scholarly journals Suspected Non-Syndromic Oligodontia – A Rare Case with 13 Agenesis

2019 ◽  
Vol 53 (6) ◽  
Author(s):  
Dian Lupita Sari ◽  
Seno Pradopo ◽  
Sindy Cornelia Nelwan ◽  
Haryono Utomo ◽  
Udijanto Tedjosasongko

Oligodontia is a condition in which the patient has more than six ageneses, excluding the third molars. Whereas the absence of one tooth is quite common, oligodontia is a rare congenital condition that can happen with or without the syndrome. The condition happens due to disturbances during odontogenesis process. Management of oligodontia is a long-term process, and it involves prosthetic, restorative, and orthodontic treatment to support the oral function and esthetic of the patient. This article aims to report a rare case of agenesis of 13 permanent teeth (excluding third molars) in an 11-year-old girl and her treatment plan.

Author(s):  
Shakun Kanjani

ABSTRACT Hypodontia is the term used to describe the developmental absence of one or more primary or permanent teeth, excluding the third molars. It is the most commonly occurring developmental dental anomaly and can be a challenge to manage clinically. Hypodontia can occur in association with syndrome or it may occur in nonsyndromic patient. Bilateral occurrence is common but it is very rare to see two bilateral congenital missing teeth in a nonsyndromic patient. This case report presents a rare occurrence of congenital bilateral missing mandibular second premolars and mandibular lateral incisors in a nonsyndromic patient. How to cite this article Agarwal N, Chaturvedy S, Marwah N, Mishra P, Kanjani S. Bilateral Hypodontia of Mandibular Second Premolars and Lateral Incisors in a Nonsyndromic Patient: A Rare Case Report. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):24-26.


2019 ◽  
Vol 31 (4) ◽  
pp. 873-877
Author(s):  
Sandra Atanasova ◽  
Sofija Carceva Salja ◽  
Ljubica Prosheva

Orthodontic treatment, especially during the period of active growth, can significantly affect the development of the jaws and teeth. Treatment with extraction of molars is more complicated because the space that needs to be closed is larger than the premolar spaces and the time of treatment will be longer. However, in cases where we have a lack of space, teeth protrusion or dental asymmetry, and the extraction of permanent teeth is indicated, the damaged molars should be the first option for extraction when premolars are in better condition. The third molars in different ways are affected by orthodontic therapy. One of them is orthodontic treatment by applying the extraction of the third molars, this situation being widely explored. Extraction of third molar for orthodontic reasons is justified when it prevents the eruption of the second molar or otherwise affects the other teeth. The indications of extraction and selection of teeth to be removed depend on the specific aspects of malocclusion. Premolars are teeth that are usually extracted from orthodontic reasons, but this is not the rule and depends on individual treatment needs. The decision to correct the malocclusion with teeth extraction should be based on the ratio of the size of the dental arch with the size of the teeth, facial appearance and other factors arising from the diagnosis itself. Indications for extraction of the third molars during orthodontic treatment are: mandibular incisor crowding, if they in some way constitute a obstruction of orthodontic treatment as well as preparation for orthognathic surgery. The success of an orthodontic treatment involving the extraction of molars is directly related to the patient complaints and psychological profile, the absence of diseases and skeletal discrepancies, the professional experience as well as the fact whether the patient underwent previous orthodontic treatment with extraction. Patients with partially or completely non-erupted teeth are significantly more likely to have certain consequences: before, during or after the orthodontic treatment. Therefore, orthodontists need to raise patient awareness of these consequences in the context of orthodontic treatment.


