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Lertruangpanya K, Roytrakul S, Surarit R, Horsophonphong S. Comparative proteomic analysis of dental pulp from supernumerary and normal permanent teeth. Clin Oral Investig 2024; 28:321. [PMID: 38758416 PMCID: PMC11101566 DOI: 10.1007/s00784-024-05698-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 04/26/2024] [Indexed: 05/18/2024]
Abstract
OBJECTIVES To obtain and compare the protein profiles of supernumerary and normal permanent dental pulp tissues. MATERIALS AND METHODS Dental pulp tissues were obtained from supernumerary and normal permanent teeth. Proteins were extracted and analyzed by liquid chromatography-tandem mass spectrometry (LC/MS-MS). Protein identification and quantification from MS data was performed with MaxQuant. Statistical analysis was conducted using Metaboanalyst to identify differentially expressed proteins (DEPs) (P-value < 0.05, fold-change > 2). Gene Ontology enrichment analyses were performed with gProfiler. RESULTS A total of 3,534 proteins were found in normal dental pulp tissue and 1,093 in supernumerary dental pulp tissue, with 174 DEPs between the two groups. This analysis revealed similar functional characteristics in terms of cellular component organization, cell differentiation, developmental process, and response to stimulus, alongside exclusive functions unique to normal permanent dental pulp tissues such as healing, vascular development and cell death. Upon examination of DEPs, these proteins were associated with the processes of wound healing and apoptosis. CONCLUSIONS This study provides a comprehensive understanding of the protein profile of dental pulp tissue, including the first such profiling of supernumerary permanent dental pulp. There are functional differences between the proteomic profiles of supernumerary and normal permanent dental pulp tissue, despite certain biological similarities between the two groups. Differences in protein expression were identified, and the identified DEPs were linked to the healing and apoptosis processes. CLINICAL RELEVANCE This discovery enhances our knowledge of supernumerary and normal permanent pulp tissue, and serves as a valuable reference for future studies on supernumerary teeth.
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Affiliation(s)
- Kritkamon Lertruangpanya
- Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothi Road, Ratchathewi, Bangkok, Thailand
| | - Sittiruk Roytrakul
- Functional Proteomics Technology Laboratory, National Center for Genetic Engineering and Biotechnology, National Science and Technology Development Agency, Pathumthani, Thailand
| | - Rudee Surarit
- Department of Oral Biology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
- Faculty of Dentistry, Siam University, Bangkok, Thailand
| | - Sivaporn Horsophonphong
- Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothi Road, Ratchathewi, Bangkok, Thailand.
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Lips A, Calvano Küchler E, Ribeiro Madalena I, Nivoloni Tannure P, Santos Antunes L, Azeredo Alves Antunes L, Castro Costa M, Proff P, Kirschneck C, Baratto-Filho F. Non-syndromic supernumerary teeth and association with a self-reported family history of cancer. J Orofac Orthop 2023:10.1007/s00056-023-00504-z. [PMID: 38051344 DOI: 10.1007/s00056-023-00504-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 10/09/2023] [Indexed: 12/07/2023]
Abstract
BACKGROUND Supernumerary teeth are an alteration of dental developmental and result in the formation of teeth above the usual number. Epidemiologic studies suggested that patients with dentofacial anomalies and their family members may present an increased risk of developing cancer, including female breast cancer and gynecologic cancers. These observations indicate that genetic alterations that result in dental anomalies may be related to cancer development. Thus, the aim of the present study was to evaluate the association between supernumerary teeth and a family history of female breast cancer and gynecologic cancers. METHODS The diagnosis of supernumerary teeth was based on clinical and radiographic examinations. For data collection, a questionnaire asking for information regarding ethnicity, age, gender, and self-reported family history of cancer up to the second generation was used. Statistical analysis was performed using the Χ2 test and Fisher's exact test with an established α of 5%. RESULTS A total of 344 patients were included; 47 of them had one or more non-syndromic supernumerary teeth (not associated with any syndrome or cleft lip and palate) and 297 were control patients. Age, ethnicity, and gender distribution were not statistically different between the group with supernumerary teeth and the control group (p > 0.05). The supernumerary teeth were most commonly observed in the incisors area. Breast cancer (n = 17) was the most commonly self-reported type of cancer, followed by uterine cervical (n = 10), endometrial (n = 2), and ovarian (n = 1) cancers. Endometrial cancer was significantly associated with the diagnosis of supernumerary teeth (p = 0.017). CONCLUSION This study suggests that patients with supernumerary teeth possess a higher risk of having family members with endometrial cancer.
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Affiliation(s)
- Andrea Lips
- Department of Dentistry, University of Joinville Region, Joinville, SC, Brazil
| | - Erika Calvano Küchler
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
| | - Isabela Ribeiro Madalena
- Department of Dentistry, University of Joinville Region, Joinville, SC, Brazil
- School of Dentistry, Presidente Tancredo de Almeida Neves University Center, São João del Rei, MG, Brazil
| | | | - Leonardo Santos Antunes
- Postgraduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo, RJ, Brazil
| | - Livia Azeredo Alves Antunes
- Postgraduate Program in Dentistry, Health Institute of Nova Friburgo, Fluminense Federal University, Nova Friburgo, RJ, Brazil
| | | | - Peter Proff
- Department of Pediatric Dentistry and Orthodontics, Rio de Janeiro Federal University, Rio de Janeiro, RJ, Brazil
| | - Christian Kirschneck
- Department of Orthodontics, Medical Faculty, University Hospital Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - Flares Baratto-Filho
- Department of Dentistry, University of Joinville Region, Joinville, SC, Brazil
- School of Dentistry, Tuiuti University from Parana, Curitiba, PR, Brazil
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Adisornkanj P, Chanprasit R, Eliason S, Fons JM, Intachai W, Tongsima S, Olsen B, Arold ST, Ngamphiw C, Amendt BA, Tucker AS, Kantaputra P. Genetic Variants in Protein Tyrosine Phosphatase Non-Receptor Type 23 Are Responsible for Mesiodens Formation. BIOLOGY 2023; 12:biology12030393. [PMID: 36979085 PMCID: PMC10045488 DOI: 10.3390/biology12030393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 02/24/2023] [Accepted: 02/28/2023] [Indexed: 03/06/2023]
Abstract
A mesiodens is a supernumerary tooth located in the midline of the premaxilla. In order to investigate the genetic etiology of mesiodens, clinical and radiographic examination and whole exome sequencing (WES) were performed in 24 family members of a two-generation Hmong family and additionally in two unrelated Thai patients with mesiodens. WES in the Hmong family revealed a missense mutation (c.1807G>A;p.Glu603Lys) in PTPN23 in seven affected members and six unaffected members. The mode of inheritance was autosomal dominance with incomplete penetrance (53.84%). Two additional mutations in PTPN23, c.2248C>G;p.Pro750Ala and c.3298C>T;p.Arg1100Cys were identified in two unrelated patients with mesiodens. PTPN23 is a regulator of endosomal trafficking functioning to move activated membrane receptors, such as EGFR, from the endosomal sorting complex towards the ESCRT-III complex for multivesicular body biogenesis, lysosomal degradation, and subsequent downregulation of receptor signaling. Immunohistochemical study and RNAscope on developing mouse embryos showed broad expression of PTPN23 in oral tissues, while immunofluorescence showed that EGFR was specifically concentrated in the midline epithelium. Importantly, PTPN23 mutant protein was shown to have reduced phosphatase activity. In conclusion, mesiodens were associated with genetic variants in PTPN23, suggesting that mesiodens may form due to defects in endosomal trafficking, leading to disrupted midline signaling.
