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At least 163 records · Page 9Linked to original sources
PubMed1985

A scanning electron microscope study of the three-dimensional extent of Retzius lines in human dental enamel.

A method involving carefully planned sectioning and grinding of human maxillary first premolars, allowing enamel structure to be studied with the SEM in more than one plane at the same time, was employed to demonstrate the extent of Retzius lines within the confines of the three-dimensional enamel cap. It was found that the Retzius lines behaved as could be predicted by the theory stating that the striae represent one-dimensional cuts of two-dimensional, curved growth planes. Retzius lines in adjoining planes were continuous across the edge where the two planes met. In a supernumerary tooth, the surface of its hypoplastic tooth tip was continuous with distinct Retzius lines. The present observations provide for the first time direct morphologic verification of the supposed nature of Retzius lines, with reference to extent and continuity in three-dimensional space.

Bicuspid↗
PubMed1997

Computerized 3-D reconstruction of two "double teeth".

"Double teeth" is a root malformation in the dentition and the purpose of this study was to reconstruct three-dimensionally the external and internal morphology of two "double teeth". The first set of "double teeth" was formed by the conjunction of a mandibular molar and a premolar, and the second by a conjunction of a maxillary molar and a supernumerary tooth. The process of 3-D reconstruction included serial cross-sectioning, photographs of the sections, digitization of the photographs, extraction of the boundaries of interest for each section, surface representation using triangulation and, finally, surface rendering using photorealistic effects. The resulting three-dimensional representations of the two teeth helped us visualize their external and internal anatomy. The results showed: a) in the first case, fusion of the radical and coronal dentin, as well as fusion of the pulp chambers; and b) in the second case, fusion only of the radical dentin and the pulp chambers.

Anatomy, Cross-Sectional↗
PubMed2005

A non-syndrome case with bilateral supernumerary canines: report of a rare case.

Supernumerary teeth are described as the teeth formed in excess of the normal dental formula. Prevalence of supernumerary teeth varies between 0.1% and 3.8% in general Caucasian population. They have been reported in both the primary and the permanent dentition. Supernumerary teeth may occur in any region of the dental arch. However, a supernumerary tooth in the canine region is a rare condition and to our knowledge, a non-syndrome case with bilateral supplemental maxillary canines did not exist in the literature. It was the aim of this report to evaluate this rare case in view of both oral radiology and orthodontics.

Cephalometry↗
PubMed2003

Dental anomalies of the permanent lateral incisors and prevalence of hypodontia outside the cleft area in complete unilateral cleft lip and palate.

OBJECTIVE: To determine in complete unilateral cleft lip and palate (UCLP) subjects the characteristics (location, shape) of the cleft-side lateral incisor. The presence of a supernumerary tooth at the cleft side and the prevalence of hypodontia outside the cleft area were evaluated. A comparison was made of the shape of the cleft side lateral incisor to its contralateral incisor. SETTING: Hospital for Rehabilitation of Craniofacial Anomalies (HRCA), Sao Paulo, Brazil. PATIENTS: Orthopantomograms of 203 subjects with UCLP and without syndromes were chronologically selected from the HRCA data bank, within an age range of 5 to 10 years. OUTCOME MEASURE: Orthopantomograms were analyzed by the same observer according to established criteria. RESULTS: There were no statistically significant differences between sexes for any of the criteria studied. The cleft-side lateral incisor was present in 50.2%, and it was more commonly located at the distal side (76.5%). The congenital absence of the cleft-side lateral incisor was observed in 49.8% of the sample, and its antimere was congenitally missing in 10.9%, this difference being statistically significant. The most commonly missing tooth outside the cleft area was the maxillary second premolar. CONCLUSIONS: The high prevalence of hypodontia of the permanent lateral incisor in the cleft side showed that the cleft could play an important role in this absence. There were different patterns for the presence of the cleft-side lateral incisor.

Anodontia↗
PubMed2001

Primary triple teeth: histological and CT morphological study of two case reports.

