PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Tooth, Supernumerary”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,657 records · Page 92Linked to original sources

Analysis of dental anomalies in the Siberian mole, Talpa altaica (Insectivora, Talpidae).

We re-examined tooth variation in specimens of the Siberian mole, Talpa altaica, from the collection of the Siberian Zoological Museum and discuss the mechanisms of dental evolution. The number of teeth counted in 1789 specimens ranged from 34 to 47, and supernumerary, absent, and connate teeth were observed. The most frequent tooth anomaly was an absent tooth in the premolar region (200 maxillary first premolars and 190 mandibular third premolars), which does not support Fujita and Kirino's terminal reduction hypothesis in the mandible [Fujita T, Kirino T. Ha No Kaibougaku. 21st ed. Tokyo: Kanehara Publishers Inc.; 1976 (in Japanese)]. Supernumerary teeth were found in premolar rows and in the incisor and molar regions. An maxillary fourth molar, positioned distal to the normal third molar, was thought to result from a genetically programmed atavistic event during the natal stages. Connate teeth were observed only in the premolar rows and were thought to have developed with the fusion of two independent tooth germs. Connate premolars appeared to result from an expression of an incomplete division of tooth germ at an early developmental stage or a reunion of independent tooth germs, based on the morphological similarity of the normal and supernumerary premolars. These extraordinarily frequent tooth anomalies of T. altaica are of much interest both in terms of tooth development and classification.

Animals↗

Early diagnosis and treatment of supplemental mandibular tooth: report of a case.

This report describes a rare case of a supplemental tooth with a morphology similar to a lateral incisor, found in the canine region of the mandible of a 6-year-old male. The purpose of this paper is to report the importance of early diagnosis and treatment during mixed dentition. The treatment was extraction of the primary mandibular left canine soon after the initial diagnosis of the condition to facilitate the spontaneous eruption of the supplemental tooth and his removal. Twenty-nine months after the removal of the supplemental tooth the mandibular left canine was fully erupted into normal position. No complication arose from the presence of this supernumerary and his early diagnosis has been very important for not disrupting the normal erupting or alignment of other teeth.

Child↗

Delayed dental maturation in cleidocranial dysplasia.

Cleidocranial dysplasia (CCD), a rare, inherited, generalized, skeletal and dental dysplasia, exhibiting an autosomal dominant mode of transmission, may be associated with delays during tooth maturation. To test whether permanent tooth formation is delayed in patients with CCD and if the presence of supernumerary teeth adversely influences maturation of the dentition, a group of CCD patients (eight females, three males) was compared to an equal number of control subjects matched for age and gender. Dental maturity was assessed using panoramic radiographs and the Dental Maturity Ratio, (DMR = mean dental age divided by the chronological age) was calculated. The mean DMR in CCD patients (0.87 +/- 0.14) was lower than in the control group (1.06 +/- 0.14), p < 0.01. Among patients with CCD, patients with supernumerary teeth, had a lower DMR (0.82 +/- 0.13 vs. 0.91 +/- 0.16), but the difference did not reach statistical significance. After adjusting for the presence of supernumerary teeth the diagnosis of CCD was still found to be associated with lower DMR than controls, p = 0.0569. We conclude that CCD patients have delayed tooth development of approximately 2.1 years and that among these patients, those with supernumerary teeth were further delayed by 1.5 years.

Age Determination by Teeth↗

[Microsymptoms as an indication for familial hypodontia, hyperdontia and tooth displacement].

Hitherto several micromanifestations could be recognized as signals of pathognomic etiological factors indicative of aplasia, or, better, as disposition to disorders of the odontogenetic organs. Such microsymptoms are reduction of size, especially observed in upper lateral incisors (peg-shaped teeth), delayed mineralization, and dystopia of tooth-germs. Our findings suggest that many further phenomena belong to the same group of micromanifestations such as supernumerary teeth, either of typical or atypical shape (mesiodentes), supernumerary cusps and roots, gemination and fusion of teeth, infraposition of deciduous molars with a tendency to inclusion, just as undermining resorption of the (upper) second deciduous molar caused by the first molar, and, last but not least, a large distance of the germ of the (lower) second molar from the first molar as well as retention of those teeth. Such micromanifestations are theoretically important as clues on the trail of hereditary and practically useful as indicators of hyper- and hypodontia and dystopias in the same patient or among his close relatives.

Anodontia↗

Ectopic eruption of a maxillary canine following trauma.