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Affiliation(s)
- Ploy Adisornkanj
- Center of Excellence in Medical Genetics Research, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand
- Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Rajit Chanprasit
- Dental Department, Wiang Kaen Hospital, Wiang Kaen, Chiang Rai 57310, Thailand
| | - Steven Eliason
- Department of Anatomy and Cell Biology and the Craniofacial Anomalies Research Center, The University of Iowa, Iowa City, IA 52242, USA
| | - Juan M. Fons
- Centre for Craniofacial and Regenerative Biology, King’s College London, Floor 27 Guy’ Hospital, London Bridge, London SE1 9RT, UK
| | - Worrachet Intachai
- Center of Excellence in Medical Genetics Research, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Sissades Tongsima
- National Biobank of Thailand, National Science and Technology Development Agency, Thailand Science Park, Pathum Thani 12120, Thailand
| | - Bjorn Olsen
- Department of Developmental Biology, Harvard School of Dental Medicine, Harvard University, Boston, MA 02115, USA
| | - Stefan T. Arold
- Computational Bioscience Research Center, Biological and Environmental Science and Engineering, King Abdullah University of Science and Technology, Thuwal 23955-6900, Saudi Arabia
- Center for Structural Biology, National Institute of Health and Medical Research, National Centre for Scientific Research, University of Montpellier, 34090 Montpellier, France
| | - Chumpol Ngamphiw
- National Biobank of Thailand, National Science and Technology Development Agency, Thailand Science Park, Pathum Thani 12120, Thailand
| | - Brad A. Amendt
- Department of Anatomy and Cell Biology and the Craniofacial Anomalies Research Center, The University of Iowa, Iowa City, IA 52242, USA
- Iowa Institute of Oral Health Research, University of Iowa, Iowa City, IA 52242, USA
| | - Abigail S. Tucker
- Centre for Craniofacial and Regenerative Biology, King’s College London, Floor 27 Guy’ Hospital, London Bridge, London SE1 9RT, UK
| | - Piranit Kantaputra
- Center of Excellence in Medical Genetics Research, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand
- Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand
- Correspondence:
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Kim J, Hwang JJ, Jeong T, Cho BH, Shin J. Deep learning-based identification of mesiodens using automatic maxillary anterior region estimation in panoramic radiography of children. Dentomaxillofac Radiol 2022; 51:20210528. [PMID: 35731733 PMCID: PMC9522977 DOI: 10.1259/dmfr.20210528] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 06/06/2022] [Accepted: 06/11/2022] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES The purpose of this study is to develop and evaluate the performance of a model that automatically sets a region of interest (ROI) and diagnoses mesiodens in panoramic radiographs of growing children using deep learning technology. METHODS Out of 988 panoramic radiographs, 489 patients with mesiodens were classified as an experimental group, and 499 patients without mesiodens were classified as a control group. This study consists of two networks. The first network (DeeplabV3plus) is a segmentation model that uses the posterior molar space to set the ROI in the maxillary anterior region with the mesiodens in the panoramic radiograph. The second network (Inception-resnet-v2) is a classification model that uses cropped maxillary anterior teeth to determine the presence of mesiodens. The data were divided into five groups and cross-validated. Deep learning model were created and trained using Inception-ResNet-v2. The performance of the segmentation network was evaluated using accuracy, Intersection over Union (IoU), and MeanBFscore. The overall network performance was evaluated using accuracy, precision, recall, and F1-score. RESULTS Segmentation performance using posterior molar space in panoramic radiographs was 0.839, IoU 0.762, and MeanBFscore 0.907. The mean values of accuracy, precision, recall, F1-score, and area under the curve for the diagnosis of mesiodens using automatic segmentation were 0.971, 0.971, 0.971, 0.971, and 0.971, respectively. CONCLUSIONS The diagnostic performance of the deep learning system using posterior molar space on the panoramic radiograph was sufficiently useful. The results of the deep learning system confirmed the possibility of complete automation of the classification of mesiodens.
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Affiliation(s)
- Jihoon Kim
- Department of Pediatric Dentistry, School of Dentistry, Pusan National University, Yangsan, South Korea
| | - Jae Joon Hwang
- Department of Pediatric Dentistry, School of Dentistry, Pusan National University, Yangsan, South Korea
| | - Taesung Jeong
- Department of Pediatric Dentistry, School of Dentistry, Pusan National University, Yangsan, South Korea
| | - Bong-Hae Cho
- Department of Pediatric Dentistry, School of Dentistry, Pusan National University, Yangsan, South Korea
| | - Jonghyun Shin
- Department of Pediatric Dentistry, School of Dentistry, Pusan National University, Yangsan, South Korea
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Alarcón J, Guzmán J, Masuko TS, Cáceres PN, Fuentes R. Non-Syndromic Familial Mesiodens: Presentation of Three Cases. Diagnostics (Basel) 2022; 12:diagnostics12081869. [PMID: 36010219 PMCID: PMC9406540 DOI: 10.3390/diagnostics12081869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 07/21/2022] [Accepted: 07/29/2022] [Indexed: 11/17/2022] Open
Abstract
Mesiodens are the most common supernumerary teeth and are detected incidentally during routine radiographic examination, so late diagnosis complications are very common. The dentist must make a timely diagnosis and thus avoid clinical complications. Despite advances in knowledge of dental morphogenesis and differentiation, the etiology of mesiodens remains unclear. Therefore, several theories have been postulated to explain how and why they develop. It was described in the literature that heredity could play an important role in the appearance of supernumerary teeth, with a higher rate of appearance in relatives of those affected. This article reports three cases, a mother and two children, who present mesiodens, which shows that supernumerary teeth may involve a genetic factor. In addition, a literature review was carried out to assess the importance of the genetic factor as a possible cause of mesiodens. The relevance and implications of timely diagnosis in clinical practice to avoid manifestations of clinical complications are discussed. Therefore, the identification of the genetic risk factors responsible for the formation of supernumerary teeth is essential for developing a screening tool to determine an individual’s genetic risk.
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Affiliation(s)
- Josefa Alarcón
- Research Center in Sciences (CICO-UFRO), Dental School-Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile; (J.A.); (P.N.C.)
| | - Jacob Guzmán
- Program of Master in Dental Science, Dental School-Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile;
| | - Telma S. Masuko
- Department of Biomorphology, Institute of Health Sciences, Bahia Federal University (ICS-UFBA), Salvador 402331-300, Brazil;
| | - Pablo Navarro Cáceres
- Research Center in Sciences (CICO-UFRO), Dental School-Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile; (J.A.); (P.N.C.)
- Universidad Autónoma de Chile, Temuco 4780000, Chile
| | - Ramón Fuentes
- Research Center in Sciences (CICO-UFRO), Dental School-Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile; (J.A.); (P.N.C.)
- Departament of Integral Adult Dentistry, Dental School-Facultad de Odontología, Universidad de La Frontera, Temuco 4780000, Chile
- Correspondence: ; Tel.: +56-9-5333-9044
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Kong J, Peng Z, Zhong T, Shu H, Wang J, Kuang Y, Ding G. Clinical Analysis of Approach Selection of Extraction of Maxillary Embedded Mesiodens in Children. DISEASE MARKERS 2022; 2022:6517024. [PMID: 35557873 PMCID: PMC9090532 DOI: 10.1155/2022/6517024] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 04/13/2022] [Accepted: 04/16/2022] [Indexed: 11/18/2022]
Abstract
Objective To analyze the relationship between the position of embedded mesiodens in maxilla and surgical approach in children and thus provide reference materials for surgical design. Methods According to the preoperative cone-beam computed tomography (CBCT) examination, the location and surgical approach characteristics of 625 children aged 4-16 years old who presented with embedded mesiodens in maxilla and were diagnosed in our department from January 2016 to December 2021 were statistically analyzed. Results There were 877 embedded mesiodens in 625 children. The selected cases were classified according to the axial angle relationship between mesiodens and adjacent normal teeth or tooth germs, including 84 cases of acute angle type (including the same direction) (13.4%), 66 cases of vertical type (10.6%), 114 cases of obtuse angle type (18.2%), 271 cases of inverted type (43.4%), and 90 cases of mixed type (14.4%). The palatal gingival margin approach was the most selected surgical approach for the cases of acute angle (including synclastic), obtuse angle, and inverted type, and the palatal gingival margin approach and the combined labial-palatal approach were the most selected surgical approach for the cases of vertical and mixed type. Conclusion Palatal gingival margin approach was the most common surgical approach for various types of embedded mesiodens in maxilla in children. Surgeons should classify the case of mesiodens according to the preoperative imaging examination and design the surgical approach reasonably.
