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Non-syndromic multiple supernumerary teeth associated with Dens Invaginatus: a case report
Corresponding Author(s) : Mario Ortiz
Ciencia e Innovación en Salud,
2020
Abstract
Background: Supernumerary teeth are an infrequent developmental alteration causing alteration in normal arch form and occlusion. Multiple supernumerary teeth can be associated with some syndromes. However, it can be present in patients without any systemic pathology. Dens invaginatus is a dental developmental variation resulting from an alteration in the normal growth pattern of the dental papilla of a tooth. Cone Beam Computered Tomography (CBCT) could be used to diagnosis supernumerary tooth and dens invaginatus. Case report: A case of a 10-year-old girl with multiple supernumerary teeth without syndromic association is presented. A rare association with dens invaginatus was present. Supernumerary teeth were located in maxilla and mandible and cause severe tooth displacement and lip incompetence. Discussion: Hyperodontia is a number dental alteration of unknown etiology with a prevalence that varies between 0.1 and 3.8%. Dens in dente is a dental shape alteration of unknown etiology with variable prevalence depending on the population. This alteration puts the integrity and health of the affected tooth at risk. Early diagnosis is important in the long-term prognosis. Radiological tools are the appropriate option for diagnosis and are shown in this article.
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- Shah A, Gill DS, Tredwin C, Naini FB. Diagnosis and management of supernumerary teeth. Dent Update [Internet]. 2008;35(8):519–20. DOI 10.12968/denu.2008.35.8.510
- Garvey MT, Barry HJ, Blake M. Supernumerary teeth--an overview of classification, diagnosis and management. J Can Dent Assoc [Internet]. 1999;65(11):612–6. https://pubmed.ncbi.nlm.nih.gov/10658390/
- Rajab LD, Hamdan MAM. Supernumerary teeth: Review of the literature and a survey of 152 cases. Int J Paediatr Dent [Internet]. 2002;12(4):244–54. DOI: 10.1046/j.1365-263x.2002.00366.x
- Hall A, Onn A. The development of supernumerary teeth in the mandible in cases with a history of supernumeraries in the pre-maxillary region. J Orthod [Internet]. 2006;33(4):250–5. DOI 10.1179/146531205225021735
- Parolia A, Kundabala M, Dahal M, Mohan M, Thomas MS. Management of supernumerary teeth. J Conserv Dent [Internet]. 2011;14(3):221–4. https://www.jcd.org.in/article.asp?issn=0972-0707;year=2011;volume=14;issue=3;spage=221;epage=224;aulast=Parolia
- Hülsmann M. Dens invaginatus: Aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J [Internet]. 1997;30(2):79–90. DOI: 10.1046/j.1365-2591.1997.00065.x
- Mupparapu M, Singer SR. A rare presentation of dens invaginatus in a mandibular lateral incisoroccurring concurrently with bilateral maxillary dens invaginatus: Case report and review of literature. Aust Dent J [Internet]. 2004;49(2):90–3. DOI: 10.1111/j.1834-7819.2004.tb00056.x
- Scheiner MA, Sampson WJ. Supernumerary teeth: A review of the literature and four case reports. Aust Dent J [Internet]. 1997;42(3):160–5. DOI 10.1111/j.1834-7819.1997.tb00114.x
- Yusof WZ. Non-syndrome multiple supernumerary teeth: literature review. J Can Dent Assoc [Internet]. 1990;56(2):147–9. DOI 10.1016/0278-2391(90)90508-y
- Gündüz K, Mug̈lali M. Non-syndrome multiple supernumerary teeth: A case report. J Contemp Dent Pract. 2007;8(4):81–7. https://pubmed.ncbi.nlm.nih.gov/17486191/