2014 ◽  
Vol 13 (4) ◽  
pp. 488-491
Author(s):  
Suresh Ramamurthy

Oligodontia is a rare congential disorder of dental anomalies that can occur either as an isolated finding or as part of a syndrome. It is defined as agenesis of six or more teeth excluding the third molars. It is commonly seen in permanent than in deciduous dentition. Patients suffering from oligodontia may present with complex problem such as dental and facial disfigurement. Management of those cases generally requires multidisciplinary approach to restore esthetic and function. This paper reports a rare case of oligodontia in an 18 year old adult female patient who has been missing eight permanent teeth excluding the third molars, clinically and radiographically. DOI: http://dx.doi.org/10.3329/bjms.v13i4.16048 Bangladesh Journal of Medical Science Vol.13(4) 2014 p.488-491


2018 ◽  
Vol 25 (03) ◽  
pp. 424-427
Author(s):  
Zahida Najam ◽  
Rehmat Ullah Khan ◽  
Anum Tariq ◽  
Usman Ahmed ◽  
Ayesha Aslam

Introduction: The extraction of permanent teeth for orthodonticreasons has been a hot topic of debate in the past and continues to be of interesteven today. There is a considerable controversy concerning extraction as a treatmentadjunct which sometimes reaches to the intensity of sacred beliefs. Objective: Theaim of this study was to report the frequency of tooth extraction and its pattern inPakistani orthodontic patients. Study Design: Descriptive cross-sectional. Setting: ArmedForces Institute of Dentistry (AFID), Rawalpindi. Period: 1st July 2012 to 30th June 2014. Material& Methods: The study sample consisted of 489 patients reporting to the orthodonticdepartment at AFID. Patients between the age of 7 – 21 years were selected. Patientsbeing treated with the extraction of permanent teeth (excluding third molars) wereincluded in this study. Data was analyzed using SPSS version 24. Descriptive statisticswere calculated. Results: A total of 296 patients did not require any extraction. Theremaining 193 patients required and experienced extraction of permanent teeth aspart of their orthodontic treatment plan resulting in an over-all extraction frequencyof 39.5%. Most of the extracted teeth were first premolars especially from the upperarch. Association of extraction status (extraction vs non-extraction) with gender wasfound to be statistically insignificant (p = 0.393). Conclusion: There is a moderatefrequency of extraction in the orthodontic patients with less than half of the totalpatients requiring extraction as part of their treatment.


2014 ◽  
Vol 4 (1) ◽  
pp. 38-43
Author(s):  
Rubaba Ahmed ◽  
Md Ashik Rayhanb ◽  
Atiquzzaman Khan ◽  
Md Masudur Rahman

Oligodontia is a developmental dental anomaly. It is either an isolated trait or part of a syndrome. Oligodontia is characterized by the congenital absence of more than six permanent teeth except the third molars. In this presented case, the treatment plan aimed at psychological, esthetic and functional rehabilitation of the patient who was suffering from oligodontia. After taking a thorough medical and dental history, clinical and radiological examination, the patient was treated with a removable partial denture in the maxillary arch, while a complete denture was made in the mandibular arch. The patient’s esthetics was greatly improved and early functional rehabilitation of the patient was done. DOI: http://dx.doi.org/10.3329/updcj.v4i1.21167 Update Dent. Coll. j: 2014; 4 (1): 38-43


2019 ◽  
Vol 24 (2) ◽  
Author(s):  
Anna Pogorzelska ◽  
Anna Stróżyńska-Sitkiewicz ◽  
Kazimierz Szopiński

Root resorption in moved teeth is a common undesirable side effect of orthodontic treatment. This pathology usually affects permanent teeth. Although any part of the root may be involved, the apical or cervical area is usually affected. The formation and development of these changes are a long-term process and depend on various factors. The etiology of resorptive changes associated with orthodontic treatment has been widely discussed by many authors, who proposed numerous classifications. Particularly noteworthy are the works on techniques for the treatment of malocclusion and their potential adverse effects. Modern diagnostic methods allow for an early detection of this pathology and the implementation of appropriate therapeutic measures. These techniques include periapical radiography (paralleling technique) combined with cone-beam computed tomography. Dentists not only notice the need to achieve a beautiful smile, but they also take into account possible root shortening. This process is not fully understood, but realizing its existence is important for planning and implementing both orthodontic and general dental treatment.