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Affiliation(s)
- Jie Kong
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen 518000, China
| | - Zhaowei Peng
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen 518000, China
| | - Tianhang Zhong
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen 518000, China
- Shuya Dental Clinic, Chengdu 618000, China
| | - Huang Shu
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen 518000, China
| | - Ji Wang
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen 518000, China
| | - Yiyuan Kuang
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen 518000, China
| | - Guicong Ding
- Department of Stomatology, Shenzhen Children's Hospital, Shenzhen 518000, China
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Biological characteristics of dental pulp stem cells and their potential use in regenerative medicine. J Oral Biosci 2022; 64:26-36. [PMID: 35031479 DOI: 10.1016/j.job.2022.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 12/30/2021] [Accepted: 01/06/2022] [Indexed: 11/20/2022]
Abstract
BACKGROUND Regenerative medicine has emerged as a multidisciplinary field with the promising potential of renewing tissues and organs. The main types of adult stem cells used in clinical trials are hematopoietic and mesenchymal stem cells (MSCs). Stem cells are defined as self-renewing clonogenic progenitor cells that can generate one or more types of specialized cells. HIGHLIGHT MSCs form adipose, cartilage, and bone tissue. Their protective and regenerative effects, such as mitogenic, anti-apoptotic, anti-inflammatory, and angiogenic effects, are mediated through paracrine and endocrine mechanisms. Dental pulp is a valuable source of stem cells because the collection of dental pulp for stem cell isolation is non-invasive, in contrast to conventional sources, such as bone marrow and adipose tissue. Teeth are an excellent source of dental pulp stem cells (DPSCs) for therapeutic procedures and they can be easily obtained after tooth extraction or the shedding of deciduous teeth. Thus, there is increased interest in optimizing and establishing standard procedures for obtaining DPSCs; preserving well-defined DPSC cultures for specific applications; and increasing the efficiency, reproducibility, and safety of the clinical use of DPSCs. CONCLUSION This review comprehensively describes the biological characteristics and origins of DPSCs, their identification and harvesting, key aspects related to their characterization, their multilineage differentiation potential, current clinical applications, and their potential use in regenerative medicine for future dental and medical applications.
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Saharudin S, Sanusi SY, Ponnuraj KT. Sequencing analysis of exons 5 and 6 in RUNX2 in non-syndromic patients with supernumerary tooth in Kelantan, Malaysia. Clin Oral Investig 2021; 26:1261-1268. [PMID: 34453594 DOI: 10.1007/s00784-021-04098-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2020] [Accepted: 07/21/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE The aim of this study is to do a sequencing analysis of RUNX2 in non-syndromic patients with supernumerary tooth. MATERIALS AND METHODS Fifty-three patients with supernumerary tooth were identified retrospectively from 1,275 radiographic reviews who attended the Hospital Universiti Sains Malaysia (USM) Dental Clinic. Informed consent was obtained from the patients prior to the study. Blood samples were collected from 41 patients and DNA extractions were performed out of which 10 samples were chosen randomly for PCR amplification using designated primers for RUNX2 followed by DNA sequencing analysis. RESULTS This study involved 28 male patients (68.3%) and 13 female patients (31.7%) with a gender ratio of 2.2:1 and mean age of 15.9 ± 6.2 years. DNA extraction yielded ~ 40 ng/μl of concentrated DNA, and each DNA sample had more than 1500 bp of DNA length. The purity ranged between 1.8 and 2.0. DNA sequencing analysis did not reveal any mutations in exons 5 and 6 of RUNX2. CONCLUSION This study did not reveal any mutations in exons 5 and 6 of RUNX2 in non-syndromic patients with supernumerary tooth. CLINICAL RELEVANCE Analysis of mutations in RUNX2 is important to enhance the understanding of tooth development in humans.
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Affiliation(s)
- Suhailiza Saharudin
- Department of Pediatric Dentistry, Hospital Raja Permaisuri Bainun, 30450, Ipoh, Perak, Malaysia
| | - Sarliza Yasmin Sanusi
- School of Dental Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia
| | - Kannan Thirumulu Ponnuraj
- School of Dental Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia. .,Human Genome Centre, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia.
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Neela PK, Atteeri A, Mamillapalli PK, Sesham VM, Keesara S, Chandra J, Monica U, Mohan V. Genetics of Dentofacial and Orthodontic Abnormalities. Glob Med Genet 2021; 7:95-100. [PMID: 33693441 PMCID: PMC7938796 DOI: 10.1055/s-0040-1722303] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/30/2022] Open
Abstract
The development of craniofacial complex and dental structures is a complex and delicate process guided by specific genetic mechanisms. Genetic and environmental factors can influence the execution of these mechanisms and result in abnormalities. An insight into the mechanisms and genes involved in the development of orofacial and dental structures has gradually gained by pedigree analysis of families and twin studies as well as experimental studies on vertebrate models. The development of novel treatment techniques depends on in-depth knowledge of the various molecular or cellular processes and genes involved in the development of the orofacial complex. This review article focuses on the role of genes in the development of nonsyndromic orofacial, dentofacial variations, malocclusions, excluding cleft lip palate, and the advancements in the field of molecular genetics and its application to obtain better treatment outcomes.
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Affiliation(s)
- Praveen Kumar Neela
- Department of Orthodontics, Kamineni Institute of Dental Sciences, Narketpally, India
| | - Anjana Atteeri
- Department of Orthodontics, Kamineni Institute of Dental Sciences, Narketpally, India
| | | | - Vasu Murthy Sesham
- Department of Orthodontics, Kamineni Institute of Dental Sciences, Narketpally, India
| | - Sreekanth Keesara
- Department of Orthodontics, Kamineni Institute of Dental Sciences, Narketpally, India
| | - Jaya Chandra
- Department of Orthodontics, Kamineni Institute of Dental Sciences, Narketpally, India
| | - Udayini Monica
- Department of Orthodontics, Kamineni Institute of Dental Sciences, Narketpally, India
| | - Vasavi Mohan
- Department of Genetics and Molecular Medicine, Vasavi Medical and Research Centre, Hyderabad, Telangana, India
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Brinkmann JCB, Martínez-Rodríguez N, Martín-Ares M, Sanz-Alonso J, Marino JS, Suárez García MJ, Dorado CB, Martínez-González JM. Epidemiological Features and Clinical Repercussions of Supernumerary Teeth in a Multicenter Study: A Review of 518 Patients with Hyperdontia in Spanish Population. Eur J Dent 2020; 14:415-422. [PMID: 32542632 PMCID: PMC7440944 DOI: 10.1055/s-0040-1712860] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES The aim of this study was to establish the prevalence of supernumerary teeth (ST) in a sector of the population of Madrid, as well as possible complications associated with the presence of these teeth. MATERIALS AND METHODS The study investigated patients (n = 28,114) who sought dental care at the Oral Surgery Service of three different centers between May 2005 and April 2018. Cases that did not present this numeric dental developmental variation were discarded, registering only those presenting ST. STATISTICAL ANALYSIS Statistical analysis consisted of univariate analysis (mean, standard deviation, median, etc.), bivariate analysis applying the chi-squared test, whereby statistical significance was established with a confidence interval (CI) of 95% (p < 0.05), and multivariate analysis by means of classification and decision trees. RESULTS The study found ST in 518 patients, representing a prevalence of 1.84%. The 518 patients presented a total of 726 ST. Distomolars were the most common, representing 37.7% of the sample, followed by premolars (20.1%). About 70.5% of the sample were located in the maxilla and 78% of ST were impacted. Radiographs revealed that 39.7% of STs were associated with disorders. Supplementary morphology appeared in 52.1% of the sample. CONCLUSIONS Although mesiodens is considered the most common ST, the present study found distomolars and supernumerary premolars to be the most frequently occurring. Pathology was associated with 39.7% of the ST sample. Early diagnosis allows optimal patient management and treatment planning, with intervention at an appropriate time to prevent complications in development and so reduce later treatment need.
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Affiliation(s)
| | - Natalia Martínez-Rodríguez
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
| | - María Martín-Ares
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
| | - Javier Sanz-Alonso
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
| | - Juan Santos Marino
- Division of Oral Surgery, Department of Surgery, University of Salamanca, Salamanca, Spain
| | - Maria Jesús Suárez García
- Department of Conservative Dentistry and Orofacial Prosthodontics, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
| | - Cristina Barona Dorado
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
| | - Jose María Martínez-González
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, Spain
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Zhao L, Liu S, Zhang R, Yang R, Zhang K, Xie X. Analysis of the distribution of supernumerary teeth and the characteristics of mesiodens in Bengbu, China: a retrospective study. Oral Radiol 2020; 37:218-223. [PMID: 32198663 DOI: 10.1007/s11282-020-00432-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Accepted: 03/10/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To evaluate the distribution of supernumerary teeth (ST) and the characteristics of mesiodens. METHODS Panoramic radiographs of 48,700 outpatients were used to assess the distribution of ST. A total of 142 cone beam computed tomography (CBCT) images were used to evaluate the characteristics of mesiodens. RESULTS A total of 1.24% of individuals aged from 1 to 98 years were diagnosed with ST among 48,700 outpatients, and males had a higher percentage of ST than females (2.94:1); patients aged 6-12 years were the most frequently diagnosed. More females had ST impacted in bone than males. The percentages of patients with 1 and 2 ST were 0.949 and 0.290%, respectively. The most frequent location, crown direction, and morphology of mesiodens were palatal, inverted, and conical, respectively. The tooth lengths of mesiodens in males and of erupted mesiodens were longer than that those in females and of unerupted mesiodens, respectively. Inverted mesiodens had the shortest tooth length compared with vertical and horizontal mesiodens. These results were statistically significant. CONCLUSIONS The distribution of ST and mesiodens were both related to gender, and patients aged 6-12 years were the most frequently detected. The length of the mesiodens was associated with the growth direction and mesiodens eruption.
