Surgical Management of Super Numerary Tooth and an Impacted Maxillary Permanent Central Incisor: A Case Report| Stephy Publishers
SOJ Dental and Oral Disorder - (SOJDOD) | Stephy Publishers
Abstract
Impaction of Maxillary
Permanent incisor due to super numrary tooth is not a common entity encountered
in dental practice but when present, it poses a disturbing esthetic dilemma to
children and their parents. Early diagnosis and interception in these cases is
the best way for their management. The purpose of this report is to describe
the diagnosis and the clinical management of an impacted supernumerary tooth,
which impeded the eruption of the permanent maxillary central incisor.
Keywords
Dentistry, Tooth,
Treatment
Introduction
Super numerary tooth,
or hyper dontiais defined as a development a anomaly of number characterized by
the presence of an extra tooth in addition when compared to the normal formula.1,2 The termmesiodens refers to a super numerary tooth located
in the anterior region between the maxillary central incisors. It presents
clinically the most frequent of all the super numerary teeth.3 A mesiodensis the most common cause of central incisor
impaction, followed by odontomas and trauma.3
The exact etiology of
mesiodens tooth remains unclear. Several hypotheses have been established for
the formation of super numerary teeth which include egenetic and environmental
factors, syndromic conditions and disturbances in dental development.4,5 A sex-linked pattern has also been suggested, as males are
affected twice as frequently as females.3
The most common
clinical complications of mesiodens include: central diastema, crowding,
rotation, dislocation, delayed eruption of permanent incisor, abnormal tooth
eruption, abnormal occlusion development, resorption of the roots of the
adjacent incisors and cystic degeneration.3,6
The timing of the
surgical removal of super numerary teeth remains highly controversial.1,2 Interceptive treatment has been advocated by some
clinicians who believe that early extraction before radical formation of the
permanent central incisor increases the chances of spontaneous eruption. Others
have advocated delayed treatment or late removal after completion of the
formation of the root of permanent incisor, to lower the risk of iatrogenic
surgical damage to the permanent central’s apical development.7,8
The aim of this
article was to present the diagnostic elements of super numerary tooth and the
different therapeutic management.
Case Presentation
A 10-year-old girl
presented to the Department of Pedodontics and Preventive Dentistry, at the
Faculty of Dental Medicine of Monastir (Tunisia) with the chief complaint of
unerupted left permanent maxillary central incisor (21) and the persistence of
the deciduous tooth (61). The patient had no significant medical and family
history. Extra oral examination revealed a convex facial profile and the
presence of good facial balance in all proportions. Clinical examination
revealed mixed dentition stage, retained deciduous left central incisor,
missing permanent left central incisor and a midline shift towards the left
(Figure 1). The permanent right central incisor, the right and the left lateral
incisors and permanent first molars were fully erupted.
To read more #Dental #OralDisorder
https://www.stephypublishers.com/sojdod/fulltext/SOJDOD.MS.ID.000511.php
More #openaccessjournals
https://www.stephypublishers.com/
Abstract
Impaction of Maxillary
Permanent incisor due to super numrary tooth is not a common entity encountered
in dental practice but when present, it poses a disturbing esthetic dilemma to
children and their parents. Early diagnosis and interception in these cases is
the best way for their management. The purpose of this report is to describe
the diagnosis and the clinical management of an impacted supernumerary tooth,
which impeded the eruption of the permanent maxillary central incisor.
Keywords
Dentistry, Tooth,
Treatment
Introduction
Super numerary tooth,
or hyper dontiais defined as a development a anomaly of number characterized by
the presence of an extra tooth in addition when compared to the normal formula.1,2 The termmesiodens refers to a super numerary tooth located
in the anterior region between the maxillary central incisors. It presents
clinically the most frequent of all the super numerary teeth.3 A mesiodensis the most common cause of central incisor
impaction, followed by odontomas and trauma.3
The exact etiology of
mesiodens tooth remains unclear. Several hypotheses have been established for
the formation of super numerary teeth which include egenetic and environmental
factors, syndromic conditions and disturbances in dental development.4,5 A sex-linked pattern has also been suggested, as males are
affected twice as frequently as females.3
The most common
clinical complications of mesiodens include: central diastema, crowding,
rotation, dislocation, delayed eruption of permanent incisor, abnormal tooth
eruption, abnormal occlusion development, resorption of the roots of the
adjacent incisors and cystic degeneration.3,6
The timing of the
surgical removal of super numerary teeth remains highly controversial.1,2 Interceptive treatment has been advocated by some
clinicians who believe that early extraction before radical formation of the
permanent central incisor increases the chances of spontaneous eruption. Others
have advocated delayed treatment or late removal after completion of the
formation of the root of permanent incisor, to lower the risk of iatrogenic
surgical damage to the permanent central’s apical development.7,8
The aim of this
article was to present the diagnostic elements of super numerary tooth and the
different therapeutic management.
Case Presentation
A 10-year-old girl
presented to the Department of Pedodontics and Preventive Dentistry, at the
Faculty of Dental Medicine of Monastir (Tunisia) with the chief complaint of
unerupted left permanent maxillary central incisor (21) and the persistence of
the deciduous tooth (61). The patient had no significant medical and family
history. Extra oral examination revealed a convex facial profile and the
presence of good facial balance in all proportions. Clinical examination
revealed mixed dentition stage, retained deciduous left central incisor,
missing permanent left central incisor and a midline shift towards the left
(Figure 1). The permanent right central incisor, the right and the left lateral
incisors and permanent first molars were fully erupted.
To read more #Dental #OralDisorder
https://www.stephypublishers.com/sojdod/fulltext/SOJDOD.MS.ID.000511.php
More #openaccessjournals
https://www.stephypublishers.com/
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