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SHORT COMMUNICATION Table of Contents   
Year : 2007  |  Volume : 18  |  Issue : 3  |  Page : 144
Non-syndromic multiple supernumerary teeth: Report of a case with 14 supplemental teeth


Department of Oral and Maxillofacial Pathology, Meenakshi Ammal Dental College and Hospital, Chennai, India

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Date of Submission19-Jan-2007
Date of Decision16-May-2007
Date of Acceptance20-May-2007
 

How to cite this article:
Sivapathasundharam B, Einstein A. Non-syndromic multiple supernumerary teeth: Report of a case with 14 supplemental teeth. Indian J Dent Res 2007;18:144

How to cite this URL:
Sivapathasundharam B, Einstein A. Non-syndromic multiple supernumerary teeth: Report of a case with 14 supplemental teeth. Indian J Dent Res [serial online] 2007 [cited 2014 Oct 1];18:144. Available from: http://www.ijdr.in/text.asp?2007/18/3/144/33794
A 20-year-old male reported to our outpatient department for correction of his misaligned teeth. Familial, medical and dental history was non-contributory. General examination and extra-oral examination showed no abnormality. Dental examination revealed the absence of six permanent teeth besides the third molars, retention of two deciduous teeth and presence of two supernumerary incisors (in between Teeth 11 and 22).

OPG revealed the intraosseous presence of teeth belonging to the permanent dentition and supernumerary teeth. Twelve impacted supernumerary (SN) teeth resembling premolars and radiographically showing various stages of root completion were seen [Figure - 1].

Based on the dental findings and the absence of any associated disorder or syndrome, we arrived at a diagnosis of non-syndromic multiple supernumerary teeth.


   Discussion Top


Supernumerary teeth or hyperdontia are those that are additional to the normal complement of teeth. [1] Very rarely, three or more supernumerary teeth are seen in the same individual. [2] Such multiple supernumerary teeth are usually associated with developmental disorders or syndromes like cleidocranial dysplasia. [3] Occurrence of multiple supernumerary teeth in the absence of any associated syndrome or condition is very uncommon. In such non-syndromic cases, mandibular premolar region is the preferred site of occurrence, [4] a pattern observed in nine of the 14 supernumerary teeth in our case.

Supernumerary teeth are classified based on their morphology and location in the dental arch. All the 14 supernumerary teeth in our case belonged to the supplemental variety, 12 of them resembling the premolar and two resembling the incisor.

Supernumerary teeth are usually impacted and mostly inverted in position. [5] Twelve of the 14 supernumeraries in our case were impacted and all the supplemental teeth were oriented normally.

As observed in the literature, [6] clinical problems such as impedance of eruption and displacement of permanent teeth were seen in our case too.

 
   References Top

1.Schulze C. Developmental abnormalities of the teeth and jaws. In : Gorlin RJ, Goldman HM. Thoma's oral pathology, 6 th ed, Vol 1: CV Mosby Co: 1970. p. 1121-2.  Back to cited text no. 1    
2.Fernαndez-Montenegro P, Valmaseda-Castellón E, Berini-Aytιs LB, Gay-Escoda CG. Retrospective study of 145 supernumerary teeth. (Article in English, Spanish). Med Oral Patol Oral Cir Bucal 2006;11:E339-44.   Back to cited text no. 2    
3.Richardson A, Deussen FF. Facial and dental anomalies in cleidocranial dysplasia: A study of 17 cases. Int J Paediatr Dent 1994;4:225-31.  Back to cited text no. 3  [PUBMED]  
4.Acikgoz A, Acikgoz G, Tunga U, Otan F. Characteristics and prevalence of non-syndrome multiple supernumerary teeth: A retrospective study. Dentomaxillofac Radiol 2006;35:185-90.  Back to cited text no. 4    
5.Tay F, Pang A, Yuen S. Unerupted maxillary anterior supernumerary teeth: report of 204 cases.. ASDC J Dent Child 1984;51:189-294.  Back to cited text no. 5    
6.Zilberman Y, Marlon M, Shteyer A. Assessment of 100 children in Jerusalem with supernumerary teeth in the premaxillary region. ASDC J Dent Child 1992;59:44-7.  Back to cited text no. 6    

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Correspondence Address:
B Sivapathasundharam
Department of Oral and Maxillofacial Pathology, Meenakshi Ammal Dental College and Hospital, Chennai
India
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DOI: 10.4103/0970-9290.33794

PMID: 17687181

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