Journal of Interdisciplinary Dentistry

CASE REPORT
Year
: 2012  |  Volume : 2  |  Issue : 2  |  Page : 113--115

Supernumerary teeth: Review of case series


Vijaykumar G Biradar1, Surekha M Angadi2,  
1 Department of Oral and Maxillofacial Pathology, MIDSR Dental College & Hospital, Latur, Maharastra, India
2 Department of Oral Medicine and Radiology, MIDSR Dental College & Hospital, Latur, Maharastra, India

Correspondence Address:
Vijaykumar G Biradar
Department of Oral and Maxillofacial Pathology, MIDSR Dental College & Hospital, Latur, Maharastra
India

Abstract

Supernumerary teeth are the teeth present in addition to the normal set of teeth. They may be single, multiple, unilateral or bilateral, erupted, or unerupted and in one or both jaws and may or may not be associated with other disease or syndrome. This article reviews case series of supernumerary teeth with no associated disease or syndromes. Clinical Relevance to Interdisciplinary Dentistry
  1. Multidisciplinary approach is necessary to meet the treatment challenges of supernumerary teeth.
  2. Supernumerary teeth can be managed either by removal/ endodontic/ orthodontic therapy or by maintaining them in the arch and frequent observation.
  3. Removal of supernumerary teeth is recommended where there is compromised esthetic and functional status.



How to cite this article:
Biradar VG, Angadi SM. Supernumerary teeth: Review of case series.J Interdiscip Dentistry 2012;2:113-115


How to cite this URL:
Biradar VG, Angadi SM. Supernumerary teeth: Review of case series. J Interdiscip Dentistry [serial online] 2012 [cited 2019 Jul 16 ];2:113-115
Available from: http://www.jidonline.com/text.asp?2012/2/2/113/100604


Full Text

 Introduction



A supernumerary tooth is an additional entity to the normal series and is seen in all the quadrants of the jaw. [1] The presence of supernumerary teeth is a dental anomaly of patterning and morphogenesis. Patterning alterations in human dentition often occur and are characterized by alterations in the number, size, and shape of the teeth. Supernumerary teeth are developmental alterations of number and morphology that result in the formation of teeth in excess of the usual number. [2] Supernumerary teeth may occur as single (76-86%) double (12-73%) or multiple (<1%), unilaterally or bilaterally, and in one or both jaws. [3] The prevalence of supernumerary teeth in permanent teething oscillates from 0.5-3.8%, in comparison with 0.3-0.6% in primary teething. Supernumerary teeth appear with a higher frequency in males than in females, with a 2:1 ratio. Supernumerary teeth, also called hyperdontia, occur in both dentitions, unilaterally or bilaterally, and in one or both jaws. Multiple supernumerary teeth are in individuals with no other associated diseases or syndromes. [4] Supernumerary teeth are most frequently located in the maxillary incisor region (64.3%) with mesiodens accounting for 32.4% of such presentation. [5] A mesiodens is the most frequent type of supernumerary tooth. The frequency and prevalence of supernumerary teeth according to dental group is given in [Table 1]. [6]{Table 1}

Etiology

0The development of supernumerary teeth is not clear. It may be due to dichotomy of tooth bud or due to hyperactivity theory, suggesting that they are formed as a result of local independent, conditional hyperactivity of dental lamina. [7]

Classification

Classification of supernumerary teeth may be on the basis of position and morphology. Positional variations include: [7]

Mesiodens: Present in the incisor region



Paramolar: Present beside a molarDistomolar: Present distal to the last molarParapremolar: Present beside a premolar

Based on the morphology they can be of four types : [1],[8]



Conical: Peg shaped teethTuberculate: Made of more than one cusp or tubercle. They are barrel shaped, usually invaginatedSupplemental: Resemble normal teeth may incisor, premolar or molarOdontome: Does not resemble any teeth but is only a mass of dental tissue.

Clinical significance

Supernumerary teeth may lead to delayed or noneruption, displacement of permanent teeth, resorption, or malformation of adjacent roots, and cystic formation (rarely). [9]

Management

Clinical and radiographic identification of all the teeth is very important for a good treatment planning. It may be difficult to formulate an ideal treatment with supernumerary teeth, but an effort can definitely be made. Treatment may vary from just extraction of supernumerary teeth or extraction followed by orthodontic correction to establish a good occlusion. In particular, there are two approaches for the extraction of mesiodens. Early extraction (before the radicular formation of permanent incisors) and late extraction (when permanent incisors have completed their formation). Early extraction favors the eruption of permanent incisors, prevents the loss anterior space in the dental arch, and averts further complications of cystic (follicular cyst) or pulpal (rhizolysis of permanent incisor) nature. However, in cases where the supernumerary tooth does not cause any symptoms or when there is an elevated size of damaging the development of permanent tooth it is advisable to avoid the therapeutic approach and instead adhere to periodic clinical and radiologic examination. [9]

 Case Series



The data collected on the basis of age at diagnosis, sex, location, and type of tooth associated, unilateral/bilateral occurrence, who presented to the outpatient Department of Dental college and Hospital, between March 2011 and December 2011. Clinical diagnoses are tabulated in [Table 2].{Table 2}

 Discussion



The 10 patients with diagnosed cases of supernumerary teeth were evaluated statistically on the above-mentioned criteria [Table 2]. Of the total 10 patients, 80% were male and 20% were female, 70% were in maxilla and 30% were in mandible and 40% were mesiodens [Figure 1]a-d, 30% para-premolar [Figure 2]a-c (among them 10% were unilateral para-premolar, 20% bilateral para-premolar), and 30% para-molar [Figure 3]a-c (of which 20% were unilateral para-molar and 10% bilateral para-molar).{Figure 1}{Figure 2}{Figure 3}

In our case series, the proportion of supernumerary teeth in relation to sex was more prevalent in men, maxillary jaw was more involved than mandible, mesiodens were the most frequent group of supernumerary teeth followed by para-premolar and para-molar with similar results reported by other authors. [1],[3],[6],[9]

In our case series, most of the patients complained of food lodgment, trauma to the soft tissues, displacement, esthetic problem, and malocclusion. So, extraction was advised as a treatment plan followed by further necessary correction to avoid complications.

 Conclusion



Supernumerary teeth can present in any region of the oral cavity. These may erupt or remain impacted and may lead to various complications. Though the occurrence of para-molars is rare, clinicians should be aware of their presence and associated problems in order to formulate a sound treatment plan after through clinical and radiographic investigations, to meet the challenges.

References

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