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Affiliation(s)
- Lili Zhao
- Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, 287 Chang Huai Road, Bengbu, China
| | - Shanshan Liu
- Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, 287 Chang Huai Road, Bengbu, China
| | - Rongxiu Zhang
- Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, 287 Chang Huai Road, Bengbu, China
| | - Ren Yang
- Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, 287 Chang Huai Road, Bengbu, China
| | - Kai Zhang
- Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, 287 Chang Huai Road, Bengbu, China
| | - Xiaofei Xie
- Department of Stomatology, The First Affiliated Hospital of Bengbu Medical College, 287 Chang Huai Road, Bengbu, China.
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12
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Palikaraki G, Vardas E, Mitsea A. Two Rare Cases of Non-Syndromic Paramolars with Family Occurrence and a Review of Literature. Dent J (Basel) 2019; 7:38. [PMID: 30939834 PMCID: PMC6630765 DOI: 10.3390/dj7020038] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 03/13/2019] [Accepted: 03/19/2019] [Indexed: 12/01/2023] Open
Abstract
Supernumerary teeth (or hyperdontia) are teeth that exceed the normal number of deciduous or permanent teeth in the oral cavity. The occurrence of supernumerary teeth without any associated syndrome has been frequently reported and many case reports have been published. This article reports two rare cases of familial occurrence of multiple paramolars without the presence of any other syndrome for two consecutive generations. Limited cases of bilateral maxillary or mandibular paramolars have been reported. In addition, prevalence, classification, etiology, complications, diagnosis and therapeutic strategies that may be adopted when supernumeraries occur are discussed. A review of similar cases published in the literature is included as well.
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Affiliation(s)
| | - Emmanouel Vardas
- Department of Hospital Dentistry, Dental School, National and Kapodistrian University of Athens, Athens, Greece 2 Thivon str, 115 27, Goudi, 15780 Athens, Greece.
| | - Anastasia Mitsea
- Department of Oral Diagnosis & Radiology, Dental School, National and Kapodistrian University of Athens, Greece 2 Thivon str, 115 27, Goudi, 15780 Athens, Greece.
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13
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Aren G, Erdem AP, Onur ÖD, Ak G. The prevelance of mesiodens in a group of non-syndromic Turkish children: a radiographic study. Eur Oral Res 2019; 52:162-166. [PMID: 30775721 DOI: 10.26650/eor.2018.456] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Revised: 05/22/2017] [Accepted: 06/20/2017] [Indexed: 11/20/2022] Open
Abstract
Purpose The aim of the present study is to determine the prevelance and clinical status of mesiodens in a group of non-syndromic Turkish children, with an analysis of the associated clinical-eruptive complications. Materials and Methods This study sample consists of 58142 pediatric patients'. Standard equipment and films were used in the suspected patients. The examination of all radiographs was performed under standard conditions by two pediatric dentists with over 10 years experience. Age, gender, number of mesiodens, morphology and clinical status were recorded in forms. Results A total of 83 mesiodentes were diagnosed in 59 children with ages ranging from 6-14 years. The prevelance of mesiodens was estimated as 0.1%. Males were more frequently affected than females in the ratio of 2.3:1. Of the 83 mesiodentes, 48.2% were conical, 31.3% were tuberculate and 20.5% were incisor like, 22.9% were inverted, and 68.7% were fully impacted. The number of mesiodens was one in 36 cases (61.0%), two in 22 cases (37.3%) and three in one case (1.7%). The mean age at the time of diagnosis of the mesiodens was 9.5 years. The main complication associated with the mesiodens was displacement or rotation of the permanent teeth (73.3%). Conclusion This study presents 0.1% prevelance of mesiodens in a group of Turkish children sample. The majority of the mesiodentes were unilateral located in the premaxillary region, were conical shaped, and remained unerupted. The mean age at the time of diagnosis of the mesiodens in this study was 9.5 years, with this period being later than the eruption time of the maxillary central incisor.
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Affiliation(s)
- Gamze Aren
- Department of Pedodontics, İstanbul University, Faculty of Dentistry, İstanbul, Turkey
| | - Arzu Pınar Erdem
- Department of Pedodontics, İstanbul University, Faculty of Dentistry, İstanbul, Turkey
| | - Özen Doğan Onur
- Department of Oral and Maxillofacial Surgery, İstanbul University, Faculty of Dentistry, İstanbul, Turkey
| | - Gülsüm Ak
- Department of Oral and Maxillofacial Surgery, İstanbul University, Faculty of Dentistry, İstanbul, Turkey
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Muhamad A, Moti M, Ornit C, Uri Z. Histological and chemical analyses of mesiodens development and mineralization. Arch Oral Biol 2018; 87:191-195. [PMID: 29306776 DOI: 10.1016/j.archoralbio.2017.12.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Revised: 12/12/2017] [Accepted: 12/21/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVE This study aimed to compare the developmental timing and mineralization quality of mesiodentes, i.e., supernumerary teeth located mainly in the midline of the maxilla between the central incisors, with the developmental timing and mineralization quality of permanent and primary central incisors. DESIGN Sixteen mesiodentes, nine permanent and seven primary central incisors were collected. The location of the neonatal line was determined using a light microscope at 10× or 20× enlargements. Chemical composition of the enamel at two locations was analyzed using energy dispersive X-ray spectrometer. RESULTS Neonatal lines were observed in eight out of 16 mesiodentes, in all primary central incisors and in none of the permanent central incisors. Chemical analyses showed that mesiodentes mineralization was impaired, resulting in higher amount of organic ions and reduced inorganic ions. Discriminant analysis showed minimal overlap of mesiodentes with either primary or permanent centrals. CONCLUSIONS Mesiodentes development begins before birth in 50% of the cases but later than the primary centrals. Mineralization of mesiodens is impaired with less mineral content and higher organic content. The results showed that mesiodentes are a special group of teeth with defective morpho-differentiation and mineralization, with little similarity to primary or permanent central incisors.
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Affiliation(s)
- Awady Muhamad
- Barzilai Medical University Center, Ashkelon, 7830604, Israel.
| | - Moskovitz Moti
- Department of Pediatric Dentistry, The Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel.
| | - Cohen Ornit
- Barzilai Medical University Center, Ashkelon, 7830604, Israel.
| | - Zilberman Uri
- Barzilai Medical University Center, Ashkelon, 7830604, Israel.
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15
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Kim YY, Hwang J, Kim HS, Kwon HJ, Kim S, Lee JH, Lee JH. Genetic alterations in mesiodens as revealed by targeted next-generation sequencing and gene co-occurrence network analysis. Oral Dis 2017; 23:966-972. [PMID: 28415132 DOI: 10.1111/odi.12680] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Revised: 03/21/2017] [Accepted: 04/06/2017] [Indexed: 11/30/2022]
Abstract
OBJECTIVE Mesiodens is the most common type of supernumerary tooth which includes a population prevalence of 0.15%-1.9%. Alongside evidence that the condition is heritable, mutations in single genes have been reported in few human supernumerary tooth cases. Gene sequencing methods in tradition way are time-consuming and labor-intensive, whereas next-generation sequencing and bioinformatics are cost-effective for large samples and target sizes. MATERIALS AND METHODS We describe the application of a targeted next-generation sequencing (NGS) and bioinformatics approach to samples from 17 mesiodens patients. Subjects were diagnosed on the basis of panoramic radiograph. A total of 101 candidate genes which were captured custom genes were sequenced on the Illumina HiSeq 2500. Multistep bioinformatics processing was performed including variant identification, base calling, and in silico analysis of putative disease-causing variants. RESULTS Targeted capture identified 88 non-synonymous, rare, exonic variants involving 42 of the 101 candidate genes. Moreover, we investigated gene co-occurrence relationships between the genomic alterations and identified 88 significant relationships among 18 most recurrent driver alterations. CONCLUSION Our search for co-occurring genetic alterations revealed that such alterations interact cooperatively to drive mesiodens. We discovered a gene co-occurrence network in mesiodens patients with functionally enriched gene groups in the sonic hedgehog (SHH), bone morphogenetic proteins (BMP), and wingless integrated (WNT) signaling pathways.