The macromorphology and micromorphology of two specimens of primary triple teeth using histological and CT analysis approach is analyzed. A single morphological pattern of triple teeth has been found and described: three nearly separate crowns with three separate pulp chambers, and three joined roots with three connected root canals. The characteristic triple teeth appearance occurred because a labial supernumerary tooth is the junction element between two teeth of normal series: the central incisor on the mesial side and the lateral incisor on the distal side. Primary triple teeth suggest an idiopathic abnormality in the distribution of the dental material originated very soon in the dental development. They can be considered as an early double fusion between three tooth germs, initially separate but in close proximity and developing synchronically.

Child, Preschool↗
PubMed2004

Mesiodens in primary, mixed and permanent dentitions: a clinical and radiographic study.

The term mesiodens refers to a supernumerary tooth located between the maxillary central incisors. The aim of the study was to investigate the characteristics of mesiodens among children in Turkey. The study population involved 24 children who attended the Department of Pediatric Dentistry, Ege University for dental problems. The characteristics of mesiodens were obtained from clinical and radiographic examinations. Results showed that twenty-four patients had thirty-four mesiodens for an average of 1.42 mesiodens per person. Males were affected approximately 3 times more frequently in comparison with females. Forty-two percent of the patients had bilateral mesiodens. All of the mesiodens were conical in shape and 91% were in the downward position. The age and sex distribution, location, direction, eruption of mesiodens and effects on permanent maxillary incisors were also presented in this study. It could be concluded that, delayed, ectopic or asymmetric eruption of the central incisors should alert the clinician to the possibility of a mesiodens.

Adolescent↗
PubMed2005

Erupted maxillary conical mesiodens in deciduous dentition in a Bengali girl--a case report.

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch. It is the most significant dental anomaly affecting permanent dentition mainly and primary dentition rarely. It may occur as an isolated dental anomalous condition or may be associated with a syndrome. Many theories have been promulgated to explain its etiology. But an exact etiology is still obscure. Incidence of mesiodens in children varies from 0.15 to 3.8%. Boys are affected more (2:1) than girls. Morphologically, mesiodens may be of three types: the most commonly seen is conical, while tuberculate and supplementary types.

Child, Preschool↗
PubMed1992

A case of cleft palate in a Kuril seal (Phoca vitulina stejnegeri), from Hokkaido, Japan.

A male pup Kuril seal (Phoca vitulina stejnegeri) from Hokkaido, Japan, was observed with a unilateral and total cleft of the primary palate. Complications included a supernumerary tooth, hypoplasia and asymmetry of the face, and deformation of the eyeball and external auditory meatus. An accompanying pneumonia may have resulted from water flowing into the respiratory system due to imperfect closure of the nostril by the cleft. No other abnormalities were found.

Abnormalities, Multiple↗
PubMed2002

Supernumerary teeth diagnosis and treatment approach. Six case reports.

Supernumerary teeth are relatively common in the general population, affecting the primary and the permanent dentition and have been reported in many genetic syndromes. They are classified according to form and shape. Seven different examples of hyperodontia are presented to highlight the numerical and morphological variation in dental abnormalities manifestations, empathising the importance of thorough clinical and radiological examination and of a correct therapeutic approach. The patients presented single or multiple hyperodontia, with particular interest for a 12 supernumerary teeth case. The clinical problems linked to supernumerary teeth were: impaction or ectopic eruption, crowding, possible root resorption of adjacent teeth. The therapeutical approach of supernumerary teeth varied on the position of the element in excess and on the complexity of the clinical case. In some cases the single extraction of the supernumerary tooth was indicated, while in other cases the extraction of the tooth was needed in addition to orthodontic treatment to gain sufficient space for the tooth with delayed eruption.

Adult↗
PubMedDate not supplied

A palatal dentigerous cyst arising from a mesiodente.

Dentigerous cysts can develop from unerupted primary, permanent, or rarely supernumerary teeth. When a supernumerary tooth is in the maxilla, near the midline, it is called a mesiodente. Such a mesiodente lies in the palate and a cyst developing about this tooth can extend directly up into the nasal fossae. More commonly a dentigerous cyst arising from unerupted maxillary teeth occurs about the molar, premolar, or canine teeth and the cyst extends up into the maxillary sinus. The CT and MR findings in a rare case of a dentigerous cyst of a mesiodente are presented.

Adult↗
PubMed2006

Congenital lower lip pits (Van der Woude syndrome): report of a case.

