Dental Anomalies: Foundational Articles and Consensus Recommendations, 2021
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Management of Anterior Spacing with Peg Lateral by Interdisciplinary Approach : a Case Report
Case Report Management of Anterior Spacing with Peg Lateral by Interdisciplinary Approach : A Case Report Dr Sanjay Prasad Gupta Assistant Professor & Consultant Orthodontist, Department of Orthodontics, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu Correspondence: Dr Sanjay Prasad Gupta; Email: [email protected] ABSTRACT Anterior spacing is a common esthetic problem of patient during dental consultation. The most common etiology include tooth size and arch length discrepancy. Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars. Microdontia is a condition where the teeth are smaller than the normal size. Microdontia of maxillary lateral incisor is called as “peg lateral”, that exhibit converging mesial and distal surfaces of crown forming a cone like shape. A carefully documented diagnosis and treatment plan are essential if the clinician is to apply the most effective approach to address the patient’s needs. A patient sometimes requires a multidisciplinary approach to correct the esthetics and to improve the occlusion. This case report describes the management of an adult female patient with a proclined upper anterior teeth, upper anterior spacing, deep bite and peg shaped upper right lateral incisor tooth through orthodontic and restorative treatment approach. Key words: Anterior spacing, Peg lateral, Esthetic, Interdisciplinary approach INTRODUCTION Peg shaped lateral incisors occur in approximately 2% to 5% of the general population, and women show a Maxillary lateral incisors vary in form more than any slightly higher frequency than men. Usually they are found other tooth in the mouth except the third molars. If the equally on the right and left, uni or bilaterally, however variation is too great, it is considered a developmental some studies have shown their bilateral occurrence anomaly.1 Developmental alterations which are most slightly higher than the unilateral occurrence. -
Non-Syndromic Occurrence of True Generalized Microdontia with Mandibular Mesiodens - a Rare Case Seema D Bargale* and Shital DP Kiran
Bargale and Kiran Head & Face Medicine 2011, 7:19 http://www.head-face-med.com/content/7/1/19 HEAD & FACE MEDICINE CASEREPORT Open Access Non-syndromic occurrence of true generalized microdontia with mandibular mesiodens - a rare case Seema D Bargale* and Shital DP Kiran Abstract Abnormalities in size of teeth and number of teeth are occasionally recorded in clinical cases. True generalized microdontia is rare case in which all the teeth are smaller than normal. Mesiodens is commonly located in maxilary central incisor region and uncommon in the mandible. In the present case a 12 year-old boy was healthy; normal in appearance and the medical history was noncontributory. The patient was examined and found to have permanent teeth that were smaller than those of the average adult teeth. The true generalized microdontia was accompanied by mandibular mesiodens. This is a unique case report of non-syndromic association of mandibular hyperdontia with true generalized microdontia. Keywords: Generalised microdontia, Hyperdontia, Permanent dentition, Mandibular supernumerary tooth Introduction [Ullrich-Turner syndrome], Chromosome 13[trisomy 13], Microdontia is a rare phenomenon. The term microdontia Rothmund-Thomson syndrome, Hallermann-Streiff, Oro- (microdentism, microdontism) is defined as the condition faciodigital syndrome (type 3), Oculo-mandibulo-facial of having abnormally small teeth [1]. According to Boyle, syndrome, Tricho-Rhino-Phalangeal, type1 Branchio- “in general microdontia, the teeth are small, the crowns oculo-facial syndrome. short, and normal contact areas between the teeth are fre- Supernumerary teeth are defined as any supplementary quently missing” [2] Shafer, Hine, and Levy [3] divided tooth or tooth substance in addition to usual configuration microdontia into three types: (1) Microdontia involving of twenty deciduous and thirty two permanent teeth [7]. -
Supernumerary Premolars Associated with Dens Evaginatus: Report of 2 Cases
