scholarly journals Supernumerary Teeth in Nepalese Children

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Varun Pratap Singh ◽  
Amita Sharma ◽  
Sonam Sharma

Objective. The objectives of the present study were to investigate the prevalence and characteristics of supernumerary teeth in a patient sample of Nepalese children.Study Design. A survey was performed on 2684 patients (1829 females and 1035 males) ranging in age from 6 to 14 for the presence of supernumerary teeth. For each patient with supernumerary teeth the demographic variables (age and sex), number, location, eruption status, and morphology were recorded. Descriptive statistics were performed.Results. Supernumerary teeth were detected in 46 subjects (1.6%), of which 26 were males and 20 were females with a male : female ratio of 1.3 : 1. The most commonly found supernumerary tooth was mesiodens followed by maxillary premolars, maxillary lateral incisor, and mandibular lateral incisor. Of the 55 supernumerary teeth examined, 58.18% (n=32) had conical morphology, followed by tuberculate (30.90%,n=17) and supplemental (10.90%,n=6) forms. The majority of the supernumerary teeth were erupted (56.36%,n=31).Conclusion. The prevalence of supernumerary teeth in Nepalese children was found to be 1.6%, the most frequent type being mesiodens. Conical morphology was found to be the most common form of supernumerary tooth.

2017 ◽  
Vol 15 (2) ◽  
pp. 164-168
Author(s):  
Senchhema Limbu ◽  
Parajeeta Dikshit ◽  
Sujaya Gupta

Background: A mesiodens, is the most frequent supernumerary tooth present in the maxillary central incisor region. This study is conducted to know the radiographic characteristics and management of mesiodens in children visiting hospital.Methods: A cross-sectional retrospective data collection was done from hospital dental records of children who visited the institution from December 2015-December 2016. Radiographic characteristic of mesiodens including the number, shape, position, direction of crown and complication caused by mesiodens were recorded. Data were analyzed using IBM SPSS v.20.0.Results: Out of 1871 dental records, it was found that 40 children had 53 mesiodens, with male female ratio of 3:1 and most of them were discovered at 8 years. Majority of mesiodens, 54.7% were erupted, conical, palatally placed with 77.3% vertically directed crown.Complications associated with it were crowding followed by diastema and delayed eruption. Among 40 children, one had three mesiodens, eleven had two mesiodens and rest had one each. Radiographically fully formed tooth was seen in 29 mesiodens. Immature apex was seen in 38 central incisors associated with mesiodens. Management undertaken was simple/surgical extraction and only few cases were kept for periodic observation. Conclusions: Periodic radiographs act as an important tool for clinicians in detecting and managing mesiodens.


2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Iury Oliveira Castro ◽  
Carlos Estrela ◽  
Vinícius Rezende Souza ◽  
Lawrence Gonzaga Lopes ◽  
João Batista de Souza

Objective. The objective of this paper is to report a dental fusion case focusing on clinical and radiographic features for the diagnosis.Method. To report a case of right maxillary lateral incisor fusion and a supernumerary tooth, the anatomy of the root canal and dental united portion were assessed by cone beam computed tomography (CBCT).Results. The clinical examination showed dental juxtaposition with the absence of interdental papilla and esthetic impairment in the right maxillary lateral incisor region. The periapical radiography did not provide enough information for the differential diagnosis due to the inherent limitations of this technique. CBCT confirmed the presence of tooth fusion.Conclusion. CBCT examination supports the diagnosis and provides both the identification of changes in tooth development and the visualization of their extent and limits.


2016 ◽  
Vol 7 (4) ◽  
pp. 199-202
Author(s):  
Deepti Dua ◽  
Ankur Dua

ABSTRACT Fusion is a developmental anomaly in tooth morphology, which may be due to either union of two separate tooth buds or partial splitting of a single tooth bud. A thorough understanding of root canal anatomy is an essential prerequisite for a successful endodontic treatment. This case report describes successful endodontic management of a maxillary left lateral incisor fused with a supernumerary tooth using spiral computed tomography (SCT) as a diagnostic aid. A patient reported with a painless swelling in the maxillary anterior region associated with a fused maxillary lateral incisor. Spiral CT was performed to better understand the complex root canal anatomy. Endodontic treatment was done using methyl trioxide aggregate (MTA) as apical plug and obturation by thermoplasticized gutta-percha. The tooth was completely asymptomatic at 1-year follow-up showing signs of healing. The present case report emphasizes on the importance of three-dimensional (3D) imaging techniques, such as SCT in cases of developmental anomalies having complicated root canal morphology for successful endodontic therapy. How to cite this article Dua D, Dua A, Patil AC. Endodontic Management of a Maxillary Lateral Incisor fused with Supernumerary Tooth using Spiral Computed Tomography as Diagnostic Aid. World J Dent 2016;7(4):199-202.


