scholarly journals Numerical abnormalities of permanent dentition - a case report

Author(s):  
Mioara Decusara ◽  
Daniela Cornea ◽  
Magdalena Rusu-Negraia ◽  
Cerasella Dorina Șincar

Tooth number abnormalities may occur under the influence of genetic or environmental factors which intervene in the tooth formation stages (induction and proliferation), most commonly the permanent dentition being affected. The result is the appearance of dental anomalies with numerical deficiency (hypodontia, anodontia), or with dental excess (hyperodontia, over-teeth). In this paper we report a case of a 15-year-old boy with associated abnormalities of permanent dentition: mesiodens and palatal impacted cuspid at the maxillary dental arch and incisor anodontia at the mandibular dental arch. Orthodontic treatment aimed at resolving maxillary dental crowding, obtaining dental alignment, a stable and functional occlusal relationship and a satisfactory smile for the patient.

2015 ◽  
Vol 3 (1) ◽  
pp. 600
Author(s):  
André Luis Shinohara ◽  
Eduardo Ferro De Grava ◽  
Antônio De Castro Rodrigues ◽  
Jesus Carlos Andreo ◽  
Rogério Leone Buchaim ◽  
...  

Supernumerary teeth are one of the dental anomalies which occur due to the developmental disturbances in teeth. They can be seen in various shape and form. They can occur in both the deciduous and permanent dentition and can impose aesthetic and occlusion problems. Morphologically the supernumerary teeth exhibit various forms ranging from conical to tuberculate and supplemental types. Supplemental teeth as the name suggests are similar in shape to that of the normal prototype. In this particular case, we are reporting a case of ipsilateral supplemental permanent lateral incisors and the treatment approach which would subsequently facilitate the patient to undergo orthodontic treatment.


2020 ◽  
Vol 67 (3) ◽  
pp. 159-164
Author(s):  
Tina Pajevic ◽  
Jovana Juloski ◽  
Marija Zivkovic

Introduction. Orthodontic treatment of Class II Division 1 (II/1) malocclusions in adults can be challenging since skeletal effects are limited. Possible treatment options are orthodontic camouflage or orthognatic surgery, in severe cases. The aim of this paper was to present a successful management of Class II malocclusion in an adult patient using temporary anchorage devices (TADs). Case report. After detailed clinical examination, study models and cephalometric analysis, a 26 years old patient was diagnosed with Class II malocclusion, an overjet of 12 mm, congenitally missing tooth 41 and midline shifted to the right in upper dental arch. In prior orthodontic treatment, patient had upper premolars extracted. Posterior teeth in upper left quadrant were shifted mesially. The camouflage treatment was considered, using temporary anchorage devices (TADs) to distalize posterior teeth on the left side, and gain space for incisor retraction and midline correction in upper dental arch. Results. Using TADs as additional anchorage in anterior region and coil spring for molar distalization, the space was made for tooth 23, midline correction and incisor retraction. After 40 months, a satisfactory result was achieved, overjet and midline correction, class I canines occlusion and class II molar occlusion. Conclusion. Class II/1 malocclusion in adults can be successfully treated using TADs. The success depends on the severity of malocclusion and patient cooperation.


2018 ◽  
Vol 75 (5) ◽  
pp. 504-511
Author(s):  
Tatjana Perovic ◽  
Ilija Aleksic ◽  
Zorica Blazej

Introduction. An appliance according to Veltri is a kind of palatal construction which is rarely used in our region. It appeared as a logical consequence of the evolution of appliances for rapid palatal separation. It is primarily indicated for upper molars distalization. However, its good qualities allow the use it in case of some other orthodontic problems. Case report. The aim of this report is overview of the therapy of 14-year-old boy with asymmetry of the upper dental arch and unilateral open bite and crossbite, using the appliance according to Veltri. The plan of therapy was primarily aimed at correction of upper arch asymmetry by using appliance according to Veltri. Extraction of the lower first premolars was done and then upper and lower fixed appliance for leveling the upper and lower dental arch, normalization overjet and the depth of overlap was placed. The total duration of the therapy was two years. Conclusion. Presented combined camouflage therapy achieved a satisfactory result, regardless of the poor prognosis due to hyperdivergent growth.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Adith Venugopal ◽  
Paolo Manzano ◽  
M. Srirengalakshmi ◽  
Anand Marya ◽  
Nikhilesh R. Vaid ◽  
...  

In the case report showcased, we describe orthodontic treatment of a female patient with an excessive gingival display on smiling and severe dental crowding, with maxillary canines positioned excessively buccal (ectopic) to and in near transposition to the lateral incisors. The treatment involved extractions and initial use of unmitigated forces leading to excessive gingival thinning and buccal root positioning of the ectopic canines. Eventually, the root position was corrected and periodontal equilibrium was attained. On finishing the treatment, all objectives were achieved with a good esthetic outcome as well as excellent dental and occlusal relationships.


2015 ◽  
Vol 20 (3) ◽  
pp. 64-68 ◽  
Author(s):  
Bruno Aldo Mauad ◽  
Robson Costa Silva ◽  
Mônica Lídia Santos de Castro Aragón ◽  
Luana Farias Pontes ◽  
Newton Guerreiro da Silva Júnior ◽  
...  