C LINICAL P RACTICE Supernumerary Premolars Associated with Dens Evaginatus: Report of 2 Cases • Shiu-yin Cho, BDS, MDS • Abstract Dens evaginatus is a dental anomaly found predominantly in people of Mongoloid origin. Dentists practising in Western countries should also be aware of this condition because of the increasing migration of people from Asia. Supernumerary premolars are uncommon but may be found incidentally during radiographic examination of teeth with dens evaginatus. This article reports 2 cases of concomitant occurrence of supernumerary premolars and dens evaginatus. The presence of a supernumerary premolar in 1 quadrant is an indication for radiographic examination of all other premolar regions. MeSH Key Words: bicuspid/anomalies; tooth abnormalities/diagnosis; tooth, supernumerary/diagnosis © J Can Dent Assoc 2005; 71(6):390–93 This article has been peer reviewed. upernumerary teeth are teeth in excess of the number opment.1,14 Environmental factors, however, may also play a found in the normal series.1 The prevalence of super- part. The association of supernumerary premolars with dens S numerary teeth in the permanent dentition of the evaginatus has been reported only infrequently.10 This article white population is about 2% to 3%, and about 90% of all reports 2 cases of concomitant occurrence of supernumerary supernumerary teeth occur in the premaxilla.2–5 premolars and dens evaginatus. Supernumerary premolars have been reported to represent 3% to 9% of all supernumerary teeth, and their prevalence Case Reports ranges from 0.29% to 0.64%.4–7 Case 1 Dens evaginatus is a developmental anomaly that mani- A 12-year-old Chinese girl attended the author’s clinic fests as a tubercle emerging from the surface of the affected for a regular checkup. -
Dens Evaginatus: a Problem-Based Approach
Hindawi Publishing Corporation Case Reports in Dentistry Volume 2015, Article ID 393209, 4 pages http://dx.doi.org/10.1155/2015/393209 Case Report Dens Evaginatus: A Problem-Based Approach A. Ayer,1 M. Vikram,1 and P. Suwal2 1 Department of Conservative Dentistry & Endodontics, B.P. Koirala Institute of Health Sciences, Dharan 56700, Nepal 2Department of Prosthodontics, B.P. Koirala Institute of Health Sciences, Dharan 56700, Nepal Correspondence should be addressed to A. Ayer; [email protected] Received 24 August 2015; Revised 25 November 2015; Accepted 26 November 2015 Academic Editor: Yousef S. Khader Copyright © 2015 A. Ayer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Dens evaginatus is an uncommon developmental anomaly of human dentition characterized by the presence of tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth. Due to occlusal trauma this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. This case report is about the presentation of dens evaginatus in mandibular premolars bilaterally; among them tooth 44 was associated with chronic apical periodontitis. Fractured tubercle of three premolars was sealed with composite resin. Root canal treatment was performed with tooth 44. Routine endodontic treatment did not result in remission of infection. Therefore, culture and sensitivity tests were performed to identify the cause and modify treatment plan accordingly. Triple antibiotic paste was used as an intracanal medicament to disinfect the root canal that resulted in remission of infection. -
Teliangectaticum Granuloma Associated to a Natal Tooth Granuloma Telangiectásico Asociado a Diente Natal
www.medigraphic.org.mx Revista Odontológica Mexicana Facultad de Odontología Vol. 20, No. 1 January-March 2016 pp 29-32 CASE REPORT Teliangectaticum granuloma associated to a natal tooth Granuloma telangiectásico asociado a diente natal Katherine Vásquez Sanjuán,* Ary López Álvarez,§ Jonathan Harris RicardoII ABSTRACT RESUMEN Oral teliangectaticum granuloma, also known as pyogenic granuloma Granuloma telangiectásico bucal, también conocido como granulo- is a proliferation of exuberant granulation tissue caused by chronic ma piógeno, es una proliferación de tejido de granulación exuberan- inflammation or local irritation. It is a rare lesion in newborn; it te, a una infl amación crónica o una irritación local, poco frecuente appears as an isolated tumor lesion, mostly located in the anterior del recién nacido, que se presenta como una lesión tumoral única, zone of the alveolar crest. This lesion bleeds spontaneously and localizada con mayor frecuencia en la zona anterior de la cresta shows predilection for the female gender. Its etiology is related to alveolar, de sangrado espontáneo, tiene predilección por el género trauma factors, local irritation and hormonal changes. Due to its size femenino, la etiología se relaciona con factores traumáticos, irrita- it can affect the newborn’s feeding. Surgical removal is the choice ción local y cambios hormonales, por el tamaño puede afectar la treatment for this type of lesions. The present study presents the alimentación del neonato, la remoción quirúrgica es el tratamiento case of a newborn with diagnosis of telangiectaticum granuloma de elección. Se presenta caso clínico de recién nacido con diagnós- in the mandibular ridge associated to a natal tooth. -
