Prevalence and Distribution of Nonsyndromic Dental Anomalies in Children in Eastern Saudi Arabia: A Radiographic Study

Objectives. To report the prevalence and distribution of nonsyndromic dental anomalies in children in eastern Saudi Arabia. Methods. This retrospective records review study involved radiographic examination of 6–18 years old pediatric patients who attended the Dental Hospital of the College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. Four calibrated examiners recorded nonsyndromic dental anomalies from patients’ digital orthopantomograms (OPG). The anomalies recorded were related to tooth number, shape, and location. Descriptive statistics, chi-square test, and Fisher exact tests were used to report prevalence and differences by gender, nationality, and medical history at the 5% significance level. Results. Of 2226 reviewed patients’ records, 1897 met the inclusion criteria and were included in the study. The study sample had equal distribution of males (52.6%) and females (47.4%) and comprised 81.2% Saudi children with a mean age of 8.8 ± 1.84 years. Most study subjects (97.8%) were in mixed dentition and 88.7% were healthy. The prevalence of dental anomalies was as follows: teeth rotations (24.5%), ectopically erupted teeth (6%), congenitally missing permanent teeth (5.4%), peg lateral (1.1%), supernumerary (0.5%), gemination (0.3%), and fusion (0.1%). No statistically significant differences were found in the distribution of dental anomalies by patients’ gender, medical history, and nationality ( p value ≥0.05). Conclusion. This study showed that teeth rotations were the most common dental anomalies followed by ectopic eruptions and congenitally missing teeth. The study findings may guide dental practitioners to better diagnose and manage children with dental anomalies in eastern Saudi Arabia.

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Secondary Dentition Characteristics in Children With Nonsyndromic Unilateral Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665617750489 ◽

2018 ◽

Vol 55 (4) ◽

pp. 582-589 ◽

Cited By ~ 3

Author(s):

Elaine Li Yen Tan ◽

Meaw Charm Kuek ◽

Hung Chew Wong ◽

Serene Ai Kiang Ong ◽

Mimi Yow

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Permanent Teeth ◽

Tooth Size ◽

Dental Anomalies ◽

Supernumerary Teeth ◽

High Prevalence ◽

Dental Records ◽

Congenitally Missing ◽

Maxillary Region

Objective: Children with cleft lip and palate are reported to be commonly associated with higher prevalence of dental anomalies such as hypodontia, supernumeraries, and abnormalities in tooth size, shape, and position. This study investigated the prevalence of dental anomalies in a longitudinal cohort of children with unilateral cleft lip and palate (UCLP). Design: The study was a retrospective analysis of radiographs, study models, and treatment notes. Patients: Sixty patients with repaired UCLP aged 13 years old with complete dental records dating from 5 years of age were included. Methods: Study casts, dental panoramic, anterior maxillary occlusal, and periapical radiographs of the patients were examined for cleft-sidedness, congenitally missing permanent teeth, supernumerary teeth, microdontic, and macrodontic teeth in the anterior maxillary region, presence of malformed permanent cleft-sided lateral incisor and its morphology (peg-shaped, conical shaped, canine-formed), positions of the permanent lateral incisors relative to the cleft side and presence of rotated cleft-sided central incisors. Results: Of the 60 patients studied, 63.3% had hypodontia, 21.7% had supernumerary teeth, 69.6% had microdontia, and 12.5% had macrodontia. All of the cleft-sided permanent lateral incisors had associated anomalies, with a large proportion (43.1%) missing; and when present in 31 subjects, the majority (90.3%) was positioned distal to the cleft. Most of the cleft-sided permanent central incisors were rotated if present, and prevalent at 86.7%. Conclusion: A high prevalence of dental anomalies was observed in this sample of children with UCLP.

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Dental Findings in Parents of Children with Cleft Lip and Palate

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1996_033_0436_dfipoc_2.3.co_2 ◽

1996 ◽

Vol 33 (5) ◽

pp. 436-439 ◽

Cited By ~ 4

Author(s):

Peter J. Anderson ◽

Anthony L.H., Moss

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Normal Population ◽

Permanent Teeth ◽

Dental Anomalies ◽

Facial Skeleton ◽

Missing Teeth ◽

Congenitally Missing Teeth ◽

Congenitally Missing

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.

