left by the congenitally missing left second premolar.
Age Determination by Teeth↗
[A case of a so-called congenital tooth appeared in maxilla].
The congenital teeth are not only classified by Massler et al. as a natal tooth that has erupted at birth and a neonatal tooth that erupts at neonatal period, but also divided into a normal deciduous tooth and a supernumerary tooth. The congenital teeth are mostly found in the mandibular anterior region, but extremely rare in other regions. The authors met a rare case, that had a so-called congenital tooth in the maxillary anterior region, which was a supernumerary and fused tooth. The case was a boy patient, 4 months of age, who visited the pedodontic clinic, of Ohu University Dental Hospital, with the complaint of ruber and swelling of the maxillary anterior gum pad, October 17th in 1986. By oral inspection of the dental radiogram and his past history, the authors found a odontoid material in the swelled gum pad and diagnosed it as a so-called congenital and supernumerary tooth. The tooth was extracted. The extracted tooth was investigated histopathologically. It had the v-shaped incisula at the middle of its edge, and seemed as if two teeth had coalesced. The serial preparations by the labio-lingual section showed no partition, such cementum as to divide the enamel, the dentin and the pulp near the incisula. Therefore it was diagnosed as fused tooth correctly. In the labial surface of the root formed about a third root length, the thickness of the cellular cementum was observed. It was considered as a physiological reaction to no support of the alveolar bone and to the excess mobility of the tooth. The prognosis after its extraction was good, and all normal deciduous incisors appeared in his mouth, 7 month later.
Fused Teeth↗
Lateral buccotomy for removal of a supernumerary cheek tooth in a horse.
A 3-year-old female Standardbred was admitted for evaluation of a firm swelling on the right side located rostral to the facial crest and a firm intraoral swelling located rostral to the erupted cheek teeth. Examination of skull radiographs revealed a supernumerary cheek tooth rostral to the erupted third premolar. The supernumerary tooth was removed via lateral buccotomy. The horse did not have complications after surgery and resumed racing. Lateral buccotomy should be considered for removal of rostrally located maxillary or mandibular cheek teeth. Supernumerary cheek teeth can be found in locations in the upper dental arcade, other than caudal to the last molar.
Animals↗
Dens evaginatus involving a supernumerary (mesiodens) tooth.
The presence of dens evaginatus has not been reported previously in the Indian race. The condition affects the premolars most commonly, and is rarely reported in molars, canines, or incisors. The involvement of a supernumerary (mesiodens) tooth with a traumatic aetiology is a rare finding. The treatment included the extraction of the involved tooth for functional and aesthetic reasons.
Adult↗
Buccal and palatal talon cusps with pulp extensions on a supernumerary primary tooth.
This paper reports an unusual occurrence of talon cusp on a supernumerary primary incisor, presenting on both labial and palatal sides. The tooth was scheduled for extraction due to its interference with the occlusion. Morphometric analysis of the taloned cusps was performed on digitized replicas of the tooth crown using open-source image analysis toolkit (ImageJ). Further non-destructive investigation of the taloned crown under cone-beam X-ray computed tomography revealed pulpal extensions in both talon cusps.
Child, Preschool↗
Esthetic management of fused carious teeth: a case report.
UNLABELLED: A rare case of a carious supernumerary tooth fused to the labial surface of a maxillary right central incisor is reported. Root canal therapy on the maxillary right central incisor was performed owing to the pulpal communication between the supernumerary tooth and the maxillary right central incisor after removing the carious supernumerary tooth structure. The defect was then restored with anterior resin composite and the esthetics reestablished. CLINICAL SIGNIFICANCE: Clinical significance lies in identifying a rare case of fusion of supernumerary tooth to a permanent tooth and treating the anomaly in the most conservative way.
Adult↗
Vitality preservation of an anomalous maxillary central incisor after endodontic therapy.
Endodontic treatment of a case of fused immature central incisor with a supernumerary tooth with dens in dente is described. Although a chronic dentoalveolar abscess was diagnosed, vitality test signs were positive. Treatment consisted of pulpotomy with calcium hydroxide paste; after 2 1/2 months a permanent root canal filling was placed in the amputated part. Follow-up 2 years postoperatively indicated that the tooth has maintained its vitality. The periapical area is completely healed, and apical closure is evident.
Child↗
Endodontic treatment of fused teeth.
A case is reported documenting successful treatment of suppurative periradicular periodontitis involving a maxillary central incisor fused with a supernumerary tooth. Endodontic therapy was performed and partial resolution of the lesion was evident at the 1-yr recall and further resolution at the 16-month recall.
Adult↗
Endodontic treatment of a fused maxillary lateral incisor.
A case report of endodontic treatment of a maxillary lateral incisor that fused with a supernumerary tooth is presented. The fused maxillary lateral incisor was in supraposition on the maxillary dental arch and required orthodontic treatment. The fused tooth was prepared for endodontic therapy. Cleaning and shaping of the root canals were performed. Then, the Ultrafil technique was used for obturation of the root canals. After orthodontic treatment, the teeth was mesiodistally reduced in size and restored with an anterior composite resin.
Adolescent↗
Cystic lesions of the nasal cavity and the paranasal sinuses: report of two unusual cases.
The clinicopathological features of two unusual cystic lesions, one arising in the nose, a calcified mucocele or a calcified retention cyst and the other in the maxillary sinus, a dentigerous cyst originating in a supernumerary tooth, are described. The literature on these two rare lesions is briefly reviewed.
Adolescent↗
Five mandibular incisors: an autosomal recessive trait?
A fifth mandibular incisor is a eumorphic supernumerary tooth and has rarely been described in the medical literature. We report here a large Lebanese consanguineous family where four individuals displayed five incisors in the anterior mandible. Such familial observation has not been previously described. The possibility of an autosomal recessive inheritance for this nonsyndromic trait is discussed.
Adult↗
Unusual presentation of talon cusp: two case reports.
Talon cusp is an uncommon odontogenic anomaly comprising of an accessory cusp-like structure, usually observed on the palatal surfaces of maxillary incisors. Two uncommon presentations of talon cusp, occurring on a mandibular incisor and on a supernumerary tooth in the maxilla, are reported.
Child↗
Tuberculate and odontoma type supernumerary teeth.
An 8-and-a-half-year-old girl with supernumerary teeth of tuberculate and odontoma type is described. Treatment of the patient is carried out on conventional lines with a combination of surgical and orthodontic methods. The upper tuberculate type supernumerary teeth were extracted and, after surgical exposure, the upper permanent first incisors were aligned with removable appliances. After secondary dentition was completed, the lower odontoma type supernumerary tooth was removed surgically, and also the maxillary and mandibular first premolars were extracted because of severe crowding, and fixed orthodontic appliances were used to align the permanent dentition. Early diagnosis and treatment of this anomaly is necessary to avoid more serious consequences and to prevent severe orthodontic disturbances.
Bicuspid↗