Fig 3 - uploaded by Anil Patil
Content may be subject to copyright.
Source publication
Supernumerary teeth or hyperdontia is defined as excess number of teeth as compared to the normal dental formula. Supernumerary teeth closely resembling normal tooth shape and morphology are often called supplemental tooth. This article describes a case of non-syndrome twelve year old boy with the presence of incisiform supplemental lateral incisor...
Similar publications
Supernumerary teeth are one of the dental anomalies which occur due to the developmental disturbances in teeth. They can be seen in various shape and form. They can occur in both the deciduous and permanent dentition and can impose aesthetic and occlusion problems. Morphologically the supernumerary teeth exhibit various forms ranging from conical t...
Citations
... Hyperdontia in primary dentition is often missed because superlative teeth erupt normal in shape, normal in proper alignment, and can be off targeted as germination or fusion. 8 hygiene as well as esthetic problems, so the decision was made to remove the superlative tooth and align the incisors orthodontically. Before extraction space analysis is done, that is, space required (Table 1) and gained ( Table 2). ...
... 7 However, a very few disorders and syndromes like cleft lip and palate, cleidocranial dysostosis, Gardner's syndrome, and chondroectodermal dysplasia are associated with multiple supernumerary teeth in literature. 8 In the present case, patient was devoid of any syndromes. In most of the instances seen superlative teeth remain unerupted and are analog with a variety of clinical problems such as displacement or rotation, root resorption of the surrounding teeth, dilaceration, failure or delayed eruption of the adjacent tooth, esthetic disturbances, diastema, and dentigerous cyst. ...
Abstract
Aim and objective: This case report aims to describe the management of a case of non-syndromic bilateral incisiform superlative lateral incisors
in a young girl.
Background: Supernumerary teeth are an excess number of teeth as compared to the normal dental formula. Supernumerary teeth closely
resembling normal tooth shape and morphology are called superlative tooth. Superlative incisiform lateral incisors occurring bilaterally is very
rare in the arch.
Case description: This paper describes a case of non-syndromic bilateral incisiform superlative lateral incisors in a 16-year-old female patient
and its management by pediatric and orthodontic therapy.
Conclusion: In this case as both the teeth were equally formed, the tooth which is more out of occlusion and causing discomfort will be extracted
under local anesthesia and continued with orthodontic treatment for the correction of crowding.
Clinical significance: When superlative teeth are present, they should be investigated and diagnosed properly. Superlative teeth should be
managed according to the presenting clinical feature so that further complications can be minimized in the developing dentition.
Keywords: Hyperdontia, Incisiform supplemental teeth, Supernumerary teeth.
International Journal of Clinical Pediatric Dentistry (2022): 10.5005/jp-journals-10005-2389
... S upernumerary teeth (ST) or hyperdontia is defi ned as presence of additional teeth or odontogenic structures formed from the tooth germ in excess of the normal dental formula, i.e. 20 deciduous and 32 permanent teeth, regardless of their location and shape. The term "supplemental teeth" was introduced more than a century ago by Tomes (1873), and it means teeth with morphology similar to that of teeth of the normal dentition [1]. ...
... and according to other authors, it reaches 1.53-1.57% [1,3,4,7]. Alberti et al. [8] found an incidence of 0.38% in the age between 6 and 10 years, with a signifi cant increase in the relative proportion in the 9-year-olds (0.64-1.06%). We found an incidence of 4.44% in the patients aged 4-10 years. ...
... Supernumerary teeth are more common in the permanent (0.5-3.8%) than in the primary dentition [1,3,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. The great diff erence between the two dentitions, in terms of the incidence of supernumerary teeth, is probably due to the fact that hyperdontia in the primary dentition remains unnoticed by the parents as it does not cause any other abnormalities [23]. ...
Abstract. Abnormalities in the number of teeth are conditions that occur predominantly in
childhood. Therefore, monitoring the prevalence and early diagnosis is very important for
the timely and appropriate therapeutic approach. The aim of the study was to investigate
the incidence of supernumerary teeth in patients from the city of Plovdiv. Methods and
equipment: 1,000 dental patients were studied. Data were collected from patients seeking
medical attention at the Faculty of Dental Medicine in Plovdiv. We used clinical, X-ray and
statistical methods for investigation. Results: A 1.1% prevalence of supernumerary teeth
(ST) was observed in the studied patients. A statistically signifi cant diff erence was found
between the presence of ST in the permanent and mixed dentition, with a 3% relative
proportion of ST in the mixed and 0.62% in the permanent dentition (p < 0.05). The relative proportion of ST in the maxilla was 90.9%, and in the mandible – 9.1%. A statistically
signifi cant diff erence (p < 0.05) was found in the distribution of ST by jaws. In our study, a
higher frequency of mesiodens and distomolar (1.08% and 0.22%, respectively) was found
in males, and a decreasing relative proportion from the midline to distally in females (mesiodens – 0.56%, paramolar – 0.19%, distomolar – 0.19%). Conclusion: Supernumerary
teeth are a relatively rare dental abnormality in the Bulgarian population. Its distribution
by sex and morphology corresponds to the prevalence in Caucasians and populations of
southern countries.
