scholarly journals Diagnosis and Management of a Patient with Congenitally Missing Maxillary First Permanent Molars: A Rare Case Report

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Megha Gupta ◽  
Suman Panda ◽  
Fahad Ahmed Mutawwam ◽  
Fahad Musawi Mohammed Kariri

Congenitally missing teeth are the most commonly seen dental anomalies. Agenesis of the permanent first molar has the least frequency of all the tooth types, and it usually occurs in association with oligodontia or anodontia. Thus, agenesis of the bilateral maxillary first permanent molar is an extremely rare occurrence, and no such case has been reported in ethnic Saudi Arabian population. We hereby report a case of nonsyndromic bilateral congenitally missing maxillary first permanent molar in an eight-year-old Saudi female patient. Comprehensive oral rehabilitation was done for the patient. The implications of the tooth agenesis are also discussed. The prognosis of this case is presented.

1996 ◽  
Vol 33 (5) ◽  
pp. 436-439 ◽  
Author(s):  
Peter J. Anderson ◽  
Anthony L.H., Moss

The incidence of dental abnormalities in the cleft lip and palate population has been reported to be much higher than in the normal population. The role of genes in the production of a cleft lip and palate, and dental anomalies is thought to be complex, with autosomal dominant, recessive, and x-linked genes all playing a role. Noncleft parents can carry some of the cleft lip and palate genes, which produce clinically subtle manifestations in their facial skeleton. The purpose of this study was to look for evidence of increased dental anomalies in the non-cleft parents of cleft lip and palate children. The dentitions of the parents of 60 children with different types of cleft lip and palate were examined prospectively to see whether or not they exhibited features found more readily in the cleft lip and palate rather than did the normal population. Their dentitions were studied to record the following dental features: congenitally missing teeth, supernumerary teeth, or morphologic changes of the crowns of the permanent teeth. The number and position of any frenal attachments were also recorded. The results of this study did not show any differences in incidence of dental anomalies from the noncleft population. There was no evidence to support the hypothesis that congenital absence of lateral incisors is a microform of cleft lip and palate. Further, these results also failed to reveal any consistent pattern in the number and position of frenal attachments.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmed R. Afify ◽  
Khalid H. Zawawi

Objective. The aim of this cross-sectional study was to investigate the prevalence of dental anomalies that could be a cause of malocclusion in the western region of Saudi Arabia. Materials and Methods. A retrospective study of 878 digital orthopantomograms (OPGs) taken of patients, age ranging between 12 and 30 years, who presented to treatment at the Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia between 2002 and 2011. The OPGs and dental records were reviewed for congenitally missing teeth, supernumerary teeth, impactions, ectopic eruption, transposition, germination, fusion, dilacerations, taurodontism, dens in dent, and any other unusual conditions that can be assessed with OPG. Results. The prevalence of patient that exhibited at least one dental anomaly was 396 (45.1%) patients. The prevalence of congenitally missing teeth was 226 (25.7%), impacted teeth 186 (21.1%), dilacerated teeth 10 (1.1%), supernumerary teeth 3 (0.3%), odontoma 1 (0.1%), and taurodontism was also 1 case (0.1%) of the total radiographs reviewed. Conclusions. Congenitally missing teeth were found to be the most prevalent anomaly (25.7%), and the second frequent anomaly was impacted teeth (21.1%), whereas root dilacerations, supernumerary teeth, and taurodontism were the least frequent anomalies (1.1%, 0.3% and 0.1%, resp.).


2017 ◽  
Vol 11 (2) ◽  
pp. 44-47
Author(s):  
Vandana Dahiya ◽  
Neetu Gupta ◽  
Abhijeet Kadu ◽  
Sukhvinder Oberoi ◽  
Charu Mohan Marya

ABSTRACT Congenitally missing teeth are one of the most common dental anomalies which may be termed as dental agenesis. Polygenesis, the formation of one or more supernumerary teeth, occurs much less frequently than agenesis. Hypodontia and hyperdontia are regarded as the opposite dental developmental anomalies. However, their simultaneous presence in the same individual is a rare condition. A case of concomitant hypo-hyperdontia (CHH) is presented here, wherein a 20-year-old female has missing mandibular central incisors, maxillary second molars, and all the third molars. In addition, she has a malformed supernumerary tooth in the mandibular left anterior region. Documentation of such rare case reports is necessary as it helps in minimizing the clinicians' challenge in diagnosing such cases and thus helpful in providing a multidisciplinary approach in treating such patients. How to cite this article Gupta N, Kadu A, Marya CM, Nagpal R, Oberoi S, Dahiya V. Congenitally Missing Permanent Mandibular Central Incisors and Maxillary Second Molars in Conjunction with a Supernumerary Mandibular Central Incisor. J Oral Health Comm Dent 2017;11(2):44-47.