Dens Evaginatus and Dens Invaginatus in Maxillary Lateral Incisor: Report of Two Cases
10.5005/jp-journals-10026-1037 ParasCASE Mull REPORT Gehlot et al Concurrent Occurrence of Developmental Anomalies— Dens Evaginatus and Dens Invaginatus in Maxillary Lateral Incisor: Report of Two Cases Paras Mull Gehlot, Vinutha Manjunath, MK Manjunath ABSTRACT • Type II (Semitalon): An additional cusp of a millimeter or Developmental anomalies affecting tooth morphology are common more but extending less than half the distance from the in the literature. Dens evaginatus (DE) occurring in anterior tooth, CEJ to the incisal edge. termed ‘talon cusp’ is a relatively rare developmental anomaly. It • Type III (Trace talon): Enlarged or prominent cingula and presents as an additional cusp that project predominantly from their variations, i.e. conical, bifid or tubercle-like. the lingual surface of primary or permanent anterior teeth. Dens invaginatus (DI) is a developmental anomaly resulting from infolding Histologically, it is composed of normal enamel and dentin of the tooth crown or root before calcification has occurred. and it may or may not contain pulpal tissue.2 Clinically DE Concurrent occurrence of DE and DI within the same tooth is 4 rare. The present article reports two cases with concurrent can pose esthetic and functional problems to the patient. occurrence of DE and DI in permanent maxillary lateral incisor. In Dens invaginatus (DI) is a developmental anomaly due to case 1 the DE and DI are associated with nonvital tooth and in a deepening or invagination of the enamel organ into the case 2 the DE and DI are associated with a vital tooth. The dental papilla prior to calcification of the dental tissues.5 management aspects are discussed. -
Journal Spring 2009.Indd
EDITORIAL JOURNAL OF THE THE FUTURE IS NOW MASSACHUSETTS DENTAL SOCIETY E ARE LIVING IN EXPONENTIAL TIMES. THE TOP 10 IN-DEMAND JOBS IN 2010 DID NOT EXIST Win 2004. EDITOR • One out of eight couples in the United States last year met online. David B. Becker, DMD • There are more than 200 million registered users on MySpace. ASSISTANT EDITOR • There are 31 billion searches on Google each month; there were 2.7 billion in 2006. Arthur I. Schwartz, DMD • The fi rst commercial text message was sent in December 1992. Today the number of text messages sent and received daily exceeds the total population of the planet. EDITOR EMERITUS • The amount of new technical information is doubling every two years. This Norman Becker, DDS means that for students starting a four-year technical degree, half of what they MANAGING EDITOR OF learn in their fi rst year of study will be outdated by their third year of study. PUBLICATIONS AND WEB SITE • A fi ber-optic cable has been developed that pushes 14 trillion bits per second Melissa Carman down a single strand of fi ber. That is the equivalent of 2,660 CDs or 210 million MANAGER, GRAPHIC DESIGN phone calls every second. This capacity is currently tripling every six months Jeanne M. Burdette and is expected to do so for the next 20 years. • Predictions are that by 2049, a $1,000 computer will exceed the computational GRAPHIC DESIGNER capabilities of the entire human species. Shelley Padgett Even the source of the information cited above—a slideshow video presentation on YouTube entitled “Did You Know?” (originally created by Colorado high school Editorial Board teacher Karl Fisch and updated by Iowa State University professor Scott McLeod, JD, PhD)—attests to this phenomenal growth in technology. -
Common Pediatric Dental Problems