Key words: supernumerary teeth, frequency, distribution by sex, dentition, mesiodens, paramolar, distomolar, parapremolar
... [39] An association between anomalies of the permanent dentition and the presence of dental anomalies in primary teeth has been proposed. [40] Supplemental lateral incisors in the primary dentition followed by similar anomalies Robertson et al. [17] 1983 11/F Supplemental Bilateral Crowding in the upper arch Dowling and Delap [18] 1997 10/M Supplemental Bilateral Unerupted maxillary central incisors Lo Giudice et al. [19] 2008 10/M Supplemental Bilateral Extra teeth Singla and Negi [20] 2010 17/F Supplemental Bilateral Irregularly placed upper front teeth Yildrim and Bayrak [21] 2011 8/M Supplemental Bilateral Dental caries Anil [22] 2012 12/M Supplemental Unilateral/left side An extra tooth in the palatal side of the upper front jaw Kini et al. [23] 2013 21/M Supplemental Unilateral/left side Pain and pus discharge from upper right side Nagpal et al. [24] 2013 21/ F Supplemental Bilateral Pain in lower right back tooth region, Bhullar et al. [25] 2014 14/F Supplemental Bilateral Spaces between upper teeth Rodrigues et al. [26] 2014 45/M Supplemental Unilateral/right side A routine check-up Shinohara et al. [27] 2015 32/M Supplemental Unilateral/right side Referred by orthodontist Jana et al. [28] 2017 13 ...
... This is due to the fact that mesiodens is formed and can lead to complications in early childhood, while distal teeth are diagnosed predominantly at a later age. ST are more common in the permanent (0.5-3.8%) than in the primary dentition [11,14,15,[21][22][23][24][25][26][27][28]. In the permanent dentition, hyperdontia is twice as frequent as in the primary dentition [29], and according to other authors [23] its prevalence is 0.03-1.9% in the primary dentition. ...
This article covers a clinical and epidemiological study, conducted by us, of 106 patients with clinically and radiologically diagnosed Supernumerary Teeth (ST). The objective of this study was to determine the frequency, morphology and location of hyperdontiaby sex and age among the patients studied. Material and methods: This is a case-control, observational, retrospective study of 106 patients with hyperdontia. Results and conclusions: The male to female ratio in the studied patients was 2.21:1, with mean age of 16.84±1.15 years. In the mixed and primary dentition, the proportion of mesiodens was highest, while in the permanent dentition, the proportion of distomolar was highest. We diagnosed 65.47% (110 ST) in the maxilla, 14.29% (24 ST) in the mandible, and 20.24% (34 ST) affecting both jaws. Mesiodens and lateral incisor were more common in the maxilla, and parapremolar was more common in the mandible.
... Supernumerary teeth have multiple etiology factors, such as hyperactivity of the lamina, trauma, phylogenetic theory, atavism, environmental or genetic (heredity) linked factors, dichotomy of the dental germ [1]; they are more prevalent in permanent dentition and in the premaxilla region [2,3]; males are reported by some authors to be more affected than females [2]. Some of them are so similar in form, shape and position with the normal ones that the decision on which one to extract is difficult. ...
... Supplemental teeth are the duplicates for the teeth from the normal dental formula; they can be molars, premolars or incisive [14]. Although reported data of supplemental teeth exists in literature, for the supplemental lateral incisors, and especially for the deciduous ones, this is rather scarce [1]. In a study made by Jung et al., from 193 patients with 241 impacted supernumerary teeth, only seven were supplemental [15]. ...
