scholarly journals Orthodontic Treatment in a Patient with Cleidocranial Dysostosis

2009 ◽  
Vol 79 (1) ◽  
pp. 178-185 ◽  
Author(s):  
Giampietro Farronato ◽  
Cinzia Maspero ◽  
Davide Farronato ◽  
Silvia Gioventù
Keyword(s):  
Ethnic Group ◽  
Orthodontic Treatment ◽  
Primary Dentition ◽  
Permanent Teeth ◽  
Supernumerary Teeth ◽  
Impacted Teeth ◽  
Cleidocranial Dysostosis ◽  
Skeletal Disorder ◽  
Maxilla And Mandible ◽  
Delayed Closure

Abstract Cleidocranial dysostosis is a rare congenital skeletal disorder, associated with clavicular hypoplasia or aplasia, delayed closure of cranial fontanels, brachycephalic skull, delayed exfoliation of primary dentition, eruption of permanent teeth, and multiple supernumerary and morphologic abnormalities of the maxilla and mandible. The disorder is caused by mutation in the CBFA1 gene, on the short arm of chromosome 6p21. The prevalence of cleidocranial dysostosis is estimated one per million, without sex or ethnic group predilection. The purpose of this paper is to describe the orthodontic treatment in a patient with cleidocranial dysostosis. Therapy may include removal of supernumerary teeth, surgical exposure of impacted teeth, and orthodontic treatment.

scholarly journals Genetic Pattern, Orthodontic and Surgical Management of Multiple Supplementary Impacted Teeth in a Rare, Cleidocranial Dysplasia Patient: A Case Report

Medicina ◽  
2021 ◽  
Vol 57 (12) ◽  
pp. 1350
Author(s):  
Alessio Danilo Inchingolo ◽  
Assunta Patano ◽  
Giovanni Coloccia ◽  
Sabino Ceci ◽  
Angelo Michele Inchingolo ◽  
...  
Keyword(s):  
Permanent Teeth ◽  
Cleidocranial Dysplasia ◽  
Supernumerary Teeth ◽  
Tooth Formation ◽  
Impacted Teeth ◽  
Surgery Outcome ◽  
Molecular Features ◽  
Tissue Healing ◽  
Related Transcription Factor ◽  
Delayed Closure

Background: Cleidocranial dysplasia (CCD) is a rare, autosomal dominant skeletal dysplasia with a prevalence of one per million births. The main causes of CCD are mutations in the core-binding factor alpha-1 (CBFA1) or runt-related transcription factor-2 (RUNX2), located at the 6p21 chromosomal region. RUNX2 plays important roles in osteoblast differentiation, chondrocyte proliferation and differentiation, and tooth formation. The disease is characterized by clavicular aplasia or hypoplasia, Wormian bones, delayed closure of cranial suture, brachycephalic head, maxillary deficiency, retention of primary teeth, inclusion of permanent teeth, and multiple supernumerary teeth. Materials and Methods: A 22-year-old girl suffering from cleidocranial dysplasia with short stature, narrow shoulders, craniofacial manifestations (short face, broad forehead, etc.) and dental anomalies (different lower dental elements under eruption, supernumerary and impacted multiple teeth, etc.) was examined at our service (Complex Operative Unit of Odontostomatology of Policlinico of Bari). RX Orthopantomography (OPG) and cone beam computed tomography (CBCT) were requested to better assess the position of the supernumerary teeth and their relationships with others and to evaluate the bone tissue. Results: Under eruption was probably caused by dental interferences with supernumerary teeth; hence, extractions of supernumerary upper canines and lower premolars were performed under general anaesthesia. Surgery outcome was excellent with good tissue healing and improvements in the therapeutic possibilities with future orthodontics. Conclusions: The objective of this article is to give an update about radiological, clinical, and molecular features of CCD and to alert the health team about the importance of establishing an early diagnosis and an appropriate treatment in these patients to prevent impacted teeth complications and to offer them a better quality of life.