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Affiliation(s)
- Y Y Kim
- Institute of Oral Science, Apple Tree Dental Hospital, Ilsansuh-gu, Goyang, Korea
| | - J Hwang
- Department of IT Convergence and Engineering, Pohang University of Science and Technology, Pohang, Gyeongbuk, Korea
| | - H-S Kim
- Institute of Oral Science, Apple Tree Dental Hospital, Ilsansuh-gu, Goyang, Korea
| | - H J Kwon
- Institute of Oral Science, Apple Tree Dental Hospital, Ilsansuh-gu, Goyang, Korea
| | - S Kim
- Department of Life Science, Pohang University of Science and Technology, Pohang, Gyeongbuk, Korea
| | - J H Lee
- Department of Clinical Pharmacology and Therapeutics, Kyung Hee University College of Medicine, Dongdaemoon-gu, Seoul, Korea
| | - J H Lee
- Department of Prosthodontics, Yonsei University College of Dentistry, Seodaemoon-gu, Seoul, Korea
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Diagnosis and Surgical Management of Nonsyndromic Nine Supernumerary Teeth and Leong's Tubercle. Case Rep Dent 2016; 2016:8641867. [PMID: 27066278 PMCID: PMC4811072 DOI: 10.1155/2016/8641867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Accepted: 02/14/2016] [Indexed: 11/28/2022] Open
Abstract
Nonsyndromic multiple supernumerary teeth (ST) and Leong's tubercle are a condition with a very low prevalence and a multidisciplinary approach is required to restore function and aesthetics. So, this case report aimed at presenting a rare case of nonsyndromic nine supernumerary teeth and Leong's tubercle in a pediatric patient, without any evident familial history, showing its diagnosis and surgical management.
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17
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Lee SJ, Baek K. A retrospective study of deep sedation with concomitant administration of sedative agents in children undergoing surgical removal of a mesiodens. J Dent Anesth Pain Med 2015; 15:213-220. [PMID: 28879282 PMCID: PMC5564157 DOI: 10.17245/jdapm.2015.15.4.213] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2015] [Revised: 12/29/2015] [Accepted: 12/31/2015] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Pediatric dentists face challenges when young patients require a mesiodens extraction. General anesthesia may be a burden to the child as well as the parent due to dental fears and costs. The aim of this study was to evaluate oral and intravenous sedation in the outpatient setting as a safe and effective means of managing patients who require a mesiodens extraction. METHODS Records were reviewed retrospectively to find patients who underwent a mesiodens removal procedure from January 2013 to September 2014 in the Department of Pediatric Dentistry at Ajou University Hospital (Suwon, Gyeonggi-do, Republic of Korea). A total of 81 patients (62 male and 19 female) between 4 and 11 years of age (mean [± SD] 81.6 ± 14.1 months) were studied, with a mean weight of 22.9 ± 3.3 kg (16 kg to 30 kg). Vital signs, sedation drug dosage, and sedation time were studied. RESULTS Mean doses of 63.7 ± 2.5 mg/kg chloral hydrate and 1.36 ± 0.22 mg/kg hydroxyzine were used for oral sedation. Nitrous oxide/oxygen was administrated for 40.0 ± 2.1 min. The mean dose of midazolam administered intravenously was 0.14 ± 0.06 mg/kg (2.38 ± 0.97 times). In all cases, the mesiodens was removed successfully. CONCLUSIONS Intravenous sedation combined with oral sedation and nitrous oxide/oxygen inhalation can be an alternative to general anesthesia when administrated and monitored properly.
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Affiliation(s)
- Soo Jeong Lee
- Division of Pediatric Dentistry, Department of Dentistry, Ajou University School of Medicine, Suwon, Korea
| | - Kwangwoo Baek
- Division of Pediatric Dentistry, Department of Dentistry, Ajou University School of Medicine, Suwon, Korea
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18
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Lee SS, Kim SG, Oh JS, You JS, Jeong KI, Kim YK, Lee SH, Lee NY. A comparative analysis of patients with mesiodenses: a clinical and radiological study. J Korean Assoc Oral Maxillofac Surg 2015; 41:190-3. [PMID: 26339577 PMCID: PMC4558187 DOI: 10.5125/jkaoms.2015.41.4.190] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2015] [Revised: 05/26/2015] [Accepted: 05/27/2015] [Indexed: 11/18/2022] Open
Abstract
Objectives A mesiodens appears most commonly as a supernumerary tooth impacted in the anterior maxilla. The purpose of this study is analyze mesiodens clinically. Materials and Methods Gender, crown form, direction of impaction, relation to permanent incisors, and chief complaints of patients with extracted mesiodens were analyzed. Results Patients were analyzed for motivation to visit the hospital; 85.4% of the patients were referred from other hospitals. Mesiodens was more common in males than in females (3.7:1), and 70.1% of patients had only one mesiodens, while 29.6% had two mesiodenses. Of the mesiodenses, 61.4% were of the aconical form, and the most common direction was upward (62.4%), followed by the normal position (26.0%) and the horizontal position (11.6%). The mesiodenses caused orthodontic problems with the permanent incisors in 46.3% of cases. Mesiodens associated with dentigerous cyst was rarely observed in our patient group. Conclusion Mesiodens is more common in males than in females and often affects the permanent incisors. Thus, careful clinical and radiological evaluations of mesiodenses are important.
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Affiliation(s)
- Sung-Suk Lee
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea
| | - Su-Gwan Kim
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea
| | - Ji-Su Oh
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea
| | - Jae-Seek You
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea
| | - Kyung-In Jeong
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea
| | - Young-Kyun Kim
- Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Sang-Ho Lee
- Department of Pediatric Dentistry, School of Dentistry, Chosun University, Gwangju, Korea
| | - Nan-Young Lee
- Department of Pediatric Dentistry, School of Dentistry, Chosun University, Gwangju, Korea
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Lara TS, Lancia M, da Silva Filho OG, Garib DG, Ozawa TO. Prevalence of mesiodens in orthodontic patients with deciduous and mixed dentition and its association with other dental anomalies. Dental Press J Orthod 2015; 18:93-9. [PMID: 24351155 DOI: 10.1590/s2176-94512013000600014] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
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, 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. CONCLUSIONS 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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20
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Bilateral impacted inverted mesiodentes in the palatal vault: A rare case report. PEDIATRIC DENTAL JOURNAL 2015. [DOI: 10.1016/j.pdj.2014.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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21
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Cassetta M, Altieri F, Giordano A. Mirror imaging of impacted and supernumerary teeth in dizygotic twins: A case report. J Clin Exp Dent 2015; 7:e167-9. [PMID: 25810831 PMCID: PMC4368007 DOI: 10.4317/jced.51815] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2014] [Accepted: 10/30/2014] [Indexed: 11/08/2022] Open
Abstract
Background: Mesiodens is the most common type of supernumerary tooth found in the premaxilla. It might be discovered by the clinical examination by chance on a radiograph or as the cause of an unerupted maxillary central incisor. The genetic transmission of supernumerary and impacted teeth is poorly understood. Mirror imaging in twins has been reported frequently in relation to several unilateral dental anomalies including mesiodens. This phenomenon is the appearance of an asymmetrical feature or anomaly occurring on the right side of one twin but on the left side of the other twin. The event of mesiodens mirror imaging in monozygotic twins has been described in literature.
Results: This is the first reported case of mesiodens mirror images in dizygotic twins. The de-scribed mesiodens caused the eruption failure of maxillary permanent incisors. The super-numerary teeth were removed to facilitate the spontaneous eruption of the impacted perma-nent maxillary incisors.
Clinical Implications: Studies related to supernumerary teeth can be useful to clinicians in the early diagnosis of this anomaly. Clinical and radiographic examinations provide a correct therapeutic approach.