OBJECTIVE: The aim of this longitudinal study, comprising young adults without orthodontic treatment, was to assess spontaneous changes in lower dental arch alignment and dimensions. METHODS: Twenty pairs of dental casts of the lower arch, obtained at different time intervals, were compared. Dental casts obtained at T1 (mean age = 20.25) and T2 (mean age = 31.2) were compared by means of paired t-test (p < 0.05). RESULTS: There was significant reduction in arch dimensions: 0.43 mm for intercanine (p = 0.0089) and intermolar (p = 0.022) widths, and 1.28 mm for diagonal arch length (p < 0.001). There was a mild increase of approximately 1 mm in the irregularity index used to assess anterior alignment (p < 0.001). However, regression analysis showed that changes in the irregularity index revealed no statistically significant association with changes in the dental arch dimensions (p > 0.05). Furthermore, incisors irregularity at T2 could not be predicted due to the severity of this variable at T1 (p = 0.5051). CONCLUSION: Findings suggest that post-growth maturation of the lower dental arch leads to a reduction of dental arch dimensions as well as to a mild, yet significant, increase in dental crowding, even in individuals without orthodontic treatment. Furthermore, dental alignment in the third decade of life cannot be predicted based on the severity of dental crowding at the end of the second decade of life.


2017 ◽  
Vol 2 (s1) ◽  
pp. 68-72
Author(s):  
Roxana Rugina ◽  
Alexandru Rugina ◽  
Cristian Petri ◽  
Cosmin Sinescu

Abstract The aim of this case presentation is to outline some of the advantages that an adjunct orthodontic treatment can offer in a comprehensive oral rehabilitation of an adult patient. Adjunctive orthodontic treatment is usually limited to a dental arch or to a group of teeth within an arch. The purpose of dental movements in this case will be to position the teeth in a way that makes the restoration or replacement of damaged or missing teeth as easy as possible and with minimal dental tissue sacrifice. In addition, the improved position of the teeth will create a healthier periodontal environment that is easier to maintain over time.


2020 ◽  
Vol 10 (2) ◽  
pp. 26-28
Author(s):  
Huda Mannan ◽  
Anam Ahmed ◽  
Khandakar Nuruzzaman

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


2021 ◽  
Vol 9 (6) ◽  
pp. 66
Author(s):  
Alessandra Impellizzeri ◽  
Martina Horodynski ◽  
Emanuela Serritella ◽  
Gaspare Palaia ◽  
Adriana De Stefano ◽  
...  

The impaction of permanent maxillary canine is a common clinical occurrence, and it is observed in 2% of patients who require orthodontic treatment. This case report describes a new orthodontic-surgical approach through the use of CO2 laser, for the exposure of the palatally impacted canines. A 13-year-old female referred to our observation to make an orthodontic examination because of the maxillary primary canines’ persistence in upper arch. Orthopanoramic X-ray showed impaction of both permanent maxillary canines. The family history revealed that the patient’s mother had the same orthodontic problem. Cone Beam Computer Tomography (CBCT) was requested to plan the surgical-orthodontic treatment. Surgical exposure of the impacted canines was performed using a CO2 laser and subsequent periodontal pack application. No orthodontic devices were applied for impacted teeth traction on dental arch. Canines’ movement was monitored at 1, 8 and 16 weeks post-surgery with photo and intraoral scanner CS3500 (CS3500®, Carestream Health, Atlanta, GA, USA). When canine crowns were completely erupted on palatal side, the alignment in the arch with indirect bonding technique was performed. Complete disimpaction of canine crowns was obtained in only four months. As reported in the literature, this case confirms that impacted canines’ exposure to CO2 laser has advantages if compared with traditional surgery: no bleeding during and after the procedure, decontaminant effect on the surgical area, no suture, and a fast spontaneous eruption. Conclusions: The pre-orthodontic uncovering and autonomous eruption of palatally impacted maxillary canines provides simplified, predictable, and more aesthetic outcomes. Furthermore, a significant positive factor is that there is no need to carry out the orthodontic traction of the impacted element, undoubtedly better compliance by the patient during the next alignment phase with the fix orthodontic appliance.


2017 ◽  
Vol 10 (2) ◽  
pp. 208-212
Author(s):  
Babita Jangra

ABSTRACT Fusions of teeth and talon cusp are two rare developmental dental anomalies, affecting both primary and permanent dentitions. Both the anomalies are mostly reported as isolated finding and are rarely associated with other dental anomalies. Talon cusp is more common in maxillary anterior teeth in permanent dentition and fusion is commonly reported in mandibular teeth in primary dentition. The concomitant occurrence of talon cusp and fusion is rare and its occurrence in fused mandibular permanent teeth is also rare. This case report presents two unusual cases of concomitant occurrence of talon cusp with fusion in permanent mandibular incisors. The clinical problems associated with these dental anomalies and importance of their management are discussed in these case reports. How to cite this article Goswami M, Jangra B. A Rare Concomitant Occurrence of Talon Cusp in Fused Mandibular Permanent Teeth: Report of Two Cases. Int J Clin Pediatr Dent 2017;10(2):208-212.


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