scholarly journals The consequences of an untimely diagnosed mesiodens: Case report

2007 ◽  
Vol 54 (4) ◽  
pp. 248-253 ◽  
Author(s):  
Slavoljub Tomic ◽  
Svjetlana Jankovic ◽  
Bojana Smrekic ◽  
Stevanka Djordjevic

Supernumerary teeth may have all characteristics of normal teeth (dens supernumeratus) or, more frequently, appear as rudimentary remains of the tooth bud (dens accessories). Such teeth may cause various complications and the most frequent are orthodontic anomalies and follicular cysts. Among all supernumerary teeth, the most frequent is mesiodens. It may be of different shape, but most often is conical. Untimely diagnosed and treated mesiodens may, in older age, result in complications and compromise prosthodontic rehabilitation. The aim of this study was to present a case where untimely treatment (diagnostics and extraction) of a mesiodens resulted in the formation of a follicular cyst and a partial resorption of the root of an adjacent tooth (central incisor), which had to be extracted. The patient sought a prosthodontic treatment. However, a hazelnut-size tumor was found in the upper anterior region. Clinical and X-ray examination implied the presence of a follicular cyst around a supernumerary tooth, which was situated between upper central incisors. Cystical sac was removed in a usual manner along with the extraction of the impacted mesiodens. Unfortunately, the upper central left incisor had to be extracted as well due to a progressed root resorption.

2018 ◽  
Vol 10 (1) ◽  
pp. 32-36
Author(s):  
Karthik J Kabbur ◽  
Hemanth M ◽  
Preeti Patil ◽  
Ramnarayan B K ◽  
Reshma Deepak

Mesiodens is the most common supernumerary tooth and is present in the midline between the two central incisors. It occurs mostly due to hyperactivity of the dental lamina. They are usually small, with a cone shaped crown and a short root, may be single or paired, erupted or impacted and occasionally even be inverted. Presence of more than one mesiodens is termed as mesiodentes. Presence of mesiodens may cause impaction or delayed eruption of permanent teeth, malocclusion leading to disturbance in chewing, swallowing and speech, root resorption of the adjacent teeth, impaired dentofacial aesthetics, and sometimes cyst formation. The erupted mesiodens can be easily diagnosed clinically, and the unerupted ones are best diagnosed by clinical and radiological evaluation. Although mesiodens is the most common supernumerary teeth, presence of double mesiodens is uncommon. In this paper we describe a case of palatally erupted double mesiodens and its management in a 20year old girl.


2020 ◽  
Vol 9 (6) ◽  
pp. 614-616
Author(s):  
Tamara Fernandes De Castro ◽  
Glauco Issamu Miyahara ◽  
Carla Renata Sanomiya Ikuta ◽  
Leda Maria Pescinini Salzedas

A supernumerary tooth is an entity in addition to the normal series of teeth that, although rare, can be fused to a tooth, whether deciduous or permanent. Diagnosis and management in cases involving supernumerary teeth in the anterior region of the maxilla are often challenging. The clinical examination associated with the radiographic examination is decisive for the diagnosis and planning of cases. This article describes a case of unilateral fusion of a supernumerary tooth to a permanent upper lateral incisor, in which clinical and radiographic diagnosis was essential for a conservative approach. Descriptors: Diagnosis; Fused Teeth; Tooth, Supernumerary. References Rajab LD and Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent. 2002;12:244–54. Yang G. Supernumerary teeth and gemination. Br J Oral Maxillofac Surg. 2012;50:15–8.  Zhu M, Liu C, Ren S, Lin Z, Miao L, Sun W. Fusion of a supernumerary tooth to right mandibular second molar: a case report and literature review. Int J Clin Exp Med. 2015;8(8):11890-95. Rudagi K, Rudagi BM, Metgud S, Wagle R. Endodontic management of mandibular second molar fused to a supernumerary tooth, using spiral computed tomography as a diagnostic aid: a case report. Case Rep Dent. 2012;2012:614129.  Nandini DB, Deepak BS, Selvamani M, Puneeth HK. Diagnostic dilemma of a double tooth: a rare case report and review. Journal of Clinical and Diagnostic Research. 2014;8(1):271-72. Duncan WK, Helpin ML. Bilateral fusion and gemination: a literature analysis and case report. Oral Surg Oral Med Oral Pathol.1987;64(1):82-7. Gupta S, Singla S, Marwah N, Dutta S, Goel M. Synodontia between permanent maxillary lateral incisor and a supernumerary tooth: treatment J Oral Health Comm Dent. 2007;1:52-5. Mader CL (1979) Fusion of teeth. J Am Dent Assoc 98:62-4. Kumar V, Pandey V, Rohini G, Jyoti B. Fusion Between Maxillary Premolar and A Supernumerary Tooth: A Rare Case Presentation. J Clin Diagn Res. 2015;9(11): ZJ03-4. Maréchaux SC. The treatment of fusion of a maxillary central incisor and a supernumerary: report of a case. ASDC J Dent Child. 1984;51:196-99. De Siqueira VC, Braga TL, Martins MA, Raitz R, Martins MD. Dental fusion and dens evaginatus in the permanent dentition: literature review and clinical case report with conservative treatment. J Dent Child (Chic) 2004;71:69-72.  Karacay S, Guven G, Koymen R. Management of a fused central incisor in association with a macrodont lateral incisor: a case report. Pediatr Dent. 2006;28:336-40.  Cetinbas T, Halil S, Akcam MO, Sari S, Cetiner S. Hemisection of a fused tooth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104:e120-24.  Nunes E, deMoraes IG, de Novaes PM, de Sousa SM. Bilateral fusion of mandibular second molars with supernumerary teeth: case report. Brazilian Dent J. 2002;13:137-41. 