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Rosa-María Yañez-Vico ◽  
Maria Cadenas de Llano-Perula ◽  
Enrique Solano-Reina

Introduction. This article’s purpose is to report a case where maxillary lateral incisors and mandibular central incisors are extracted and a canine substitution was performed as the best therapeutic option in order to obtain symmetry in a malocclusion with an upper lateral incisor with poor prognostic, solve moderate crowding, get enough space for the permanent dentition, and provide stability to the results. Case Report. An 11-year-old boy with straight profile with acute-to-normal nasolabial angle and protruded lips, mixed dentition, lower and upper severe crowding, and a bilateral molar angle Class I. The left maxillary lateral incisor failed endodontic treatment secondary to an intrusive traumatic lesion in the primary and permanent dentition. The treatment of choice was the extraction of both upper lateral incisors and both central lower incisors. The patient finished with molar and canine angle Class I and coincident midlines and was functionally stable; both lateral and protrusive jaw movements were effectively made by the first premolars and central incisors and canines without improper contacts of the rest of the teeth. Overbite of one-third and correct overjet were also achieved, and the esthetic outcome was satisfactory due to the composed material restorations of both the central and lateral incisors, as well as recontouring of the first maxillary premolars.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmet Yagci ◽  
Kenan Cantekin ◽  
Suleyman Kutalmis Buyuk ◽  
Kansad Pala

Fusion, an uncommon anomaly of the hard dental tissues, is potentially the cause of clinical problems related to esthetics, tooth spacing, and other periodontal complications. This paper describes a multidisciplinary approach involving surgical, endodontic, restorative, and orthodontic attention for the successful, functional, and esthetic rehabilitation of a maxillary left lateral incisor fused with a supernumerary tooth in unilateral cleft lip adolescence in contralateral side. After clinical and radiographic examinations, a fusion between the left maxillary lateral incisor and a supernumerary tooth was diagnosed in the patient, and a small connection was detected between the pulp systems of the two root canals. The case reported in this paper presents the successful resolution of a fused maxillary lateral incisor with a supernumerary tooth, using endodontic, surgical, restorative, and orthodontic management. The decision made in extracting or retaining the fused tooth depends on the arch discrepancy and esthetic needs. Future studies, with long-term followup, will be helpful in evaluating the long-term efficacy of the different treatment options.


2006 ◽  
Vol 32 (12) ◽  
pp. 1217-1219 ◽  
Author(s):  
R INDRA ◽  
M SRINIVASAN ◽  
H FARZANA ◽  
K KARTHIKEYAN

2020 ◽  
Vol 9 (6) ◽  
pp. 614-616
Author(s):  
Tamara Fernandes De Castro ◽  
Glauco Issamu Miyahara ◽  
Carla Renata Sanomiya Ikuta ◽  
Leda Maria Pescinini Salzedas

A supernumerary tooth is an entity in addition to the normal series of teeth that, although rare, can be fused to a tooth, whether deciduous or permanent. Diagnosis and management in cases involving supernumerary teeth in the anterior region of the maxilla are often challenging. The clinical examination associated with the radiographic examination is decisive for the diagnosis and planning of cases. This article describes a case of unilateral fusion of a supernumerary tooth to a permanent upper lateral incisor, in which clinical and radiographic diagnosis was essential for a conservative approach. Descriptors: Diagnosis; Fused Teeth; Tooth, Supernumerary. References Rajab LD and Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent. 2002;12:244–54. Yang G. Supernumerary teeth and gemination. Br J Oral Maxillofac Surg. 2012;50:15–8.  Zhu M, Liu C, Ren S, Lin Z, Miao L, Sun W. Fusion of a supernumerary tooth to right mandibular second molar: a case report and literature review. Int J Clin Exp Med. 2015;8(8):11890-95. Rudagi K, Rudagi BM, Metgud S, Wagle R. Endodontic management of mandibular second molar fused to a supernumerary tooth, using spiral computed tomography as a diagnostic aid: a case report. Case Rep Dent. 2012;2012:614129.  Nandini DB, Deepak BS, Selvamani M, Puneeth HK. Diagnostic dilemma of a double tooth: a rare case report and review. Journal of Clinical and Diagnostic Research. 2014;8(1):271-72. Duncan WK, Helpin ML. Bilateral fusion and gemination: a literature analysis and case report. Oral Surg Oral Med Oral Pathol.1987;64(1):82-7. Gupta S, Singla S, Marwah N, Dutta S, Goel M. Synodontia between permanent maxillary lateral incisor and a supernumerary tooth: treatment J Oral Health Comm Dent. 2007;1:52-5. Mader CL (1979) Fusion of teeth. J Am Dent Assoc 98:62-4. Kumar V, Pandey V, Rohini G, Jyoti B. Fusion Between Maxillary Premolar and A Supernumerary Tooth: A Rare Case Presentation. J Clin Diagn Res. 2015;9(11): ZJ03-4. Maréchaux SC. The treatment of fusion of a maxillary central incisor and a supernumerary: report of a case. ASDC J Dent Child. 1984;51:196-99. De Siqueira VC, Braga TL, Martins MA, Raitz R, Martins MD. Dental fusion and dens evaginatus in the permanent dentition: literature review and clinical case report with conservative treatment. J Dent Child (Chic) 2004;71:69-72.  Karacay S, Guven G, Koymen R. Management of a fused central incisor in association with a macrodont lateral incisor: a case report. Pediatr Dent. 2006;28:336-40.  Cetinbas T, Halil S, Akcam MO, Sari S, Cetiner S. Hemisection of a fused tooth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104:e120-24.  Nunes E, deMoraes IG, de Novaes PM, de Sousa SM. Bilateral fusion of mandibular second molars with supernumerary teeth: case report. Brazilian Dent J. 2002;13:137-41. 


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