OPTIMIZATION OF SURGICAL-ORTHODONTIC TREATMENT TACTICS IN PATIENTS WITH IMPACTED TEETH

2019 ◽  
Vol 72 (5) ◽  
pp. 838-845
Author(s):  
Pavlo I. Tkachenko ◽  
Maryna I. Dmytrenko ◽  
Mykola O. Cholovskyi
Keyword(s):  
Orthodontic Treatment ◽  
Objective Assessment ◽  
Optimal Path ◽  
Reference Points ◽  
Permanent Teeth ◽  
Diagnostic Process ◽  
Specific Reference ◽  
Dental Arch ◽  
Impacted Tooth ◽  
Impacted Teeth

Introduction: Impacted teeth is complex anomaly of teeth eruption that requires a balanced approach not only in the differential diagnosis of its forms, but choice of rational methods of treatment. The aim: Optimization of the tactics of orthodontic-surgical treatment of patients with impacted teeth based on the development and implementation of computed tomographic indices (KT) and photometric indices (FM) of opening of surgical access (OSA) to crowns of impacted teeth Materials and methods: The results of treatment of 48 patients with delay of permanent teeth eruption have been analyzed. For an objective assessment of treatment results, a group of 24 (aged from 9 to 19 years old ) was formed. All 24 patients had typical clinical situation. Results: Orthodontic correction of patients envisaged, first of all, the elimination of obstacles in the way of teeth eruption, if necessary to provide space in dental arch and simultaneous treatment of associated bite malocclusions. Surgical exposure of impacted tooth crown was carried out and at the same time a triangular shaped guiding channel was formed, base of channel was at the impacted tooth and its angle finished into the dental arch. Precise dimensions and depth of the channel were preliminary planed on computed tomography slices with 3D reconstruction. Mean values of CT width (7,13±0,54mm), and length (6,42±0,78mm) of OSA and CT index (130,79±8,19%) of OSA to impacted teeth crowns were determined. Conclusion: To improve the quality of diagnosis and optimization of methodological approaches to treatment of patients with teeth impaction, we have proposed CT and FM OSA indices to the crowns of impacted teeth. The developed indices serve as specific reference points for optimization of diagnostic process, for reducing of probability of repeated surgical interventions and choosing the optimal path for instrumental orthodontic treatment of patients with impacted teeth

scholarly journals Treatment of a Patient with Multiple Impacted Teeth

2007 ◽  
Vol 77 (4) ◽  
pp. 735-741 ◽  
Author(s):  
Richard Scott Conley ◽  
Scott B. Boyd ◽  
Harry L. Legan ◽  
Christopher C. Jernigan ◽  
Craig Starling ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Orthodontic Treatment ◽  
Primary Teeth ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Treatment Sequence ◽  
Impacted Teeth ◽  
Case Complexity ◽  
Multiple Primary

Abstract An impacted or missing permanent tooth can add significant complications to an otherwise straightforward case. When multiple impacted teeth are present, the case complexity increases further. Developing a treatment sequence, determining appropriate anchorage, and planning and executing sound biomechanics can be a challenge. The following case report illustrates a patient reportedly diagnosed with mild scleroderma as an adolescent. He presented for orthodontic treatment as an adult with multiple retained primary teeth and multiple impacted teeth. Diagnosis, treatment planning, and various methods of managing guided eruption of impacted teeth will be discussed. Following orthodontic treatment that required extraction of multiple primary and permanent teeth as well as exposure and ligation of multiple permanent teeth by an oral surgeon, the patient finished with a significantly improved functional and esthetic result.

scholarly journals Use of Cantilever Mechanics for Impacted Teeth: Case Series

2013 ◽  
Vol 7 (1) ◽  
pp. 186-197 ◽  
Author(s):  
Sergio Paduano ◽  
Gianrico Spagnuolo ◽  
Gerardo Franzese ◽  
Gioacchino Pellegrino ◽  
Rosa Valletta ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Case Series ◽  
Permanent Teeth ◽  
Impacted Teeth ◽  
Adolescents And Adults ◽  
Fixed Appliances