Traumatic events at an early age may lead to developmental dental anomalies and ectopic tooth eruption. A case is reported in which a traumatic injury at two months of age resulted in the development of supernumerary teeth in the upper right premaxillary region. The maxillary canine ectopically erupted or transposed into the space left by the missing central incisor and eliminated the need for a prosthesis in this region.

Child↗

[Three-dimensional surface reconstruction of spiral CT for teeth and clinical use in examining impacted teeth of jaws].

OBJECTIVE: To establish a new technique for three-dimensional surface reconstruction of teeth (dental surface reconstruction), and apply it to investigate impacted teeth in bone before operation. METHODS: On the basis of three-dimensional surface reconstruction of teeth and jaws, the dental surface reconstruction is obtained with the technique of shaded surface display (SSD), making transparent bone around. This technique is applied to investigate 9 cases of supernumerary and impacted teeth. RESULTS: Dental surface reconstruction image can present the dental surface image including crown, root, neck and root bifurcation in three-dimensional way, without presenting the image of other tissue around. In 4 cases, the abnormal configuration, labial or palatal location, and relation with dentition in anterior maxilla of 5 supernumerary were shown. In 1 case, the shape, location, eruption orientation and the angle of orthodontic distraction of 1 impacted permanent canine were displayed. In 3 cases, the shape, location, and extraction resistance of 6 impacted wisdom teeth were revealed. In 1 case, the configuration, distance to adjacent molar of 1 impacted wisdom tooth, which is a transposition tooth in maxillary sinus, were also demonstrated. CONCLUSION: The dental surface reconstruction is a new technique to display three-dimensional surface configuration of teeth. This technique can be applied to examine impacted and supernumerary teeth before surgical and orthodontic treatment.

Adult↗

Description of a clinical technique for tooth extraction in the cleft lip and palate area.

Cleft lip and palate are relatively common congenital malformations, which may require specialist paedodontic treatment. In this article, the case of a 9-year-old boy with bilateral complete cleft lip and palate is presented. He attended the Hospital for Rehabilitation of Craniofacial Anomalies (HRAC) for routine examination, during which the presence of pre-canine supernumeraries bilaterally in the cleft area was seen. The extraction of these dental elements was justified by extensive carious lesions and because they represented a potential problem during secondary palatoplasty. The precautions needed in tooth extraction in patients with cleft lip and palate are described, together with illustrations of the clinical procedure.

Child↗

Case report: two nasal floor compound odontomas associated with impacted maxillary incisor.

AIM: The purpose of this report is to describe the logical sequence of treatment in a case of a six year old caucasian female patient with two nasal floor compound odontomas, that delayed eruption of a maxillary permanent incisor. TREATMENT: The odontomas were surgically removed. However, as the maxillary incisor did not erupt spontaneously, after a suitable period of observation, an orthodontic treatment approach was adopted. This was to obtain an adequate space for the unerupted tooth and to move it to its normal position. CONCLUSION: Early diagnosis and surgical intervention of supernumeraries is therefore necessary and treatment of an impacted tooth may require an orthodontic appliance.

Child↗

Short root anomaly in families and its association with other dental anomalies.

In the present study, we collected a family series with short root anomaly in order to analyze the inheritance pattern of the condition. Another aim was to identify in these families an association with other dental anomalies, such as tooth agenesis, peg-shaped lateral incisors, supernumeraries, ectopia, and such morphological characteristics as invaginations, taurodontism, and a tendency to root resorption. Mesiodistal dimensions of the crowns of the affected teeth were measured in order to reveal any association with reduction or increase in tooth size. The apparent genetic heterogeneity of the pedigrees did not permit definitive conclusions as to the mode of inheritance. Autosomal dominant transmission of short root anomaly was seen in 3/8 families. In 2/8 families, the condition was seen in siblings but not in parents. An association with tooth agenesis and ectopic canines was noted, the prevalences of which were 46% and 33%, respectively. We stress the importance of not misdiagnosing this anomaly as resorption.

Anodontia↗

Clinical problems associated with unusual cases of talon cusp.

CASE REPORT: Talon cusp is an uncommon dental anomaly manifested as an accessory cusp-like structure on the crown of anterior teeth. This report describes two unusual cases of talon cusp. Case 1 showed bilateral anomalous cusps on the palatal aspects of maxillary supernumerary teeth, causing premature contact and tooth impaction. In case 2, a double-fused talon cusp was projected from the palatal surface of a large geminated central incisor. A talon cusp is not an innocuous defect, as it may provide a substantial diagnostic, treatment planning and procedural challenge. Early diagnosis and management are important to avoid complications.

Adolescent↗

A study of transposed canines in a sample of orthodontic patients.