Key words:Supernumerary teeth, twins, dental development.
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Affiliation(s)
- Michele Cassetta
- Assistant Professor, Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome , Italy , School of Dentistry
| | - Federica Altieri
- Research Assistant, Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome , Italy , School of Dentistry
| | - Alessandra Giordano
- Research Assistant, Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome , Italy , School of Dentistry
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22
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Trattamento chirurgico di denti sovrannumerari mandibolari multipli: un caso clinico. DENTAL CADMOS 2014. [DOI: 10.1016/s0011-8524(14)70233-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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23
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Redwood C, Townsend GC, Ghabriel M, Brook AH. Under your nose: a rare finding during dissection provides insights into maxillary supernumerary teeth. Aust Dent J 2014; 59:379-85. [PMID: 24861905 DOI: 10.1111/adj.12194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND A supernumerary tooth was found during anatomical dissection. The position of this tooth, still impacted in the maxilla, and the associated pathology make this a rare case. METHODS During dissection by dental students of the sagittally-sectioned head of a cadaver, a supernumerary tooth was identified in the mid-palatal area. Further dissection revealed a swelling with a thin bony covering related to the crown of the tooth. The maxilla was removed en bloc and radiographic examination, CT scanning, electron microscopy and histology were undertaken. RESULTS The tooth had a crenulated occlusal surface and a single root. It was 25 mm posterior to the root apex of the permanent upper central incisor. The swelling, confirmed by radiographs and CT imaging to be associated with the crown, occupied approximately one-third of the maxillary sinus. The 3D shape of the cystic lesion was visualized by a composite digital movie. CONCLUSIONS The crown form, position of the tooth and the associated dentigerous cyst suggested it was a palatally developing supernumerary premolar which had been displaced to the palatal midline by the expanding cyst. This rare case highlights the learning and teaching opportunities available during dissection, showing important variations in both development and clinical anatomy.
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Affiliation(s)
- C Redwood
- Centre for Orofacial Research and Learning, School of Dentistry, The University of Adelaide, South Australia
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24
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An unusual double supernumerary maxillary mesiodens in a Middle Iron Age skeleton from South Uist, Western Isles, Scotland. Arch Oral Biol 2014; 59:625-30. [PMID: 24727006 DOI: 10.1016/j.archoralbio.2014.03.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2013] [Revised: 12/19/2013] [Accepted: 03/20/2014] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Bilaterally occurring and fully erupted mesiodens occur infrequently in the modern population and have been little documented from past populations. This research presents an unusual case of a double maxillary mesiodens in the permanent dentition occurring in skeletal remains dating to the Middle Iron Age (250-410 AD) from South Uist, Western Isles of Scotland. METHODS Osteological analysis of an adult male included the inventory of teeth present/absent and analysis of dental pathologies (caries, calculus, periodontal disease, ante-mortem tooth loss, periapical abscesses), developmental defects and orthodontic anomalies (enamel hypoplastic defects, malposition, rotation, crowding, agenesis and supernumerary teeth). RESULTS An unusual expression of double, fully erupted, mesiodens in the anterior permanent maxillary dentition representing supernumerary central incisors exists. The complete eruption had contributed to anterior displacement of one central incisor alveolar socket similar to documented modern clinical cases. Shallow sockets also implied an associated stunted development of the original central maxillary incisor roots. Occlusal enamel wear indicated the mesiodens had been abraded during mastication. CONCLUSION Current clinical data suggest there is a much higher tendency for single mesiodens to exist rather than double and examples often fail to fully erupt into the dentition. This relative rarity may account for the few previous reports of this dental anomaly from past human remains and especially of this date. The fully erupted double example from South Uist contributes to the known evidence for orthodontic anomalies in the past.
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25
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The Detailed Evaluation of Supernumerary Teeth with the Aid of Cone Beam Computed Tomography. BIOTECHNOL BIOTEC EQ 2014. [DOI: 10.2478/v10133-010-0023-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
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Anthonappa RP, King NM, Rabie ABM. Aetiology of supernumerary teeth: a literature review. Eur Arch Paediatr Dent 2013; 14:279-88. [PMID: 24068489 DOI: 10.1007/s40368-013-0082-z] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2012] [Accepted: 02/14/2013] [Indexed: 02/01/2023]
Abstract
BACKGROUND Supernumerary teeth are teeth, or tooth-like structures that have either erupted or remain unerupted in addition to the 20 primary and 32 permanent teeth. AIMS This paper attempts to (a) provide an overview of the proposed hypotheses and the current understanding of the aetiology of supernumerary teeth, and (b) review the published cases of supernumerary teeth occurring in families. REVIEW No studies have been able to distinguish between different aetiologies for the different locations of supernumerary teeth, while, from a developmental or molecular perspective, the proposed hypotheses may be plausible and explains the origin of different types of supernumerary teeth. CONCLUSION The only clearly evident feature, based on the existing published reports, is that it is logical to state that supernumerary teeth have a genetic component in their aetiology.
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Affiliation(s)
- R P Anthonappa
- School of Dentistry, Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, 17 Monash Avenue Nedlands, Perth, WA, 6009, Australia,
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Khambete N, Kumar R. Genetics and presence of non-syndromic supernumerary teeth: A mystery case report and review of literature. Contemp Clin Dent 2013; 3:499-502. [PMID: 23633820 PMCID: PMC3636847 DOI: 10.4103/0976-237x.107455] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Presence of supernumerary teeth is well-recognized clinical phenomenon. However, it is uncommon to find multiple supernumeraries in individuals with no other associated disease or syndrome. Presence of multiple supernumerary teeth is thought to have genetic component. We report a rare case where multiple supernumerary teeth were seen without presence of any other syndrome in 3 generations; father, son, and two grandsons. We also present a review of similar cases published in literature till date. The role of genetics in development of supernumerary teeth is highlighted.
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Affiliation(s)
- Neha Khambete
- Department of Oral Medicine, Diagnosis and Radiology, CSMSS Dental College and Hospital, Aurangabad, India
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28
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Bilateral Mesiodens in Monozygotic Twins: 3D Diagnostic and Management. Case Rep Dent 2013; 2013:193614. [PMID: 23533824 PMCID: PMC3596925 DOI: 10.1155/2013/193614] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2013] [Accepted: 01/26/2013] [Indexed: 11/30/2022] Open
Abstract
Mesiodens is the most frequent type of supernumerary tooth and may occur in several forms, causing different local disorders, such as impaction of the anterior permanent teeth. High-resolution three-dimensional (3D) images have improved the diagnosis and treatment plan of patients with impacted and supernumerary teeth. The purpose of this paper was to report a case of two mesiodens in monozygotic twin boys with appropriate 3D diagnostic and treatment plan.
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Toureno L, Park JH, Cederberg RA, Hwang EH, Shin JW. Identification of Supernumerary Teeth in 2D and 3D: Review of Literature and a Proposal. J Dent Educ 2013. [DOI: 10.1002/j.0022-0337.2013.77.1.tb05441.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Leo Toureno
- Arizona School of Dentistry & Oral Health; A.T. Still University
| | - Jae Hyun Park
- Arizona School of Dentistry & Oral Health; A.T. Still University and Adjunct Professor; Graduate School of Dentistry; Kyung Hee University
| | - Robert A. Cederberg
- Department of Restorative Dentistry and Biomaterials; University of Texas School of Dentistry at Houston
| | - Eui Hwan Hwang
- Department of Oral and Maxillofacial Radiology; Graduate School of Dentistry, Kyung Hee University
| | - Je-Won Shin
- Department of Anatomy and Developmental Biology; Graduate School of Dentistry; Kyung Hee University
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Nonsyndromic multiple hyperdontia in a series of 13 patients: epidemiologic and clinical considerations. J Am Dent Assoc 2012; 143:e16-24. [PMID: 22653944 DOI: 10.14219/jada.archive.2012.0243] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND The authors conducted a retrospective-casuistic study to determine the prevalence of nonsyndromic multiple hyperdontia in a sample of the population of Madrid, as well as possible complications associated with the presence of such supernumerary teeth. METHODS The study included a data assessment of all patients seeking dental care at a hospital's department of oral surgery across four years. The authors studied data from patients who had nonsyndromic multiple hyperdontia. We used univariate and bivariate analysis to make comparisions between variables. RESULTS The authors identified nonsyndromic multiple hyperdontia in the records of 13 patients (0.1 percent) of the total population studied. These patients had 55 supernumerary teeth. Premolars were the most frequently seen type of supernumerary tooth and constituted 45.5 percent of the sample. CONCLUSIONS Nonsyndromic multiple hyperdontia usually is diagnosed as a coincidental radiographic finding in the course of routine examination rather than as the result of an associated disease. However, the authors found a higher percentage of comorbidity than they initially expected; mechanical or obstructive pathology was associated with 20.0 percent of the supernumerary teeth and enlargement of the follicular sac of more than 3 millimeters was present in 23.6 percent of the sample. CLINICAL IMPLICATIONS The early diagnosis and follow-up of patients with multiple supernumerary teeth should help clinicians prevent the diseases associated with this kind of hyperodontia.