This paper describes the orthodontic treatment, and the biomechanics of cantilevers for the impaction of permanent teeth in youngs, adolescents, and adults. In these case series, multibracket straightwire fixed appliances, together with cantilever mechanics, were used to treat the impaired occlusion.

scholarly journals Non-syndromic multiple impacted teeth: two case reports

2018 ◽  
Vol 5 (11) ◽  
pp. 2798-2801
Author(s):  
Mohadeseh Delavarian ◽  
Fatemeh Delavarian ◽  
Mohammad Moslem Imani
Keyword(s):  
Case Reports ◽  
Systemic Disease ◽  
Interdisciplinary Approach ◽  
Permanent Teeth ◽  
Systemic Diseases ◽  
Supernumerary Teeth ◽  
Facial Aesthetics ◽  
Impacted Teeth ◽  
Rare Finding ◽  
Unerupted Teeth

Multiple impacted permanent teeth is a rare finding and often associated with systemic diseases or some rare syndromes. This article reports two Iranian cases with multiple impacted teeth without systemic disease or syndromes. The first patient, a 17-year-old male, had 18 unerupted teeth and 9 unerupted supernumerary teeth. The second patient, a 16-year-old female, had 14 unerupted teeth. In these cases, an interdisciplinary approach between orthodontist, oral surgeon and prosthodontist is required to achieve optimum facial aesthetics and functional occlusion.

The continued development of multiple supernumerary teeth: do they influence orthodontic treatment?

2021 ◽  
Vol 14 (3) ◽  
pp. 125-133
Author(s):  
Graham Oliver ◽  
Sean Hamilton ◽  
Natalie Read ◽  
Nikki Atack
Keyword(s):  
Clinical Relevance ◽  
Orthodontic Treatment ◽  
Permanent Dentition ◽  
Dental Development ◽  
Supernumerary Teeth ◽  
Considerable Time ◽  
Similar Time ◽  
Anterior Maxilla ◽  
Normal Series ◽  
Maxilla And Mandible

Supernumerary teeth occur in approximately 1–2% of the population. Multiple supernumerary teeth are less common and usually associated with certain medical conditions. Most supernumeraries develop at a similar time to the normal series; however, this article describes the presentation and management of three patients who developed multiple supernumerary teeth during active orthodontic treatment in the permanent dentition. CPD/Clinical Relevance: These cases show development of multiple supernumerary teeth in the both the maxilla and mandible demonstrating a variation of types and effects on the dentition. In particular, multiple supernumeraries in the anterior maxilla and supplementals in the mandibular premolar regions highlight that supernumerary teeth may develop a considerable time after the development of the permanent dentition. These can develop during orthodontic treatment. Consideration, therefore, may be given to closer and longer monitoring of dental development in patients with multiple supernumerary teeth.

Impacted Maxillary Central Incisors: Surgical Exposure and Orthodontic Treatment: A Case Report

2019 ◽  
pp. 31-37
Author(s):  
Md Sayeedul Islam ◽  
Md Zakir Hossain
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Impacted Teeth ◽  
Maxillary Central Incisor ◽  
Surgical Exposure ◽  
Radiological Examinations

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

Management of Mesiodens and ectopically Erupted Central Incisor

2016 ◽  
Vol 8 (1) ◽  
pp. 49-53
Author(s):  
Mebin George Mathew
Keyword(s):  
Central Region ◽  
Orthodontic Treatment ◽  
Early Recognition ◽  
Permanent Teeth ◽  
Central Incisor ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Ectopic Eruption ◽  
Pediatric Dentists

