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Impacted supernumerary teeth-early or delayed intervention: decision making dilemma?

Gupta S, Marwah N - Int J Clin Pediatr Dent (2012)

Bottom Line: However, the time of intervention is the most crucial factor governing the outcome of surgical management of hyperdontia.Impacted Supernumerary Teeth-Early or Delayed Intervention: Decision Making Dilemma?.Int J Clin Pediatr Dent 2012;5(3):226-230.

View Article: PubMed Central - PubMed

Affiliation: Senior Resident, Department of Pediatric Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India, e-mail: seema.mds@gmail.com.

ABSTRACT
Supernumerary teeth are considered to be one of the most significant dental anomalies affecting the primary and early mixed dentition and may cause a variety of pathological disturbances to the developing permanent dentition. Early diagnosis and prompt treatment is necessary for prevention of deleterious effects on dentoalveolar structures. However, the time of intervention is the most crucial factor governing the outcome of surgical management of hyperdontia. The aim of this case report is to share knowledge about management of such cases, which might assist the clinician in decision-making in cases of impacted supernumerary teeth. How to cite this article: Gupta S, Marwah N. Impacted Supernumerary Teeth-Early or Delayed Intervention: Decision Making Dilemma?. Int J Clin Pediatr Dent 2012;5(3):226-230.

No MeSH data available.


Related in: MedlinePlus

Intraoral periapical radiograph revealing two supernumerary teeth (case II)
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Figure 6: Intraoral periapical radiograph revealing two supernumerary teeth (case II)

Mentions: A 9-year-old female patient presented at the Department of Pedodontics and Preventive Dentistry, with a chief complaint of a sharp pointed tooth inside oral cavity which irritated her tongue. Intraoral examination revealed an erupted conical mesiodens in the anterior palate (Fig. 5). Radiographic examination revealed two mesiodentes, one erupted and one impacted, both conical in shape (Fig. 6). Treatment plan involving surgical removal of both mesiodentes was explained to the parents. Complete hemogram and parental consent was obtained prior to initiation of the surgical procedure. The case demonstrated the possibility of occurrence of the impacted mesiodens in a more vestibular location, as detected by SLOB technique. The palatally erupted mesiodens was first removed and labial approach for surgical removal of impacted mesiodens was planned. For this, a labial apically repositioned flap was raised using a mucoperiosteal elevator (Fig. 7). The bone overlying the crown of the tooth was removed using carbide bur and saline spray. The tooth was exposed and removed from its socket (Fig. 8). The flap was replaced and sutured with black silk suture and postoperative instructions were given to the patient. The patient is on follow-up and healing is uneventful (Fig. 9).


Impacted supernumerary teeth-early or delayed intervention: decision making dilemma?

Gupta S, Marwah N - Int J Clin Pediatr Dent (2012)

Intraoral periapical radiograph revealing two supernumerary teeth (case II)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4155876&req=5

Figure 6: Intraoral periapical radiograph revealing two supernumerary teeth (case II)
Mentions: A 9-year-old female patient presented at the Department of Pedodontics and Preventive Dentistry, with a chief complaint of a sharp pointed tooth inside oral cavity which irritated her tongue. Intraoral examination revealed an erupted conical mesiodens in the anterior palate (Fig. 5). Radiographic examination revealed two mesiodentes, one erupted and one impacted, both conical in shape (Fig. 6). Treatment plan involving surgical removal of both mesiodentes was explained to the parents. Complete hemogram and parental consent was obtained prior to initiation of the surgical procedure. The case demonstrated the possibility of occurrence of the impacted mesiodens in a more vestibular location, as detected by SLOB technique. The palatally erupted mesiodens was first removed and labial approach for surgical removal of impacted mesiodens was planned. For this, a labial apically repositioned flap was raised using a mucoperiosteal elevator (Fig. 7). The bone overlying the crown of the tooth was removed using carbide bur and saline spray. The tooth was exposed and removed from its socket (Fig. 8). The flap was replaced and sutured with black silk suture and postoperative instructions were given to the patient. The patient is on follow-up and healing is uneventful (Fig. 9).

Bottom Line: However, the time of intervention is the most crucial factor governing the outcome of surgical management of hyperdontia.Impacted Supernumerary Teeth-Early or Delayed Intervention: Decision Making Dilemma?.Int J Clin Pediatr Dent 2012;5(3):226-230.

View Article: PubMed Central - PubMed

Affiliation: Senior Resident, Department of Pediatric Dentistry, Maulana Azad Institute of Dental Sciences, New Delhi, India, e-mail: seema.mds@gmail.com.

ABSTRACT
Supernumerary teeth are considered to be one of the most significant dental anomalies affecting the primary and early mixed dentition and may cause a variety of pathological disturbances to the developing permanent dentition. Early diagnosis and prompt treatment is necessary for prevention of deleterious effects on dentoalveolar structures. However, the time of intervention is the most crucial factor governing the outcome of surgical management of hyperdontia. The aim of this case report is to share knowledge about management of such cases, which might assist the clinician in decision-making in cases of impacted supernumerary teeth. How to cite this article: Gupta S, Marwah N. Impacted Supernumerary Teeth-Early or Delayed Intervention: Decision Making Dilemma?. Int J Clin Pediatr Dent 2012;5(3):226-230.

No MeSH data available.


Related in: MedlinePlus