2017 ◽  
Vol 63 (3) ◽  
pp. 137-141
Author(s):  
Mioara Decusară ◽  
◽  
Cerasella Dorina Şincar ◽  
Gabriel Valeriu Popa ◽  
◽  
...  

Introduction. Dental impaction represents the group of isolated dental anomalies characterized by retention of a tooth with a fully formed root in the jaw bone, after the eruption period has passed. This anomaly may affect deciduous teeth, permanent or supernumerary teeth causing aesthetic and / or functional disorders. Case report. The case presents a clinical situation of a girl who presented two maxillary teeth impacted (a central incisor and a cuspid) who underwent surgical exposure and orthodontic treatment for their arch alignments. Conclusions. Impacted teeth may produce dental malpositions or root resorption of the adjacent teeth, cysts or chronic local infections, which carry out a surgical orthodontic treatment, complex and for a long term, depending on the clinical situation existing.


1975 ◽  
Vol 61 (2) ◽  
pp. 88-88
Author(s):  
L. C. Langan

AbstractSupernumerary teeth in the upper third molar region are relatively common but cases in the lower jaw are rare. In his survey of supernumerary teeth Stafne (1932) saw 131 upper but only 10 lower fourth molars. The following is a report of a single supernumerary tooth in the lower third molar region.


2003 ◽  
Vol 27 (3) ◽  
pp. 235-238 ◽  
Author(s):  
Sham Bhat ◽  
S. Sharan ◽  
Imneet Madan

External resorption is sequelae of necrotic periodontal membrane over a large area of root following an injury to the tooth. This usually occurs after severe dental injuries such as intrusion, severe luxations or exarticulation injuries complicated by a prolonged extra oral period. This case report presents a clinical and radiographic follow up (13 months) of treatment of inflammatory external root resorption on maxillary central incisor using Vitapex®. Gradual healing of resorption was observed radiographically with no tenderness or pathological mobility.


2019 ◽  
Vol 29 (1) ◽  
pp. 125-128
Author(s):  
Valdelias Xavier Pereira ◽  
Alan Patricio Da Silva ◽  
Juliana Spat Carlesso ◽  
Marcelo Ferraz Campos

Introduction: The objective of this clinical case report is to describe the presence of bilateral fourth molars. The occurrence of supernumerary teeth (ST) is a relatively unusual dental anomaly., It is even more unusual to find patients with distomolar teeth also denominated fourth molar teeth. Presentation of the case: This article describes a clinical case of a 24-year-old patient presenting with a maxillary fourth molar, who was diagnosed by dental x-ray, and surgical resolution of the case. Conclusion: Tooth extraction surgery was the clinical procedure chosen to treat the impacted tooth.


2021 ◽  
pp. 1-5
Author(s):  
Abu-Hussein Muhamad ◽  
◽  
Alsaghee Maria ◽  
Ali Watted ◽  
◽  
...  

Impaction of maxillary central incisors is frequent in dental practice. However its management is challenging because of its importance in aesthetics. Supernumerary teeth are the most common dental anomaly that can cause impaction of adjacent teeth, crowding, diastema, rotation and displacement of teeth. We report a case of 13 year old male with an impacted supernumerary tooth in the maxillary anterior region, which was interfering with the eruption of the permanent, left central incisor. The impacted supernumerary tooth was surgically removed. With the application of an orthodontic traction, impacted left maxillary central incisor was brought down to its proper position in the dental arch.


2020 ◽  
Vol 11 (4) ◽  
pp. 7822-7826
Author(s):  
Rakhi Issrani ◽  
Amal Alrayes ◽  
Arunpriya Srinivasan ◽  
Namdeo Prabhu ◽  
Zafar Ali Khan ◽  
...  

Supernumerary tooth (ST) are the developmental disorders that could be found in either of the dental arches. Whereas the single ST is quite a common entity, multiple ST are rare, especially when they are not related to any syndromes or disorders. The experience of observing one such case is reported in light of a review of the literature on this condition. This report describes  a case of a non-syndromic 22-year-old female who presented with multiple erupted and impacted ST in the mandibular premolar region. The patient was educated about the complications and consequences associated with ST and was advised for extraction of erupted supernumerary premolars and observation of the impacted ones but the patient denied any treating as ST were not causing any immediate problem. Radiographic assessment plays a pivotal part in early diagnosis and intervention as it aids in avoiding complications associated with ST, especially in non-syndromic cases or when they are asymptomatic. Patients should be counselled regarding the same with proper explanations of all the treatment options.


Author(s):  
Md Sayeedul Islam ◽  
Md Zakir Hossain

Maxillary central incisor impactions occur infrequently.Their origins include various local causes, such as odontoma, supernumerary teeth, and space loss. Supernumerary and ectopically impacted teeth are asymptomatic and found during routine clinical or radiological examinations. The surgical exposure and orthodontic traction of impacted right central incisor after removal of odontomas is presented in this report. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.31-37


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