Van der Woude syndrome (VWS) is a rare autosomal dominant disorder that is characterized by a cleft lip and palate with congenital lip pits. This is a report of a case of VWS with sinuses in the lower lip, a cleft in the upper lip, and a supernumerary tooth in the maxilla. The main characteristics of this disorder are discussed. Dental treatment of the patient was performed, but the surgical removal of the sinus was rejected by the parents. This case report brings this condition to the attention of dentists and surgeons and emphasizes lip pits may not always be identical in appearance.

Child↗
PubMed2006

Non-syndrome associated multiple supernumerary teeth: a report of two cases.

Multiple supernumerary teeth are usually associated with syndromes. On the contrary, multiple supernumerary teeth without association with any syndromes are very rare. This article presents a report of two cases with multiple supernumerary teeth not associated with any syndrome and emphasizes the routine advice of orthopantomogram whenever a single supernumerary tooth is detected irrespective of whether the patient has any syndrome or not.

Adolescent↗
PubMed2006

An impacted supplemental premolar in the mandible.

Supernumerary teeth are rare anomalies of the maxillofacial complex that are more common in the maxilla than in the mandible. This article reports a case of an impacted supplemental type of supernumerary tooth in the mandibular arch, in the left premolar region. The etiology, types and treatment alternatives are discussed.

Adolescent↗
PubMed1990

Tissue regeneration principles applied to separation of fused teeth.

A two-step surgical procedure for separating a central incisor fused to a supernumerary tooth with a 4-year follow-up is described. The fusion was between the crowns and 3/4 of the root length. The roots were connected by web-like radio-opaque tissue. The periodontal ligament could be followed along the lateral aspect of the roots and was continuous along the base of the web. In the first surgical phase, a full-thickness semilunar flap was raised; a fissure bar was cut along and through the web up to the approximate location of the junctional epithelium and the flap was sutured. It was assumed that cells from the bone surrounding the web and/or connective tissue cells from the flap had migrated into contact with the web hard tissue. This resulted in replacement resorption of the web. The connective tissue replacing the web acted as a septum separating the 2 parts of the root. The distal root was extracted. Resorption continued until most of the web disappeared from the wound. At this point, the remaining layer of web tissue was thin enough to allow repopulation of the resorbed surface with periodontal cells from the buccal and palatal sides of the web. The successful clinical outcome supports the assumption that new attachment consisting of periodontal ligament and cementum was formed following the 2-step surgical procedure. Application of the technique is limited by the width of the fusion rather than by its length.

Child↗
PubMed1989

[Case report of three impacted supernumerary teeth in the premaxillary region].

A case is presented of a six-year-six-month-old boy with three impacted supernumerary teeth in the premaxillary region. The radiographic examination showed one mesiodens resorbing the root of the left primary central incisor and two inverted supernumerary teeth, also displacement of the unerupted permanent central incisors. Surgical treatment was performed to remove these supernumerary teeth. The forms of the mesiodens exhibited tubercularly shaped crown with four-conical cusp and two inverted supernumerary teeth showed a conicalshaped crown with incomplete root. According to the family history, a sibling had a supernumerary tooth in the same region which had been extracted in the past.

Child↗
PubMed1989

[The dental anthropological study on the erupted mesiodens in the Paiwan tribe of Formosan aborigines].

Mesiodens is one supernumerary tooth which appears in upper intra-central incisors. This tooth was originally described by Bolk (1917) who proposed the term 'mesiodens'. We investigated the incidence of mesiodens for the Paiwan tribe of Formosan aborigines (9 tribes) living in the mountain area of Taiwan. We have been continued to research on these tribes as viewed from dental anthropology. The materials used in this study were plaster casts of 152 males and 238 females (dental age: IIIA or over). The samples of the Paiwan tribe were selected from the dental casts obtained at Taitung and Pingtung (Machia and Wutai) in southern Taiwan. The results were as follows: 1. The occurrence of the erupted mesiodens in the upper incisal region was five cases (3.3%) in males, but was none in females. This tendency of incidence was much the same as that of Japanese. 2. The mesiodens was of rudimentary form: four cases (80%) showed conical-shaped type and the rest case was the sort of incisor. 3. In the incidence of the erupted mesiodens, the Paiwan tribe showed significantly higher than Japanese.

Anthropology↗