11/41. Multiple supernumerary teeth in association with malocclusion: report of two cases.Although multiple supernumerary teeth without any associated syndromes are rare, their occurrence can create a variety of clinical problems such as derangement of the occlusion, prevention of eruption of permanent teeth, damage to adjacent teeth, cystic degeneration and root resorption. Hence, clinical and radiographic evaluation of patients should always be thorough in order to detect their presence. Furthermore, because the clinical management of multiple supernumerary teeth poses a great challenge to clinicians, timely, appropriate consultation and interdisciplinary approach to treatment is extremely important. We report two cases, a 14 year-old boy with eight and a 13-year-old girl with seven supernumerary teeth not associated with syndromes. In the boy, the teeth were bilaterally distributed in all quadrants in the premolar regions, and in the girl they were distributed bilaterally in the premolar regions in the mandible and bilaterally distal to the upper third molars. The clinical implications and management are discussed.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
12/41. Orthodontic treatment of fused and geminated central incisors: a case report.A 10-year old Egyptian male presented with a geminated upper right central incisor along with a fused and rotated upper left central incisor in cross bite. He also had severe crowding in the maxillary arch and a congenitally missing lower right first permanent premolar. Orthodontic treatment was carried out to align upper right and left central incisors, lateral incisors, and canines. Treatment options were discussed.- - - - - - - - - - ranking = 0.007763790663942keywords = lower (Clic here for more details about this article) |
13/41. The treatment of fusion and supernumerary maxillary central incisors: a case report.Changes in tooth form may result from heredity, disease, or trauma. Fusion is a union of one or more teeth during development. Gemination means that two separate morphological units are created by division of the tooth germ. Many studies have attempted to discuss the prevalence of double teeth (fusion and gemination) among the persons tested by examining gender, distribution (maxilla or mandible), and whether the anomaly occurred bilaterally or unilaterally. This article describes a case in which one individual was diagnosed with both a supernumerary maxillary central incisor and fusion of a maxillary central incisor.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
14/41. Five mandibular incisors: an autosomal recessive trait?A fifth mandibular incisor is a eumorphic supernumerary tooth and has rarely been described in the medical literature. We report here a large Lebanese consanguineous family where four individuals displayed five incisors in the anterior mandible. Such familial observation has not been previously described. The possibility of an autosomal recessive inheritance for this nonsyndromic trait is discussed.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
15/41. Dental treatment strategies in cleidocranial dysplasia.Based on the findings of our recent longitudinal study on the abnormalities of the dentition in cleidocranial dysplasia (CCD), a hypothesis has been proposed, which makes it possible to predict time of onset of formation of supernumerary teeth and their location in the jaws. It was found that a diagnosis should be made early so that formation of supernumerary teeth can be diagnosed and early intervention undertaken. It should be possible to diagnose supernumerary incisors at about 5-7 years of age and supernumerary canines and premolars a few years later. When root length of the normal permanent teeth has reached about one third of its final length, the overlying supernumerary teeth should be removed, together with overlying bone and primary teeth. In regions where no supernumerary teeth are formed, eruption may also be improved by removal of the primary teeth and surgical exposure of the underlying permanent teeth. Conventional orthodontic treatment and eventually autotransplantation of teeth may still be necessary in the future, but it can be anticipated that the new strategy, with much earlier intervention, will materially reduce the extent of surgical and orthodontic interventions, which have previously been of extremely long duration, tedious to the patients and often of limited success.- - - - - - - - - - ranking = 0.11656826008104keywords = jaw (Clic here for more details about this article) |
16/41. Molarization and development of multiple supernumerary teeth in the premolar region.This case is the radiological diagnosis of a supernumerary premolar with the molarization of both lower second premolars in a 12-year-old child. Ten years after the diagnosis, the delayed development of another 4 supernumerary premolars was detected. Orthopantomography during mixed dentition allowed the detection of anomalies not clinically suspected. Any alteration in the number of teeth should suggest the potential of associated dental anomalies, indicating the long-term clinical and radiological follow-up of the patient during the second decade of life.- - - - - - - - - - ranking = 0.007763790663942keywords = lower (Clic here for more details about this article) |
17/41. Management of a patient with an accessory maxilla and congenital facial fistula.Although accessory jaws are a rare occurrence, the presence of such accessory tissue may cause some bothersome symptoms. This case report helps identify these unusual developmental lesions so that dentists can refer such patients for definitive care and management.- - - - - - - - - - ranking = 0.11656826008104keywords = jaw (Clic here for more details about this article) |
18/41. Lower mesiodens: report of an unusual case.This report describes a case of an 11 years old girl presenting a supernumerary tooth between lower central incisors. The case initially required only surgical treatment to remove the lower mesiodens. Sequentially, the patient was referred to an orthodontic therapy due to a presence of diastema.- - - - - - - - - - ranking = 0.015527581327884keywords = lower (Clic here for more details about this article) |
19/41. Tuberculate and odontoma type supernumerary teeth.An 8-and-a-half-year-old girl with supernumerary teeth of tuberculate and odontoma type is described. Treatment of the patient is carried out on conventional lines with a combination of surgical and orthodontic methods. The upper tuberculate type supernumerary teeth were extracted and, after surgical exposure, the upper permanent first incisors were aligned with removable appliances. After secondary dentition was completed, the lower odontoma type supernumerary tooth was removed surgically, and also the maxillary and mandibular first premolars were extracted because of severe crowding, and fixed orthodontic appliances were used to align the permanent dentition. early diagnosis and treatment of this anomaly is necessary to avoid more serious consequences and to prevent severe orthodontic disturbances.- - - - - - - - - - ranking = 0.007763790663942keywords = lower (Clic here for more details about this article) |
20/41. cleidocranial dysplasia: diagnostic criteria and combined treatment.cleidocranial dysplasia (CCD) is an uncommon, generalized skeletal disorder characterized by delayed ossification of the skull, aplastic or hypoplastic clavicles, and serious, complex dental abnormalities. There are many difficulties in the early diagnosis of CCD because a majority of the craniofacial abnormalities becomes obvious only during adolescence. In the present case, a hypoplastic midface, a relative prognathia of the mandible, and close approximation of the shoulders in the anterior plane were the conspicuous extraoral findings. Prolonged exfoliation of the primary dentition, unerupted supernumerary teeth, and the irregularly and partially erupted secondary dentition produced occlusional anomalies. The presence of the second permanent molars together with the primary dentition and wide spacing in the lower incisor area were typical dental signs. Gradual extraction of the supernumerary teeth and over-retained primary teeth was the first step of oral surgery. This was followed by a surgical exposure of the unerupted teeth by thinning of the cortical bone. Orthodontic treatment was aimed at parallel growth of the jaws. Removable appliances were used to expand the narrow maxillary and mandibular arches, and a Delaire mask compensated for the lack of sagittal growth of the upper jaw. Temporary functional rehabilitation was solved by partial denture. When the jaws have been fully developed, implant insertions and bridges are the therapeutic measures. The reported case and the literature data support the importance of the early diagnosis and interdisciplinary treatment of CCD.- - - - - - - - - - ranking = 1.3574685709071keywords = mandible, jaw, lower (Clic here for more details about this article) |
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