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Oral rehabilitation in mixed dentition: the challenge of replacing permanent teeth

Journal of Research in Dentistry ◽

10.19177/jrd.v5e120162-5 ◽

2017 ◽

Vol 5 (1) ◽

pp. 2

Author(s):

Flavio Warol ◽

Iony Lopes Bispo ◽

Rodolfo Carvalho Oliveira ◽

Roberta Barcelos ◽

Angela Scarparo

Keyword(s):

Treatment Plan ◽

Health Condition ◽

Functional Restoration ◽

Mixed Dentition ◽

Permanent Teeth ◽

Radiographic Examination ◽

Oral Rehabilitation ◽

Normal Occlusion ◽

Chronological Sequence

Aim: To present the report of a female patient, 10 years old, referred for treatment in the Dentistry Clinic of a Brazilian public university.Case report: The patient's oral health condition was unfavorable with biofilm accumulation, pain report and chewing difficulty. After anamnesis, clinical and radiographic examination, the treatment plan included removal of infectious foci (54, 55, 64, 65, 74, 75, 85, 16, 36 and 46) followed by prosthetic rehabilitation. At this stage, the functional restoration of the lower arch was restricted by the imminent eruption of the premolars. In the upper arch, the maintenance of the mesio-distal diameters aims to guarantee the chronological sequence of successors irruption and establishment of normal occlusion. During the monthly follow-up consultations the patient presents a more spontaneous smile, although she still needs constant reinforcement in oral hygiene habits.Conclusions: The rehabilitation of patients with loss of permanent teeth during the mixed dentition phase should consider the peculiarities of this period for the restoration of health without altering the normal pattern of occlusal development.

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The Prevalence of Dental Anomalies in the Western Region of Saudi Arabia

ISRN Dentistry ◽

10.5402/2012/837270 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 15

Author(s):

Ahmed R. Afify ◽

Khalid H. Zawawi

Keyword(s):

Saudi Arabia ◽

Western Region ◽

Dental Anomalies ◽

Supernumerary Teeth ◽

Missing Teeth ◽

Cross Sectional ◽

Impacted Teeth ◽

Congenitally Missing Teeth ◽

The Western Region ◽

Congenitally Missing

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.).

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Mesiodense; a common dental problems in pediatric patient. A case report

Update Dental College Journal ◽

10.3329/updcj.v10i2.50178 ◽

2020 ◽

Vol 10 (2) ◽

pp. 26-28

Author(s):

Huda Mannan ◽

Anam Ahmed ◽

Khandakar Nuruzzaman

Keyword(s):

Case Report ◽

General Population ◽

Early Detection ◽

Pediatric Patient ◽

Permanent Dentition ◽

Primary Dentition ◽

Mixed Dentition ◽

Permanent Teeth ◽

Dental Anomalies ◽

Supernumerary Tooth

A mesiodense is a most common supernumerary tooth which is one of the most significant dental anomalies at the primary and early mixed dentition stages. The reported prevalence of mesiodense in general population ranges between 0.15% to 1.9% and more frequently found in the permanent dentition but rarely found in primary dentition. Mesiodense are primarily responsible for eruption disturbances or delay of the maxillary anterior permanent teeth emergence. Therefore the dentists and parents are great concern about malocclusion and esthetic problems which is caused by mesiodense. Early detection, diagnosis and treatment of mesiodense is important to prevent further complications in permanent dentition. A case of mesiodense of 8 years old child in upper anterior region in mixed dentition and their management have been discussed. Update Dent. Coll. j: 2020; 10 (2): 26-28

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Prevalence of mesiodens in orthodontic patients with deciduous and mixed dentition and its association with other dental anomalies

Dental Press Journal of Orthodontics ◽

10.1590/s2176-94512013000600014 ◽

2013 ◽

Vol 18 (6) ◽

pp. 93-99 ◽

Cited By ~ 7

Author(s):

Tulio Silva Lara ◽

Melissa Lancia ◽

Omar Gabriel da Silva Filho ◽

Daniela Gamba Garib ◽

Terumi Okada Ozawa

Keyword(s):