Tooth transposition is a positional interchange of two adjacent teeth. The most commonly transposed tooth is the permanent canine with either the first premolar or lateral incisor. The records of 54 subjects with transposed canines, both maxillary and mandibular, were collected. Pretreatment study models of these subjects were matched with a similar number of models from unaffected individuals. Bucco-lingual and mesio-distal tooth widths, arch depth and arch width were measured on each model. Thirty-four subjects (63 per cent) were female. Thirty-seven (68.5 per cent) of the cases involved the maxillary arch and thirty-three (89.2 per cent) of these upper arch transpositions were of the canine and first premolar. In cases involving the lower arch the canine was invariably transposed with the lateral incisor. Peg-shaped lateral incisors, supernumerary and/or congenitally absent teeth occurred in 19 subjects. There were some small, but significant differences in the dimensions of some teeth, however there were no statistically significant differences in arch depths, arch widths and most tooth dimensions in subjects with and without transposed canines. These factors do not appear to be related to the development of canine transposition.

Anodontia↗

Prevalence of dental anomalies in orthodontic patients.

The prevalence of dental anomalies including agenesis, crown shape, tooth position, root shape, and invagination were examined in 111 orthodontic patients; 74.77 per cent of the patients exhibited at least one dental anomaly. Invagination was found to be the most prevalent anomaly, whereas supernumerary teeth and root dilaceration were the least frequent anomalies. Dental invagination and short or blunt roots were significantly more prevalent in females than in males. Implications for orthodontic treatment planning are discussed.

Adolescent↗

Two uncommon uses of Bio-Oss for GTR and ridge augmentation following extractions: two case reports.

Bio-Oss is natural bovine bone mineral, which has the property of bone conduction. It is recommended to be used in two- or three-walled bony defects with an ample supply of pleuripotential cells. Two cases are reported. The first was an intentional replantation, because of previous trauma, of a hopeless tooth affected with severe periodontitis. The tooth was replanted after complete elimination of granulation tissue. Bio-Oss, together with a guided tissue regeneration (GTR) membrane, was used to enhance periodontal regeneration. After 2 years of follow-up, the replanted tooth was quite stable. In the second case, Bio-Oss, together with bone taken from the retromolar area, was used in a sinus lift grafting procedure after the removal of two supernumerary teeth from the floor of the maxillary sinus. Four months after grafting, an orthodontic treatment was applied to move the two adjacent teeth through the grafted site and align them in the proper position. The clinical results of the two cases were satisfactory.

Adolescent↗

The Nance-Horan syndrome: a rare X-linked ocular-dental trait with expression in heterozygous females.

This report describes two families with the Nance-Horan syndrome, an X-linked trait featuring lenticular cataracts and anomalies of tooth shape and number. Previous reports have described blindness in affected males but posterior sutural cataracts with normal vision as the primary ocular expression in heterozygous females. In one of these two families, the affected female is not only blind in one eye but reportedly had supernumerary central incisors (mesiodens) removed. This constitutes the most severe ocular and dental expression of this gene in heterozygous females yet reported.

Adult↗

[Statistical studies on numerical anomalies of teeth in children using orthopantomograms. Hyperdontia].

Statistical studies on numerical anomalies of teeth using orthopanthomograms had been attempted. In this paper, hyperdontia had been researched using 4009 orthopanthomograms of pedodontic patients. The tested were following: Male: Age 2-5 1036, 6-11 905, 12-22 Total 1963 Female: Age 2-5 1032, 6-11 985, 12-29 Total 2046 respectively. And 119 hyperdontia cases (143 teeth -1 tooth: 95 cases, 2 teeth: 24 cases) were found. Male: 84 cases 104 teeth (1 tooth: 64 cases, 2 teeth: 20 cases) Female: 35 cases 39 teeth (1 tooth: 31 cases, 2 teeth: 4 cases). Form supplemental teeth (normal form) deciduous teeth 4 teeth (4 anteriors containing 2-3 C in a case.) permanent teeth 32 teeth (anteriors: 28, premolars: 4) supernumerary teeth (abnormal form) deciduous cuspid like, conical 97 teeth (upper incisors) queer form 10 teeth (upper anteriors) Eruption line normal 85 teeth inversive 46 teeth horizontal 12 teeth Depth in alveolus Hyperdontia are classified in following: 1. in the alveolus deeper than permanent dentition in deciduous teeth period type I 1.7% in permanent teeth period type I' 23.5% 2. in the same depth of permanent dentition in deciduous teeth period type II 24.4% in permanent teeth period type V 9.2% 3. in the depth between permanent dentition and deciduous dentition type III 38.7% 4. in the deciduous dentition type IV 3.4% Type I, Type I', and Type III (total 63.9%) possibly belong to different teeth generation from deciduous and permanent teeth.