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Abstract
Supernumerary tooth denotes duplication of tooth in the normal series. It is a developmental anomaly and has been argued to arise from multiple etiologies. These teeth may remain embedded in the alveolar bone or can erupt into the oral cavity. The supernumerary tooth might cause esthetic and/or functional problems, especially if it is situated in the maxillary anterior region. Complications reported were delayed or prevented eruption of succedaneous teeth, displacement or rotation, crowding of the affected region, abnormal diastema, dilacerations, cystic formation, and sometime eruption into the nasal cavity. In this case report, four unusual cases of supernumerary teeth that resulted in varying degrees of disturbances in permanent dentition are presented. Conservative surgical intervention and light orthodontic forces were used to bring the teeth into normal position with minimal disturbance to the surrounding oral structures.
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Affiliation(s)
- Arun Kumar
- Department of Pedodontics, Government Dental College, Rohtak, Haryana, India
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Martínez-González JM, Cortés-Bretón Brinkmann J, Calvo-Guirado JL, Arias Irimia O, Barona-Dorado C. Clinical epidemiological analysis of 173 supernumerary molars. Acta Odontol Scand 2012; 70:398-404. [PMID: 22364201 DOI: 10.3109/00016357.2011.629629] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES To determine the prevalence of supernumerary molars in a sector of the population of Madrid, as well as the possible complications associated with the presence of hypergenetic molars. MATERIALS AND METHODS A retrospective, descriptive study was carried out, which included a data assessment of all patients (13557) seeking dental care at a hospital's department of oral surgery across 4 years. The proposed methodology consisted of preparing a medical record in order to obtain data on the medical record number, age and sex of the patient, radiological findings such as location and type of supernumerary molar, retained/erupted molar, related accidents and tooth morphology. RESULTS Supernumerary molars were found to be present in 130 patients, representing a prevalence of 0.96% of the total population studied. These patients had a total of 173 hypergenetic molars, consisting of 137 distomolars and 36 paramolars Mechanical-obstructive pathology was associated with 28.9%, whereas enlargement of the follicular sack bigger than 3 mm was present in 16.2% of the sample. CONCLUSION Supernumerary molars are usually diagnosed as a coincidental radiological finding without any associated pathology. However a higher percentage of comorbidity was found than initially expected.
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Yeluri R, Hegde M, Baliga S, Munshi AK. Multiple supernumerary teeth associated with an impacted maxillary central incisor: Surgical and orthodontic management. Contemp Clin Dent 2012; 3:219-22. [PMID: 22919229 PMCID: PMC3425112 DOI: 10.4103/0976-237x.96844] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Various anomalies in the size, shape, number, structure and eruption of the teeth are often observed clinical conditions. Supernumerary teeth can be found in almost any region of the dental arch, and most of the times they are asymptomatic, and are routinely found during radiographic evaluation. The most common cause of impacted maxillary incisors is the presence of the supernumerary teeth. This paper describes a case of multiple supernumerary teeth associated with an impacted permanent maxillary central incisor in an 11-year old child along with its surgical and orthodontic management.
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Affiliation(s)
- Ramakrishna Yeluri
- Department of Pedodontics and Preventive Dentistry, K. D Dental College and Hospital, Mathura, Uttar Pradesh, India
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Rossi V, Lombardi N, Rampinelli G, Carrassi A. Il trattamento chirurgico di elementi dentari soprannumerari: tre casi di quarti molari. DENTAL CADMOS 2012. [DOI: 10.1016/j.cadmos.2011.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Manuja N, Nagpal R, Singh M, Chaudhary S. Management of Delayed Eruption of Permanent Maxillary Incisor associated with the Presence of Supernumerary Teeth: A Case Report. Int J Clin Pediatr Dent 2011; 4:255-9. [PMID: 27678238 PMCID: PMC5034090 DOI: 10.5005/jp-journals-10005-1121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2011] [Accepted: 07/28/2011] [Indexed: 12/04/2022] Open
Abstract
A supernumerary tooth is one that is additional to the normal series and can be found in almost any region of the dental arch. Clinically, supernumerary teeth are able to cause different local disorders. It is important for the dentist to be aware of the clinical complications of supernumerary teeth, the most common being the delayed eruption of permanent teeth. Early diagnosis and management of supernumerary teeth is important to prevent the need for more complex surgical and orthodontic treatment. This case report highlights the problem of delayed eruption of permanent maxillary left central incisor in a 9-year-old boy due to two supernumerary teeth, one tuberculate type and other impacted inverted mesiodens.
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Affiliation(s)
- Naveen Manuja
- Reader, Department of Pediatric Dentistry, Kothiwal Dental College, Moradabad, Uttar Pradesh, India
| | - Rajni Nagpal
- Reader, Department of Conservative Dentistry, Kothiwal Dental College, Moradabad, Uttar Pradesh, India
| | - Mousumi Singh
- Professor and Head, Department of Pediatric Dentistry, Kothiwal Dental College, Moradabad, Uttar Pradesh, India
| | - Seema Chaudhary
- Professor, Department of Pediatric Dentistry, Kothiwal Dental College, Moradabad, Uttar Pradesh, India
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Wang XP, Fan J. Molecular genetics of supernumerary tooth formation. Genesis 2011; 49:261-77. [PMID: 21309064 DOI: 10.1002/dvg.20715] [Citation(s) in RCA: 83] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2010] [Revised: 01/02/2011] [Accepted: 01/06/2011] [Indexed: 01/07/2023]
Abstract
Despite advances in the knowledge of tooth morphogenesis and differentiation, relatively little is known about the aetiology and molecular mechanisms underlying supernumerary tooth formation. A small number of supernumerary teeth may be a common developmental dental anomaly, while multiple supernumerary teeth usually have a genetic component and they are sometimes thought to represent a partial third dentition in humans. Mice, which are commonly used for studying tooth development, only exhibit one dentition, with very few mouse models exhibiting supernumerary teeth similar to those in humans. Inactivation of Apc or forced activation of Wnt/β(catenin signalling results in multiple supernumerary tooth formation in both humans and in mice, but the key genes in these pathways are not very clear. Analysis of other model systems with continuous tooth replacement or secondary tooth formation, such as fish, snake, lizard, and ferret, is providing insights into the molecular and cellular mechanisms underlying succesional tooth development, and will assist in the studies on supernumerary tooth formation in humans. This information, together with the advances in stem cell biology and tissue engineering, will pave ways for the tooth regeneration and tooth bioengineering.
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Affiliation(s)
- Xiu-Ping Wang
- Department of Developmental Biology, Harvard School of Dental Medicine, Harvard University, Boston, Massachusetts 02115, USA.
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Abstract
BACKGROUND The authors conducted a retrospective study to determine the prevalence of supernumerary premolars in sample of patients from Madrid, as well as the possible complications associated with the presence of such supernumerary premolars. METHODS The study included a data assessment of all patients seeking dental care at a hospital's department of oral surgery across four years. The authors studied data from patients who had supernumerary premolars. RESULTS The authors identified supernumerary premolars in the records of 43 patients (0.32 percent) of the total population studied. These patients had 73 hyperdontic premolars (65 mandibular premolars [89 percent] and eight maxillary premolars [11 percent]). CONCLUSIONS Supernumerary premolars usually are diagnosed as a coincidental radiographic finding without an associated pathology. However, the authors found a higher percentage of comorbidity than they initially expected. CLINICAL IMPLICATIONS Mechanical or obstructive pathology was associated with 2.7 percent of the premolars, and enlargement of the follicular sac of more than 3 millimeters was present in 26.0 percent of the sample.