General Population ◽

Treatment Plan ◽

Mixed Dentition ◽

Lateral Incisor ◽

Vertical Position ◽

Dental Anomalies ◽

Significance Level ◽

Orthodontic Patients ◽

Maxillary Lateral Incisor ◽

Lateral Incisor Agenesis

OBJECTIVE: To determine the prevalence of mesiodens in deciduous and mixed dentitions and its association with other dental anomalies. MATERIAL AND METHODS: Panoramic radiographs of 1,995 orthodontic patients were analyzed retrospectively, obtaining a final sample of 30 patients with mesiodens. The following aspects were analyzed: gender ; number of mesiodens; proportion between erupted and non-erupted mesiodens; initial position of the supernumerary tooth; related complications; treatment plan accomplished; and associated dental anomalies. The frequency of dental anomalies in the sample was compared to reference values for the general population using the chi-square test (c²), with a significance level set at 5%. RESULTS: The prevalence of mesiodens was 1.5% more common among males (1.5:1). Most of the mesiodens were non-erupted (75%) and in a vertical position, facing the oral cavity. Extraction of the mesiodens was the most common treatment. The main complications associated with mesiodens were: delayed eruption of permanent incisors (34.28%) and midline diastema (28.57%). From all the dental anomalies analyzed, only the prevalence of maxillary lateral incisor agenesis was higher in comparison to the general population. CONCLUSION: There was a low prevalence of mesiodens (1.5%) in deciduous and mixed dentition and the condition was not associated with other dental anomalies, except for the maxillary lateral incisor agenesis.

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NONSYNDROMIC CONCOMITANT HYPO-HYPERDONTIA: REPORT OF A RARE CASE

Clinical Dentistry ◽

10.33882/clinicaldent.13.24936 ◽

2019 ◽

Author(s):

Niharika Pandey ◽

Parthsarthi Gautam ◽

Satabdi Saha ◽

Subrata Saha

Keyword(s):

Genetic Factors ◽

Rare Condition ◽

Mixed Dentition ◽

Permanent Teeth ◽

Radiographic Examination ◽

Routine Practice ◽

Unknown Aetiology ◽

Central Incisor ◽

Supernumerary Teeth ◽

Supernumerary Tooth

Odontogenic anomalies are frequently observed by pedodontists in their routine practice. Concomitant hypodontia and hyperdontia is a rare condition of unknown aetiology. CHH may occur in both the jaws and is more common in the permanent and mixed dentition. This article, describes a case of non-syndromic CHH in the mixed dentition. Genetic factors probably play an important etiological role in the co-occurrence of partial anodontia and supernumerary teeth. A 7 year old boy showed a conical mesiodens and missing right primary central incisor. Radiographic examination of the patient revealed presence of succedaneous permanent teeth. Key Words: Concomitant hypohyperdontia, hypodontia, supernumerary tooth, mesiodens

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Awareness and Utilization of Bulk-Fill Composites among Dental Practitioners in Saudi Arabia

The Open Dentistry Journal ◽

10.2174/1874210602115010160 ◽

2021 ◽

Vol 15 (1) ◽

pp. 160-169

Author(s):

Hani M. Nassar ◽

Ensanya A. Abou Neel

Keyword(s):

Saudi Arabia ◽

Online Survey ◽

Resin Composite ◽

Personal Data ◽

Specific Weight ◽

Chi Square ◽

Significance Level ◽

Adequate Knowledge ◽

Dental Practitioners ◽

Knowledge Scale

Objective: The aim of this study was to assess the knowledge and utilization of Bulk-Fill (BF) resin composites among dental practitioners in Saudi Arabia. Materials and Methods: An online survey was distributed through Twitter, Instagram and WhatsApp applications among dentists in Saudi Arabia. A 31-item questionnaire covering personal data, general knowledge and utilization of BF composites was used. Responses were collected and analyzed for trends. A knowledge scale was developed based on answers with specific weight for each correct answer provided by the participants. A score of ≥ 50% was considered as a satisfactory knowledge level for participants. Statistical analysis was conducted using One-sample Z- and Chi-square tests followed by Bonferroni correction at 0.05 significance level. Results: The total number of participants of the survey was 183, of which 41.5% had some knowledge and utilized BF composites in their practice. Only 9.84% of the participants score ≥ 50% on the knowledge scale. A significantly low proportion recognized accurately the compositional difference between BF and conventional resin composite as well as the minimum irradiance values needed for proper polymerization of BF. There was no effect for gender or years of experience on the knowledge or utilization of BF materials (p-value = 0.172). Conclusion: The proportions of practitioners with adequate knowledge and utilization of BF materials were very low. Additional focus must be provided in order to expose graduating dentists to advances in resin composite formulations.