PEDIATRIC SURGERY FOR THE PRZMARY CARE PEDIATRICIAN, PART II 0031-3955/98 $8,00 + .OO COMMON PEDIATRIC DENTAL PROBLEMS Paul R. Creighton, DDS Pediatric dentistry is one of the eight specialties recognized by the American Dental Association. In the early 1900s, children were treated as ”little adults” and the focus of routine dentistry was to treat the effects of dental decay, such as pulpitis, and resultant pain from this condition. Initially, dental decay resulted in extraction and restorative treatment with emphasis on space maintenance and arch integrity. Since the early 1900s, tremendous improvements have taken place in restorative and preventative techniques. Today, pediatric dentistry is prevention oriented. The cornerstone of prevention-based pediatric dentistry is early referral to the dentist and routine follow-up visits. For many years, the American Academy of Pediatrics has recommended that children make their first dental visit after their third birthday. The Academy of Pediatric Dentistry, on the other hand, has recommended that children be seen by the age of 1 year. The goal of a pediatric dental practice is to emphasize the importance of oral health to the child and the child’s parents. Behavior management is still very much the backbone of the specialty. A primary goal of the treatment-oriented pediatric dental profession is behavior management. A prevention-oriented pediatric dental profession concentrates on educating the parents of very young children on the dental milestones seen in the pediatric population, proper diet, and other issues that prevent dental disease. Given the etiology, pathogenesis, and the treatment of dental diseases, prevention is the only true cure, although realistically, restorative treatment will always be a significant component to the specialty. -
Case Report Delayed Tooth Eruption in Congenital Hypertrkhosis Lanuginosa
Case Report Delayed tooth eruption in congenital hypertrkhosis lanuginosa Deborah L. Franklin, PhD, MDent Sci, BDS, FDSRCS (Eng), MRCD (C) Graham J. Roberts, MDS, PhD, FDSRCS (Eng), BDS, MPhil ypertrichosis in childhood is found in a vari- Dental anomalies such as neonatal teeth, hypodontia, ety of conditions and may be localized or the presence of supernumerary teeth, and "defects" in generalized.' Localized hypertrichosis may be the enamel have been reported in association with hy- H 3 5 7 related to trauma, nevi, or spina bifida occulta. Gen- pertrichosis lanuginosa. ' ' The present case illustrates eralized hypertrichosis can occur with a variety of delayed eruption of primary and permanent teeth re- metabolic, chromosomal, and congenital disorders; sulting in unusual root morphology of primary molar these include Gorlin syndrome, Cornelia de Lange syn- teeth, and also enamel hypoplasia. drome, Leprechaunism, the porphyrias and muco- polysaccharidoses, trisomy 18, gingival hyperplasia Case report with hypertrichosis, and the congenital hypertrichoses. A male child was born of unrelated parents follow- Pre- or postnatal drug exposure with drugs such as glu- ing a normal pregnancy and delivery. He was the first cocorticoids, cyclosporin, and maternal alcohol abuse born and has an unaffected younger brother. The in pregnancy may also result in hypertrichosis. In the mother had taken no medication or vitamin/mineral congenital hypertrichoses, excessive hair growth is the supplements during the pregnancy. The child was cov- primary disorder. The terminology of these disorders ered in dense blonde lanugo hair at birth which was has been confused in the past but they have been de- particularly dense around the base of the spine and scribed as congenital hypertrichosis universalis, external auditory canals. -
Special Considerations in Exodontics the Extraction of Primary Teeth Is an Integral Part of Any Dental Practice That Includes Children
Special considerations in exodontics The extraction of primary teeth is an integral part of any dental practice that includes children. Fear, the main deterrent to seeking dental care, readies its maximum in a child anticipating any form of oral surgery. For this reason alone it is very desirable that the dentist who has successfully carried (lie youngster through many previous experiences (the first visit to the dental office, dental x-ray examinations, prophylaxis, and operative procedures) be the person to perform the extraction. Whenever possible, the child should be iik. Tined several days in advance that he or she has an appointment for a tooth extraction. If this is not done, he or she will be apprehensive of every visit to the dental office. Baldwin has indicated that a period of 4 to 7 days' prior notice in impending surgery is adequate for children, and that such a period of advance warning is a deterrent to adverse psychological reactions. Recognition of an abnormality and diagnosis of the condition is a prerequisite to the correct resolution of any oral surgical problem. Good dental radiographs, therefore, are of prime importance before any surgery is undertaken. They are also essential for protection against medicolegal action. The most frequent oral surgical problem in children is the extraction of one or more carious teeth. Good radiographs will determine if the roots of the primary molars are still fully formed and encircle the developing tooth bud. If so extra (sue must be taken to separate the roots and prevent dislodgment of tin siieeedaneous tooth. If a carious tooth whose roots are partially resorbed is to be extracted, the radiographs will denote the areas of resorption and potential areas of root fracture. -