- Ansari AA, Malhotra S, Pandey RK, Bharti K. Non-syndromic multiple supernumerary teeth: Report of a case with 13 supplemental teeth. BMJ Case Rep [Internet]. 2013. DOI 10.1136/bcr-2012-008316
- Yagüe-García J, Berini-Aytés L, Gay-Escoda C. Multiple supernumerary teeth not associated with complex syndromes: A retrospective study. Med Oral Patol Oral Cir Bucal. 2009. https://pubmed.ncbi.nlm.nih.gov/19300360/
- Brook AH. Dental anomalies of number, form and size: their prevalence in British schoolchildren. J Int Assoc Dent Child [Internet]. 1974;5(2):37–53. Available from: https://pubmed.ncbi.nlm.nih.gov/4535299/
- Cobourne MT, Fleming PS, Xavier GM, Dibiase AT. Revisiting the supernumerary: The epidemiological and molecular basis of extra teeth. Br Dent J [Internet]. 2010;208(1):25–30. Available from: DOI 10.1038/sj.bdj.2009.1177
- Khambete N, Kumar R. Genetics and presence of non-syndromic supernumerary teeth: A mystery case report and review of literature. Contemp Clin Dent [Internet]. 2012;3(4):499–502. DOI: 10.4103/0976-237X.107455
- Oehlers FAC. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral Surgery, Oral Med Oral Pathol [Internet]. 1957;10(11):1204–18. Available from: DOI 10.1016/0030-4220(57)90077-4
- Alani A, Bishop K. Dens invaginatus. Part 1: Classification, prevalence and aetiology. Int Endod J [Internet]. 2008;41(12):1123–36. DOI 10.1111/j.1365-2591.2008.01468.x
- Jiménez-Rubio A, Segura JJ, Jiménez-Planas A, Llamas R. Multiple dens invaginatus affecting maxillary lateral incisors and a supernumerary tooth. Endod Dent Traumatol [Internet]. 1997;13(4):196–8. DOI: 10.1111/j.1600-9657.1997.tb00039.x
- Akhila R DDS. Management Of Multiple Impacted Supernumerary Teeth In A Non-Syndromic Patient Using Cone Beam CT. Dentistry [Internet]. 2014;4(2). Available from: 10.4172/2161-1122.1000190
- Wang WM, Wang X, Wang TM. Evaluation of nonsyndromic multiple supernumerary teeth using three-dimensional computerized tomography: A case report and literature review. J Contemp Dent Pract [Internet]. 2010;11(1):E081-7. https://pubmed.ncbi.nlm.nih.gov/20098970/
- Radiology AA of O and M. Clinical recommendations regarding use of cone beam computed tomography in orthodontic treatment. Position statement by the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol [Internet]. 2013;116(2):238–57. Available from: DOI 10.1016/j.oooo.2013.06.002
References
Shah A, Gill DS, Tredwin C, Naini FB. Diagnosis and management of supernumerary teeth. Dent Update [Internet]. 2008;35(8):519–20. DOI 10.12968/denu.2008.35.8.510
Garvey MT, Barry HJ, Blake M. Supernumerary teeth--an overview of classification, diagnosis and management. J Can Dent Assoc [Internet]. 1999;65(11):612–6. https://pubmed.ncbi.nlm.nih.gov/10658390/
Rajab LD, Hamdan MAM. Supernumerary teeth: Review of the literature and a survey of 152 cases. Int J Paediatr Dent [Internet]. 2002;12(4):244–54. DOI: 10.1046/j.1365-263x.2002.00366.x
Hall A, Onn A. The development of supernumerary teeth in the mandible in cases with a history of supernumeraries in the pre-maxillary region. J Orthod [Internet]. 2006;33(4):250–5. DOI 10.1179/146531205225021735
Parolia A, Kundabala M, Dahal M, Mohan M, Thomas MS. Management of supernumerary teeth. J Conserv Dent [Internet]. 2011;14(3):221–4. https://www.jcd.org.in/article.asp?issn=0972-0707;year=2011;volume=14;issue=3;spage=221;epage=224;aulast=Parolia