ABSTRACT Pediatric dentists come across children and developing malocclusion at the earliest, early recognition and interception could avoid long-term laborious orthodontic treatment. Mesiodens are the most common supernumerary teeth, in the central region of the premaxilla, between the two central incisors, which may be the cause for a variety of irregularities in the developing occlusion, in particular, can lead to the impaction or ectopic eruption of adjacent permanent teeth, in the most esthetically important zone. Presented here is a case of management of ectopically erupted right permanent central incisor caused due to supernumerary tooth. How to cite this article Nagaveni NB, Poornima P, Valsan A, Mathew MG. Management of Mesiodens and ectopically Erupted Central Incisor. CODS J Dent 2016;8(1):49-53.

scholarly journals The prevalence and distribution of nonsyndromic hyperdontia in a group of Qatari orthodontic and pediatric patients

2016 ◽  
Vol 10 (03) ◽  
pp. 392-396 ◽  
Author(s):  
Najah Alhashimi ◽  
Feras H. Abed Al Jawad ◽  
Muneera Al Sheeb ◽  
Buthaina Al Emadi ◽  
Jamal Al-Abdulla ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Common Type ◽  
Permanent Teeth ◽  
Supernumerary Teeth ◽  
Normal Range ◽  
Mandibular Incisor ◽  
Panoramic Radiographs ◽  
Significant Difference ◽  
Male Patients ◽  
Maxilla And Mandible

ABSTRACT Objective: There is no data specific to the Qatari population on the prevalence and distribution of hyperdontia. The aim of this study was to investigate the prevalence and distribution of hyperdontia in the permanent teeth among a group of Qatari sample and to compare the present results with findings from other populations. Materials and Methods: Records of 1269 Qatari patients (674 females; mean age 11.8 ± 2.3 and 595 males; mean age 11.4 ± 2.2 years) which included panoramic radiographs were examined to identify hyperdontia in the permanent dentition. Supernumerary teeth were assessed for their location, morphology, number, and whether impacted or not. Results: The prevalence of hyperdontia was 1.6% (females 0.7% and males 0.9%; P < 0169). The most common type of supernumerary teeth was the supplemental (45.5%), followed by the conical (40%). Of the supplemental teeth, the mandibular incisor was the most prevalent (60%), followed by the premolar (20%). No significant difference in the prevalence was found between the maxilla and mandible. More than half of supernumerary teeth identified were impacted (54.5%). Conclusions: The prevalence of hyperdontia in a group of Qatari population was within the normal range of the majority of published studies in the literature. Although not significant, hyperdontia cases were more prevalent in male patients.

scholarly journals Non-Syndrome Case of Multiple Erupted Supernumerary Teeth and Wisdom Tooth Anodontia

2021 ◽  
Vol 8 ◽  
Author(s):  
Nawaf Alzaben ◽  
Husein Alomer ◽  
Yousef Tashkandi
Keyword(s):  
Orthodontic Treatment ◽  
Permanent Teeth ◽  
Radiographic Examination ◽  
Syndrome Patient ◽  
Supernumerary Teeth ◽  
Wisdom Tooth ◽  
Anatomical Structures ◽  
Dental Aesthetics ◽  
The Right ◽  
Arch Shape

Supernumerary teeth can be detected during a routine clinical or radiographic examination. They are defined as any tooth or tooth substances that are excess of the usual configuration of twenty deciduous and thirty-two permanent teeth (1). Supernumerary teeth can cause several complications. It depends on the location or stage of their formation, such as: preventing or delaying the eruption of associated permanent teeth, crowding or malocclusion The main aim of orthodontic treatment of supernumerary teeth is to restore adequate dental aesthetics and functions. After the clinical, radiographic and tomographic diagnosis, the orthodontic treatment of supernumerary teeth will depend on several factors. Such as; the location, proximity to vital anatomical structures, space availability in the arch, shape and the amount of supporting periodontal tissue. Reports in Western Region in Saudi Arabia showed that the range of the prevalence of supernumerary teeth was 0.1–3.8% of the population. The current finding, however, was 0.3%, a finding that is not in concert with what was reported by Fardi et al. in which the prevalence of supernumerary teeth was 1.8%.This case reported a unilateral four premolars erupted to occlusion in the right mandibular arch for non-syndrome patient.

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