Dens Evaginatus of Anterior Teeth (Talon Cusp): Report of Five Cases
Restorative Dentistry Dens evaginatus of anterior teeth (talon cusp): Report of five cases Juan J. Segura-Egea, DDS, MD, PhD1/Alicia Jiménez-Rubio, DDS, MD, PhD2/ José V. Ríos-Santos, DDS, MD, PhD3/Eugenio Velasco-Ortega, DDS, MD, PhD3 The talon cusp, or Dens evaginatus of anterior teeth, is a relatively rare dental developmental anomaly characterized by the presence of an accessory cusplike structure projecting from the cingulum area or ce- mentoenamel junction. This occurs in either maxillary or mandibular anterior teeth in both the primary and permanent dentition. This article reports five cases of talon cusp, two of them bilateral, affecting perma- nent maxillary central and lateral incisors and canines that caused clinical problems related to caries or occlusal interferences. (Quintessence Int 2003;34:xxx–xxx) Key words: dens evaginatus, dental anomalies, occlusal interference, talon cusp ens evaginatus is a developmental anomaly char- volved (67%), followed by the central incisors (24%) Dacterized by the presence of an extra cusp, occur- and canines (9%).7,8 ring more frequently in mandibular premolars.1 In ca- Family histories of cases reported previously re- nines and incisors, Dens evaginatus originates usually vealed that sometimes talon cusp affected patients who in the palatal cingulus as a tubercle projecting from had consanguineous parents.6,9 Moreover, there are sev- the palatal surface; however, the anomaly also has af- eral dates [Au: What is meant by “dates?” Reports?] fected the labial surface of the tooth.2,3 Mitchell4 first in the literature that support the hereditary character of described this dental anomaly as a “process of horn- talon cusp: the anomaly has been described affecting like shape, curving from the base downward to the two siblings,10,11 two sets of female twins,12 and two cutting edge” on the lingual surface of an maxillary family members,9 and the prevalence of talon cusp is central incisor of a female patient. -
QUICK ORAL HEALTH FACTS ABOUT the YOUNG Dr Ng Jing Jing, Dr Wong Mun Loke
ORAL health IN PRIMARY CARE UNIT NO. 2 QUICK ORAL HEALTH FACTS ABOUT THE YOUNG Dr Ng Jing Jing, Dr Wong Mun Loke ABSTRACT Table 1. Eruption sequence of Primary Dentition This article sheds light on the sequence of teeth eruption Primary Upper Teeth Primary Lower Teeth in the young and teething problems; highlights the importance and functions of the primary dentition and Central Incisors: 8-13 months Central Incisors: 6-10 months provides a quick overview of common developmental Lateral Incisors: 8-13 months Lateral Incisors: 10-16 months dental anomalies and other dental conditions in Canines: 16-23 months Canines: 16-23 months children. First Molars: 16-23 months First Molars: 13-19 months Second Molars: 25-33 months Second Molars: 23-31 months SFP2011; 37(1) Supplement : 10-13 Table 2. Eruption sequence of Adult Dentition Adult Upper Teeth Adult Lower Teeth INTRODUCTION Central Incisors: 7-8 years Central Incisors: 6-7 years The early years are always full of exciting moments as we observe Lateral Incisors: 8-9 years Lateral Incisors: 7-8 years our children grow and develop. One of the most noticeable Canines: 11-12 years Canines: 9-10 years aspects of their growth and development is the eruption of First Premolars: 10-11 years First Premolars: 10-11 years teeth. The first sign of a tooth in the mouth never fails to Second Premolars: 11-12 years Second Premolars: 11-12 years attract the attention of the parent and child. For the parent, it First Molars: 6-7 years First Molars: 6-7 years marks an important developmental milestone of the child but Second Molars: 12-13 years Second Molars: 11-13 years for the child, it can be a source of irritation brought on by the Third Molars: 18-25 years Third Molars: 18-25 years whole process of teething.