Hülsmann M. Dens invaginatus: Aetiology, classification, prevalence, diagnosis, and treatment considerations. Int Endod J [Internet]. 1997;30(2):79–90. DOI: 10.1046/j.1365-2591.1997.00065.x
Mupparapu M, Singer SR. A rare presentation of dens invaginatus in a mandibular lateral incisoroccurring concurrently with bilateral maxillary dens invaginatus: Case report and review of literature. Aust Dent J [Internet]. 2004;49(2):90–3. DOI: 10.1111/j.1834-7819.2004.tb00056.x
Scheiner MA, Sampson WJ. Supernumerary teeth: A review of the literature and four case reports. Aust Dent J [Internet]. 1997;42(3):160–5. DOI 10.1111/j.1834-7819.1997.tb00114.x
Yusof WZ. Non-syndrome multiple supernumerary teeth: literature review. J Can Dent Assoc [Internet]. 1990;56(2):147–9. DOI 10.1016/0278-2391(90)90508-y
Gündüz K, Mug̈lali M. Non-syndrome multiple supernumerary teeth: A case report. J Contemp Dent Pract. 2007;8(4):81–7. https://pubmed.ncbi.nlm.nih.gov/17486191/
Ansari AA, Malhotra S, Pandey RK, Bharti K. Non-syndromic multiple supernumerary teeth: Report of a case with 13 supplemental teeth. BMJ Case Rep [Internet]. 2013. DOI 10.1136/bcr-2012-008316
Yagüe-García J, Berini-Aytés L, Gay-Escoda C. Multiple supernumerary teeth not associated with complex syndromes: A retrospective study. Med Oral Patol Oral Cir Bucal. 2009. https://pubmed.ncbi.nlm.nih.gov/19300360/
Brook AH. Dental anomalies of number, form and size: their prevalence in British schoolchildren. J Int Assoc Dent Child [Internet]. 1974;5(2):37–53. Available from: https://pubmed.ncbi.nlm.nih.gov/4535299/
Cobourne MT, Fleming PS, Xavier GM, Dibiase AT. Revisiting the supernumerary: The epidemiological and molecular basis of extra teeth. Br Dent J [Internet]. 2010;208(1):25–30. Available from: DOI 10.1038/sj.bdj.2009.1177
Khambete N, Kumar R. Genetics and presence of non-syndromic supernumerary teeth: A mystery case report and review of literature. Contemp Clin Dent [Internet]. 2012;3(4):499–502. DOI: 10.4103/0976-237X.107455
Oehlers FAC. Dens invaginatus (dilated composite odontome). I. Variations of the invagination process and associated anterior crown forms. Oral Surgery, Oral Med Oral Pathol [Internet]. 1957;10(11):1204–18. Available from: DOI 10.1016/0030-4220(57)90077-4
Alani A, Bishop K. Dens invaginatus. Part 1: Classification, prevalence and aetiology. Int Endod J [Internet]. 2008;41(12):1123–36. DOI 10.1111/j.1365-2591.2008.01468.x
Jiménez-Rubio A, Segura JJ, Jiménez-Planas A, Llamas R. Multiple dens invaginatus affecting maxillary lateral incisors and a supernumerary tooth. Endod Dent Traumatol [Internet]. 1997;13(4):196–8. DOI: 10.1111/j.1600-9657.1997.tb00039.x
Akhila R DDS. Management Of Multiple Impacted Supernumerary Teeth In A Non-Syndromic Patient Using Cone Beam CT. Dentistry [Internet]. 2014;4(2). Available from: 10.4172/2161-1122.1000190
Wang WM, Wang X, Wang TM. Evaluation of nonsyndromic multiple supernumerary teeth using three-dimensional computerized tomography: A case report and literature review. J Contemp Dent Pract [Internet]. 2010;11(1):E081-7. https://pubmed.ncbi.nlm.nih.gov/20098970/
Radiology AA of O and M. Clinical recommendations regarding use of cone beam computed tomography in orthodontic treatment. Position statement by the American Academy of Oral and Maxillofacial Radiology. Oral Surg Oral Med Oral Pathol Oral Radiol [Internet]. 2013;116(2):238–57. Available from: DOI 10.1016/j.oooo.2013.06.002