Child↗

Considerations and differences in the treatment of a fused tooth.

Dental malformations relating to bigeminism, fused teeth, etc., have a prevalence of 0.5-5%, depending on geographic, racial or genetic factors. This in turn may influence the treatment to be provided in each case. Anomalies in the shape, size and number of teeth are more common in the so-called pediatric genetic syndromes, many of which are associated to mental retardation. The present study describes two clinical cases of similar dental fusion involving a central incisor and comprising different and individualized treatment plans due to the important differences in the characteristics of each patient. The first case corresponded to a healthy 9-year-old boy with a fused upper central incisor and a supernumerary incisor in the second quadrant. The fused tooth presented two independent and converging roots with a single pulp chamber. Endodontic treatment was provided, with dental sectioning and composite reconstruction of the crown. Orthodontic management was reserved for a second stage. The second patient was a 27-year-old male with severe mental retardation of uncertain origin, gingival hyperplasia, a large bilobular upper central incisor, and a total lack of oral hygiene. Treatment in this case was limited to surgical resolution of the periodontal problem and the introduction of an exhaustive prevention program involving instructions for oral hygiene (with implication of the parents and care takers). In conclusion, the development of a management plan in these two cases of fused teeth required due consideration of the degree of patient cooperation, which was severely limited in one case -- thereby causing treatment to differ greatly from one individual to another.

Adult↗

Numeric anomalies of teeth in concomitant hypodontia and hyperdontia.

Variations in tooth number in children, each of whom had supernumerary teeth and agenesis of teeth, is described. Among the 11, seven had cleft lip and palate, and two had clefting syndromes; two children had dental anomalies only. Only children who had both supernumerary teeth and congenitally missing teeth outside the area of the cleft alveolus were included. Concomitant hypodontia and hyperdontia were observed in the same dentition in nine subjects, in the same jaw in eight subjects, and in the same jaw quadrant in only three subjects. Supernumerary teeth and agenesis of teeth were observed simultaneously more often in the permanent dentitions than in the deciduous dentitions or in both dentitions simultaneously. The overall number of supernumeraries was 10 in the deciduous dentition and 14 in the permanent dentition of the 11 subjects. The number of congenitally absent teeth was 14 in the deciduous dentition and 40 in the permanent dentition. The etiology of concomitant hypodontia and hyperdontia is difficult to explain. It may result from disturbances in migration, proliferation, and differentiation of neural crest cells or interactions between the epithelial and mesenchymal cells during the initiation of odontogenesis.

Abnormalities, Multiple↗

[Frequency of the developmental disturbances of tooth structure].

In permanent and deciduous dentitions, the frequency of congenitally missing teeth, supernumerary teeth, conical teeth, fused teeth, germinate teeth, abnormal tubercles (basal ridge of incisor or canine, central cusps of molars, Carabelli's cusp, protostylid, and para-molar tubercles), and enamel hypoplasia (white spots, pigmentation, and enamel defects) were surveyed. Furthermore, mesio-distal and bucco-lingual dimensions of the crowns were measured and the relationship between developmental disturbances of dental hard tissue and tooth size was examined. For the deciduous dentition, the frequency of children with congenitally missing teeth, conical teeth and fused teeth was 7.2%, 1.1% and 5.3%, respectively. Enamel hypoplasia appears with the following frequency; white spots (16.0%), pigmentation (6.4%), and enamel defects (5.2%). Mesio-distal widths of the upper canine and lower lateral incisors of the children with congenitally missing teeth was significantly smaller than the standard values. For the permanent dentition, congenitally missing teeth, conical teeth and fused teeth were detected in 5.7%, 3.0%, and 0.5% of the children, respectively. The frequency of children with basal ridge, central cusps, Carabelli's cusp, protostylid, and para-molar tubercles was respectively, 1.1%, 2.6%, 7.1%, 0.3% and 1.3%. Children with central cusps or Carabelli's cusp tended to have larger crowns, while children with congenitally missing teeth or conical teeth tended to have smaller teeth. As for enamel hypoplasia, white spots were detected in 24.9% of the children, and pigmentation was in 8.1%, and enamel defects were in 9.2%. These results indicate that abnormality of tooth number and tooth morphology correlate with the tooth size and this tendency is more striking in permanent dentition than in deciduous dentition.

Child↗