2017 ◽  
Vol 35 (75) ◽  
Author(s):  
María Lorena Cardoso ◽  
Diana Emilia Falcón ◽  
Andrea Verónica Galiana

RESUMEN. Antecedentes: La pérdida prematura de un molar primario conlleva a malposición de los dientes contiguos y del sucesor permanente. El efecto depende de las fuerzas que actúan sobre el diente, que están condicionadas a su vez por el estado de erupción del primer molar permanente. Propósito: Describir una opción de tratamiento para la pérdida prematura de segundos molares primarios hasta la erupción de los primeros molares permanentes. Descripción del caso: El caso clínico presentado involucra la rehabilitación oral de un niño de 5 años de edad que presentaba pérdida prematura de los segundos molares primarios. Se decidió colocar un mantenedor de espacio tipo zapato distal modificado. Se realizaron controles trimestrales y, cuando erupcionaron los primeros molares permanentes, aproximadamente a los nueve meses, se les utilizó como pilares para confeccionar el arco lingual. Conclusiones: El tratamiento propuesto mostró resultados satisfactorios en el mantenimiento del espacio hasta la erupción de los primeros molares permanentes.ABSTRACT. Background: The premature loss of a deciduous molar leads to malposition of adjacent teeth and the permanent successor. The effect depends on the forces acting on the tooth, which are conditioned at the same time by the grade of eruption of the first permanent molar. Purpose: To describe a treatment option for primary second molar premature loss until first permanent molars erupt. Case description: This clinical case involves the oral rehabilitation of a 5-year-old boy who lost prematurely his primary second molars. The decision was to place a modified distal shoe space maintainer. Controls were performed every three months and when the first permanent molars erupted, approximately nine months later they were used as pillars, to make the lingual arch. Conclusions: The treatment used showed satisfactory results in maintaining the space until permanent first molars erupted.


2017 ◽  
Vol 41 (2) ◽  
pp. 150-153 ◽  
Author(s):  
Jae-Hwan Kim ◽  
Nam-Ki Choi ◽  
Seon-mi Kim

Objective: The purpose of this study was to investigate the prevalence of peg-shaped maxillary lateral incisors and the incidence of associated dental anomalies in children. Study design: We investigated the prevalence of peg-laterals and incidence of associated dental anomalies in 3,834 children aged 7–15 who visited the Department of Pediatric Dentistry from January 2010 to December 2015 and underwent panoramic radiographs. Results: The prevalence of peg-laterals was 1.69% in boys, 1.75% in girls, and 1.72% overall. Among children with peg-laterals, the frequencies of associated dental anomalies were as follows: congenitally missing teeth, 31.8%; dens invaginatus, 19.7%; palatally displaced canines, 12.1%; supernumerary teeth, 7.6%; and transposition, 7.6%. Conclusion: As children with peg-laterals have a higher incidence of other dental anomalies, careful consideration is needed when planning diagnosis and treatment.


2019 ◽  
Vol 31 (1) ◽  
pp. 1-8
Author(s):  
Samah F. Al-Qazzaz ◽  
Abeer M. Hassan