2010 ◽  
Vol 21 (4) ◽  
pp. 375-378 ◽  
Author(s):  
Nayaka Basavanthappa Nagaveni ◽  
Kagathur Veerbadrappa Umashankara ◽  
Sreedevi ◽  
Bokka Praveen Reddy ◽  
Nayaka Basavanthappa Radhika ◽  
...  

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch and the talon cusp is a rare dental developmental anomaly seen on the lingual surface of anterior teeth. This paper presents a rare clinical case of development of talon cusp in a mesiodens with multiple lobes, which interfered with both occlusion and appearance of an 11-year-old patient. During clinical interview, the patient reported difficulty on mastication. Clinical and radiographic examination revealed that a supernumerary tooth with completely formed root was causing an occlusal interference. The supernumerary tooth was diagnosed as multi-lobed mesiodens associated with a palatal talon cusp. The treatment plan consisted in the extraction of the supernumerary tooth followed by orthodontic treatment for diastema closure and tooth alignment.


2013 ◽  
Vol 9 (1) ◽  
Author(s):  
Parampreet Pannu ◽  
Virat Galhotra ◽  
Pooja Ahluwalia ◽  
Ramandeep Singh Gambhir

Objective: Tooth agenesis is one of the most common congenital anomalies seen in humans. Although ab¬sence of one or more teeth is common, absence of multiple teeth is rare. Oligodontia is a rare developmental anomaly, involving agenesis of six or more permanent teeth, excluding the third molars. The reported preva¬lence of oligodontia in permanent dentition is 0.14%. Oligodontia can be presented as an isolated condition or as a part of a syndrome. Discussion: The present case report highlights a unique case of non-syndromic oligodontia, with agenesis of four permanent incisors, left permanent canine and right second premolar in the mandibular arch and its management with a novel fixed functional prosthetic appliance. Conclusion: Prosthetic rehabilitation is an urgent need for these kind of patients so that they do not suffer from mastica¬tory and esthetic problems which can eventually lower the self esteem of individuals.


2020 ◽  
Author(s):  
Fangwei Pan ◽  
Zhentao Yang ◽  
Jian Wang ◽  
Ruilie Cai ◽  
Jialing Liu ◽  
...  

Abstract Background: Based on low-dose radiation Cone-bean computed tomography (CBCT) images, This study aims to establish a space coordinate system, which offers more precise and comparable evaluation on changes of maxillary third molars influenced by orthodontic treatment with premolar extraction in adults. The system suggests promising application prospect in future studies related to CBCT superimposition and evaluation for its feasibility and efficiency.Methods: Forty-nine maxillary third molars from 27 patients (mean age, 20.78 years) were included. CBCT images were obtained before and after orthodontic treatment with premolars extracted (mean treatment duration, 31.47 months). The changes in the position, angulation, and rotation of the third molars were evaluated with a space coordinate system using four landmarks: anterior nasal spine (ANS), posterior nasal spine (PNS), left and right orbitales.Results: After orthodontic treatment, the third molars moved forward (adjusted mean, 1.44 mm) (p < 0.001) and downward (adjusted mean, 2.87 mm) (p < 0.001) accompanied by outward rotation of the crowns (adjusted mean, 5.38°) (p = 0.001), while changes in angulation were insignificant.Conclusions: This was the first study to systematically investigate the spatial position change of maxillary third molars in adult patients who received orthodontic treatment with premolar extraction. During the process, maxillary third molars moved downward and forward accompanied by outward rotation of the crowns. Orthodontists should take tooth movement potential into consideration when making extraction plans.


1978 ◽  
Vol 5 (2) ◽  
pp. 61-66 ◽  
Author(s):  
I. G. Crossman ◽  
R. T. Reed

An assessment of the long-term results of a series of first and second premolar extractions. First premolar extractions produced a higher proportion of satisfactory upper contacts and buccal occlusions, but second premolar extractions, were more often associated with space closure. Approximately 40 per cent of lower contacts were unsatisfactory. There was little difference between the premolars in this or with regard to residual lower incisor crowding. No association between the presence of third molars and space closure was found.


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