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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 inverted impacted supernumerary tooth (case III)
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Figure 10: Intraoral periapical radiograph revealing inverted impacted supernumerary tooth (case III)

Mentions: A 5-year-old child came to the Department of Pedodontics and Preventive Dentistry, accompanied by her mother. The mother informed that her elder child had an extratooth in her mouth which had to be extracted so she brought this child for check up to rule out any such problem in her also. Intraoral examination revealed primary dentition with end on molar relationship. Intraoral periapical radiograph of premaxillary region revealed an inverted mesiodens with a conical appearing crown and incomplete root formation (Fig. 10). The extraction of supernumerary teeth was delayed due to incomplete root formation and owing to the position of the teeth as surgical retrieval of supernumerary tooth would have damaged the erupting tooth buds. The patient was kept on follow-up and evaluated every 3 months to check any dental malformations. The extraction was then carried out after 2 years when the central incisors erupted and there was no possibility of damaging the surrounding tooth structures during surgical removal of supernumerary tooth. The patient is normal and all the wounds have healed uneventfully justifying the delayed intervention plan.


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

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

Intraoral periapical radiograph revealing inverted impacted supernumerary tooth (case III)
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 10: Intraoral periapical radiograph revealing inverted impacted supernumerary tooth (case III)
Mentions: A 5-year-old child came to the Department of Pedodontics and Preventive Dentistry, accompanied by her mother. The mother informed that her elder child had an extratooth in her mouth which had to be extracted so she brought this child for check up to rule out any such problem in her also. Intraoral examination revealed primary dentition with end on molar relationship. Intraoral periapical radiograph of premaxillary region revealed an inverted mesiodens with a conical appearing crown and incomplete root formation (Fig. 10). The extraction of supernumerary teeth was delayed due to incomplete root formation and owing to the position of the teeth as surgical retrieval of supernumerary tooth would have damaged the erupting tooth buds. The patient was kept on follow-up and evaluated every 3 months to check any dental malformations. The extraction was then carried out after 2 years when the central incisors erupted and there was no possibility of damaging the surrounding tooth structures during surgical removal of supernumerary tooth. The patient is normal and all the wounds have healed uneventfully justifying the delayed intervention plan.

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