Background: Molars and premolars are considered as the most vulnerable teeth of caries attack, which is related to the morphology of their occlusal surfaces along with the difficulty of plaque removal. different methods were used for early caries detection that provide sensitive, accurate preoperative diagnosis of caries depths to establish adequate preventive measures and avoid premature tooth treatment by restoration. The aim of the present study was to evaluate the clinical sensitivity and specificity rates of DIAGNOdent and visual inspection as opposed to the ICDAS for the detection of initial occlusal caries in noncavitated first permanent molars. Materials and Methods: This study examined 139 occlusal surface of the first permanent molar pooled from fifty patients aged 8-9 years by three methods. The selected criteria include one occlusal site per tooth (first permanent molars) with carious lesions range from 0 to 3 according to ICDASII (gold standard) visual criteria then the clinical sensitivity and specificity of visual inspection according to Ekstrand et al.in 1997 and DIAGNOdent were performed. . Results: the highest correlation was found between the ICDASII and DIAGNOdent. The sensitivity of the DIAGNOdent for the enamel caries detection (D1) was better than that of visual inspection. The sensitivity and the specificity for the DIAGNOdent at D3 threshold were better than the D1 threshold and the visual inspection method. Conclusion: DIAGNOden pen can be used as a tool for early caries detection in cases of difficult diagnosis that provide good additional sensitivity to the visual inspection.


Materials ◽  
2021 ◽  
Vol 14 (7) ◽  
pp. 1646
Author(s):  
Alexandrina Muntean ◽  
Codruta Sarosi ◽  
Sorina Sava ◽  
Marioara Moldovan ◽  
Andrei Ilie Condurache ◽  
...  

Tooth decay in children and adolescents remains a public health problem, despite prophylaxis and preventive measures being largely available. The aim of our study was to evaluate the clinical behavior of four dental sealants, related to first permanent molar topography and patient age (when sealant was applied for the first time). We assessed, by means of visual inspection and palpation with a dental probe, a group of 200 children, enrolled corresponding to school age-grade (mean age of 7 years at baseline) and randomly divided according to the material used as dental sealant (Admira seal©, Embrace Wet Bond©, Fotoseal©, GC Fuji Triaje©) in 4 groups (n = 50). Sealant clinical evaluation was made at 6-, 12-, 18-month intervals for dental material retention assessment. At 6 months, the sealant detached the most from 3.6 molars, and the material used was Fotoseal© (27.6%). At 12 months, Fotoseal© (48.3%) and GC Fuji Triaje© (41.4%) from 3.6 molars express detachment. At 18 months, 4.6. molars sealed with Admira Seal© (25.7%) and Embrace Wet Bond© (28.6%) lost the sealant. We noticed less detachment in maxillary molars and if sealant was applied around 7 years of age. In conclusion, sealant application on first permanent molars must be encouraged and practitioners can choose between various materials available.


2017 ◽  
Vol 63 (4) ◽  
pp. 180-183
Author(s):  
Andreea Pop ◽  
◽  
Radu Septimiu Câmpian ◽  
Mariana Păcurar ◽  
Ecaterina Ionescu ◽  
...  

Objectives. The purpose of this research was to radiological identify the morphological changes of the dental arcades resulting from the premature loss of the permanent first molars. Material and method. The study was conducted between 2014-2016 on a group of 50 patients aged 12-15 years who presented themselves with the imminence of premature loss of the first permanent molars. 1: 1 panoramic radiographs were performed before the extractions and at 6 and 12 months after the extractions respectively. Results and discussions. The changes in position of the antagonist teeth and those of the second permanent molars, in the two dental arches, both in the sagittal and in the vertical plane were revealed. Conclusions. The premature loss of the first permanent molars, especially after the eruption of the second permanent molars, causes unwanted dental movements and severe dental-maxillary abnormalities over time.


2018 ◽  
Vol 1 (2) ◽  
pp. 98
Author(s):  
Bunga Fatimah ◽  
I Gusti Aju Wahju Ardani

Background: Dental agenesis is a term that refers to the absence of one or more teeth, and hypodontia refers to a severe type of tooth agenesis involving less than six or more than one congenitally missing teeth, excluding the third molars. Purpose: This aimed to report the correction of overbite by using intrusion archwires. Case: A 20-year-old female patient had class I malocclusion and deep overbite, incisor retroclination, mild mandibular crowding and agenesis of 12, 13, 14, 15, and 24. Case management: The case was treated with non-extraction using 0.022 pre-adjusted technique to level and unravel using intrusion archwires to correct the deep overbite. Conclusion: The 17-month treatment resulted in a corrected overbite, good occlusion, and good facial aesthetics.


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