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Patterns of dental anomalies in patients with nonsyndromic oral cleft

Brazilian Journal of Oral Sciences ◽

10.20396/bjos.v19i0.8658729 ◽

2020 ◽

Vol 19 ◽

pp. e208729

Author(s):

Natália Ventura da Cas ◽

Renato Assis Machado ◽

Ricardo Della Coletta ◽

Ana Lúcia Carrinho Ayroza Rangel

Keyword(s):

Cleft Lip ◽

Statistical Significance ◽

Permanent Dentition ◽

Mixed Dentition ◽

Radiographic Examination ◽

Control Group ◽

Dental Anomalies ◽

Cross Sectional ◽

Oral Cleft ◽

And Control

Aim: To characterize the patterns of dental anomalies (DA) in the mixed and permanent dentitions of patients with nonsyndromic oral cleft (NSOC). Methods: This cross-sectional, observational, case-control study included 173 patients, 61 with mixed dentition (NSOC=29 and control=32) and 112 with permanent dentition (NSOC=57 and control=55). All subjected were submitted to clinical and radiographic examination. Dental anomalies of eruption, number, size and shape outside the cleft area were considered. Results: Although there was no statistical significance among patients with mixed dentition, dental agenesis was the anomaly more common in this group. In patients with permanent dentition, a higher prevalence of DA in NSOC group compared to control group was observed (p=0.02). Gyroversion and dental agenesis were the DA more frequently observed in the permanent dentition and the second premolar was the tooth more affected (p=0.003). Mandible and the left side were more involved, and dental agenesis was more frequently found in patients with unilateral cleft lip with or without cleft palate (NSCL±P). Conclusion: Our findings show a higher frequency of DA in NSOCs than in the control group in patients with permanent dentition, mainly due to a higher occurrence of agenesis of second premolars in patients with unilateral NSCL±P.

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Awareness of patient’s orthodontic problems and referral practices among general dental practitioners and non-orthodontic specialists

Vojnosanitetski pregled ◽

10.2298/vsp200807026k ◽

2021 ◽

pp. 26-26

Author(s):

Muhammad Kamran ◽

Rawan Saddah ◽

Afnan Alasmari ◽

Salem Almoammar ◽

Abdullah Alnazeh ◽

...

Keyword(s):

Saudi Arabia ◽

Orthodontic Treatment ◽

Permanent Teeth ◽

P Value ◽

Kingdom Of Saudi Arabia ◽

Chi Square ◽

Cross Sectional ◽

Dental Practitioners ◽

Referral Practices ◽

General Dentists

Objective: To evaluate the awareness of orthodontic problems and referral practices among general dental practitioners and non-orthodontic specialists practicing in Kingdom of Saudi Arabia. Methods: Cross-sectional prospective study included general dentists and specialists/consultants of both genders, aged between 22-60 years, practicing General dentistry and as specialist other than orthodontics for 2 or more years. Non-practicing dentists and non-registered dentists were excluded. Data was analysed on SPSS version 21.00. Results: Results revealed that males were 55.5% and general dental practitioners were 44%. It is evident that 53.5% (107) GDPs and 33% (66) non orthodontic specialists practiced orthodontic referral in their practices. Cross-tabulation of variables compared with gender and general dental practitioners and non-orthodontic specialists, using chi-square test, revealed significant p-value of orthodontist referral, but recommendation of orthodontic treatment only after the eruption of all permanent teeth, awareness of tooth extraction for alignment of irregular teeth, and awareness regarding worsening of TMJ problems by orthodontic treatment. Conclusion: It has been concluded that the referral practices of dentists practicing in Kingdom of Saudi Arabia, concerning orthodontic patients, were satisfactory, although awareness regarding orthodontic problem requires unremitting learning and considerate positive progression towards basic orthodontics.

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