Additional teeth to the normal dentition are called supernumerary teeth; they can be found in higher rates in permanent than in deciduous dentition, in both sexes, associated or not with other diseases or syndromes. The aim of this article is to report three rare cases of unilateral supplemental lateral incisors, in Romanian child and adult patients, and to evaluate the treatment options in each case, considering particularities such as age, physiognomy, associated issues and occlusion. The differential diagnosis between a supernumerary lateral incisor in formation and a rudimentary is sometimes difficult to make using only panoramic X-ray, so a cone-beam computed tomography analysis can be indicated. Usually, due to the pathological issues that they can cause, the supplemental maxillary lateral incisors are removed; although, in some cases, it may be necessary to remove the normal tooth, for example in cases of major crowding, in which the normal tooth is more displaced from the line of the arch than the supplemental one, or when there is a lack of periodontal support surrounding the normal tooth. This article highlights that even if, in younger patients, the majority of these teeth is extracted because later in life they can cause difficulties in orthodontic and prosthetic treatment, there are still rare cases which do not necessitate treatment, because they are asymptomatic, rather well aligned and go unnoticed. Also, the article includes a detailed literature review of reported cases of supplemental maxillary lateral incisor.
... Yildirim and Bayrak 1 reported a case with bilateral supplemental primary as well as permanent maxillary lateral incisors. Anil 6 reported a case of bilateral supplemental maxillary lateral incisors that were causing crowding and poor aesthetics in the patient. Nagpal et al 7 reported a case of non-syndromic, bilateral supplemental maxillary lateral incisors. ...
A supernumerary tooth is an additional entity to the normal series and can be seen in all quadrants of the jaw. Occurrence may be single or multiple, unilateral or bilateral, erupted or impacted in one or in both jaws. Multiple supernumeraries are rare in individuals with no other associated disease or syndromes. The conditions commonly associated with an increased prevalence of supernumerary teeth include cleft lip and palate, cleidocranial dysplasia and Gardner syndrome. The supplemental supernumerary refers to a duplication of teeth in normal series and is found at the end of a tooth series. A supplemental tooth may closely resemble the teeth of the group to which it belongs or it may bear little resemblance in size or shape to the teeth with which it is associated. This report presents a case with bilateral supplemental upper permanent lateral incisors without any symptoms of associated disorders.
Introduction:
Orthodontic discrepancies are a common finding in patients with supernumerary teeth (ST). The presence of a ST can cause a number of orthodontic discrepancies, such as delayed eruption or retention of adjacent teeth, crowding, spacing, abnormal root formation and so on. The aim of the present study was to assess the effect of extraction of an anterior supernumerary tooth on the underlying orthodontic discrepancies without additional treatment for a 6-month period.
Methods:
This was a prospective, longitudinal, observational, study. It included 40 individuals with orthodontic malocclusions due to maxillary anterior supernumeraries. We examined the changes in the crowding and excessive space in the anterior and posterior segments on cast models.
Results:
In the group that presented with crowding, a statistically significant decrease of 0.95 ± 0.17 mm (P < 0.001) was found between T0 and T1. Of the participants, three exhibited full self-correction. The excessive space at T0 (3.06 mm) decreased by 1.78 ± 0.19 mm to T1 (1.28 mm) in the anterior segment. Seven patients showed full self-correction of the diastemas after the 6-month observation period.
Conclusion:
The results imply that orthodontic treatment can be postponed for at least 6 months after the extraction of the supernumerary tooth as potential self-correction can be expected. This natural alleviation of the malocclusions may make the orthodontic treatment simpler, shorten the treatment time and decrease overall appliance wear time.
When there is an indication for endodontic treatment, one of the steps is to enlarge the existing root canal, in harmony with the principles for root-canal preparation. During the phase of preparation, endodontic instruments are used, but the instruments themselves vary by taper, cross-section and diameter at the tip. Some teeth have gentle roots and therefore, the preparation step is crucial not to be overdone in order to preserve as much sound dentin as possible.
Abstract:
Purpose: To compare the microleakage between 4% and 6% taper bioceramic endodontic obturation,
achieved by hydraulic condensation and bioceramic sealer BioRoot RCS.
Materials and Methods: Thirty samples with 12 mm length are obtained from single rooted human
extracted teeth. The root canals of the samples are prepared and obturated with single cone hydraulic
condensation technique and BioRoot RCS.
Results: The test results show respectively 0.39% penetration for group BC4, and 0.17% for group PT6.
Decreased permeability of dye is reported for all samples compared to the positive control (C +) (p
<0.05), as well as insignificant difference compared to the negative control (C-) (p> 0.05).
Conclusion: Both tapers of the endodontic obturation show low level of dye penetration for all the
samples in both experimental groups included in the current study.
Key words: bioceramic sealer, BioRoot, microleakage, hydraulic condensation, taper