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Uslu O, Akcam MO, Evirgen S, Cebeci I. Prevalence of dental anomalies in various malocclusions. Am J Orthod Dentofacial Orthop 2009; 135:328-35. [PMID: 19268831 DOI: 10.1016/j.ajodo.2007.03.030] [Citation(s) in RCA: 83] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2006] [Revised: 03/01/2007] [Accepted: 03/01/2007] [Indexed: 10/21/2022]
Abstract
INTRODUCTION The purpose of this study was to evaluate the prevalence of dental anomalies in different orthodontic malocclusions. METHODS Based on pretreatment diagnostic records, 900 orthodontic patients were classified as Class I (n = 358), Class II (n = 325), Class II Division 2 (n = 51), or Class III (n = 166). The occurrence rates of each dental anomaly were calculated as percentages of the total sample. Differences in incidence rates of each dental anomaly by sex and malocclusion were analyzed by using chi-square, Fisher exact, and z tests. The Mann-Whitney U test was used to determine whether there were significant differences in the occurrence of dental anomalies by age. RESULTS It was found that 40.3% of patients (n = 363) had at least 1 dental anomaly. Agenesis was the most common (21.6%), followed by dens evaginatus (6.2%), invaginatus (5.0%), pulp stones (4.2%), and impaction (2.9%). No statistically significant correlations were found between dental anomaly and type of malocclusion, with the exception of impaction and short or blunt roots (P <0.01 and P <0.05, respectively). The Mann-Whitney U test indicated no significant difference in dental anomalies by age. CONCLUSIONS A remarkably high rate of dental anomalies was recorded in orthodontic patients; therefore, orthodontists should carefully examine pretreatment records for dental anomalies to include their management in the treatment planning.
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Affiliation(s)
- Ozge Uslu
- Department of Orthodontics, Faculty of Dentistry, Ankara University, Besevler, Ankara, Turkey.
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Chan MY, Shifteh K, Shanske AL. Mesiodens, a new microform of holoprosencephaly? Am J Med Genet A 2009; 149A:268-71. [DOI: 10.1002/ajmg.a.32604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Nagaveni N, Shashikiran N, Reddy VS. Surgical management of palatal placed, inverted, dilacerated and impacted mesiodens. Int J Clin Pediatr Dent 2009; 2:30-2. [PMID: 25206096 PMCID: PMC4086546 DOI: 10.5005/jp-journals-10005-1038] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2009] [Accepted: 11/10/2009] [Indexed: 11/23/2022] Open
Abstract
Teeth may vary in size, shape and number. Mesiodens is the
most commonly occurring supernumerary tooth, usually seen
between upper two central incisors which may be impacted
or erupted. The present paper describes a rare case of palatal
placed, inverted, severely dilacerated and impacted mesiodens
which was detected on radiographic examination for
some other problem.
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Affiliation(s)
- Nb Nagaveni
- Assistant Professor, Department of Pediatric Dentistry, College of Dental Sciences, Davangere-577004, Karnataka, India
| | - Nd Shashikiran
- Professor, Department of Pediatric Dentistry, College of Dental Sciences, Davangere-577004, Karnataka, India
| | - Vv Subba Reddy
- Professor and Head, Department of Pediatric Dentistry, College of Dental Sciences, Davangere-577004, Karnataka, India
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Santos APPD, Ammari MM, Moliterno LFM, Júnior JC. First report of bilateral supernumerary teeth associated with both primary and permanent maxillary canines. J Oral Sci 2009; 51:145-50. [DOI: 10.2334/josnusd.51.145] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Bailleul-Forestier I, Molla M, Verloes A, Berdal A. The genetic basis of inherited anomalies of the teeth. Eur J Med Genet 2008; 51:273-91. [PMID: 18499550 DOI: 10.1016/j.ejmg.2008.02.009] [Citation(s) in RCA: 98] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2007] [Accepted: 02/03/2008] [Indexed: 01/10/2023]
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Gündüz K, Çelenk P, Zengin Z, Sümer P. Mesiodens: a radiographic study in children. J Oral Sci 2008; 50:287-91. [DOI: 10.2334/josnusd.50.287] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Iizawa F, Nakakura-Ohshima K, Numa N, Noda T. A case of eruption guidance for eruption disturbances of the bilateral second molars caused by supernumerary teeth. PEDIATRIC DENTAL JOURNAL 2007. [DOI: 10.1016/s0917-2394(07)70102-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Proff P, Fanghänel J, Allegrini S, Bayerlein T, Gedrange T. Problems of supernumerary teeth, hyperdontia or dentes supernumerarii. Ann Anat 2006; 188:163-9. [PMID: 16551014 DOI: 10.1016/j.aanat.2005.10.005] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Supernumerary teeth are extra teeth or toothlike structures which may have either erupted or unerupted in addition to the 20 deciduous teeth and the 32 permanent teeth. This article provides an overview of frequency, distribution and classification of supernumerary teeth. The etiology of supernumerary teeth is still unknown, yet various theories have been presented based on epidemiological studies. Four clinical cases representing the possible manifestations of supernumerary teeth are discussed.
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Affiliation(s)
- Peter Proff
- Poliklinik für Kieferorthopädie, Präventive Zahnmedizin und Kinderzahnheilkunde, Ernst-Moritz-Arndt-Universität Greifswald, Rotgerberstrasse 8, 17487 Greifswald, Germany.
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Türkkahraman H, Yilmaz HH, Cetin E. A non-syndrome case with bilateral supernumerary canines: report of a rare case. Dentomaxillofac Radiol 2005; 34:319-21. [PMID: 16120884 DOI: 10.1259/dmfr/25079119] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Supernumerary teeth are described as the teeth formed in excess of the normal dental formula. Prevalence of supernumerary teeth varies between 0.1% and 3.8% in general Caucasian population. They have been reported in both the primary and the permanent dentition. Supernumerary teeth may occur in any region of the dental arch. However, a supernumerary tooth in the canine region is a rare condition and to our knowledge, a non-syndrome case with bilateral supplemental maxillary canines did not exist in the literature. It was the aim of this report to evaluate this rare case in view of both oral radiology and orthodontics.
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Affiliation(s)
- H Türkkahraman
- Süleyman Demirel Universitesi, Dişhekimliği Fakültesi, Ortodonti Anabilim Dali, 32260, Isparta, Turkey.
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Suri L, Gagari E, Vastardis H. Delayed tooth eruption: pathogenesis, diagnosis, and treatment. A literature review. Am J Orthod Dentofacial Orthop 2004; 126:432-45. [PMID: 15470346 DOI: 10.1016/j.ajodo.2003.10.031] [Citation(s) in RCA: 169] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Delayed tooth eruption (DTE) is the emergence of a tooth into the oral cavity at a time that deviates significantly from norms established for different races, ethnicities, and sexes. This article reviews the local and systemic conditions under which DTE has been reported to occur. The terminology related to disturbances in tooth eruption is also reviewed and clarified. A diagnostic algorithm is proposed to aid the clinician in the diagnosis and treatment planning of DTE. The sequential and timely eruption of teeth is critical to the timing of treatment and the selection of an orthodontic treatment modality. This review addresses the need for a more in-depth understanding of the underlying pathophysiology of DTE and gives the clinician a methodology to approach its diagnosis and treatment.
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Affiliation(s)
- Lokesh Suri
- School of Dental Medicine, Tufts University, Boston, MA 02111, USA.
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Abstract
INTRODUCTION A review of the literature relating to supernumerary teeth is presented along with a survey of 152 cases. METHODS The study population consisted of 152 children who visited the department of Paediatric Dentistry at the Jordan University Hospital. Patients ranged in age from 5 to 15 years. Supernumeraries were detected by clinical examination and radiographs. RESULTS Males were affected more than females with a sex ratio of 2.2 : 1. Seventy-seven percent of the patients had one supernumerary tooth, 18.4% had double teeth, and 4.6% had three or more supernumeraries. Ninety percent of the supernumerary teeth occurred in the premaxilla, of which 92.8% were in the central incisor region and of these latter 25% were located in the midline. The other 10.4% of the supernumeraries were located in the premolar, canine, molar, and lower central incisor regions. Two cases were of non-syndrome supernumerary teeth. Seventy-five percent of the supernumeraries were conical, 83.1% were in the normal vertical position and 26.5% were erupted. Conical-shaped supernumerary teeth had a significantly higher rate of eruption compared to the tuberculate type.
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Affiliation(s)
- L D Rajab
- The University of Jordan, Faculty of Density, Department of Paediatric Dentistry, Amman.
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