ABSTRACT
Supernumerary teeth are among the most significant dental anomalies affecting the primary and the permanent dentitions. Mesiodens is a supernumerary tooth with a cone shaped crown and a short root. Though it occurs frequently in the permanent dentition, it is extremely rare in the primary dentition. The exact etiology is still obscure and not well understood. Supernumerary teeth occur as isolated dental findings or as part of a syndrome. The frequency with which supernumerary teeth occur and the effects they have on development of normal occlusion justify the radiographic examination of preschool children. Early removal of such teeth is recommended if they impede the eruption of adjacent permanent teeth, appear inverted or rudimentary, associated with certain pathologic conditions or are symptomatic.
Subject(s)
Child, Preschool , Tooth, Deciduous , Humans , Incisor/abnormalities , Male , Tooth Extraction , Tooth, Deciduous/abnormalities , Tooth, Supernumerary/etiologyABSTRACT
Management of traumatic injuries to the teeth is a challenge to the practising dentist. It has no prescriptive method for occurring, possesses no significant predictable pattern of intensity or extensiveness and occurring at times when dentists are least prepared for it. It may not only leave physical scars but also a psychological impact on its victim. Yet, more than half of all children traumatize either their primary or permanent teeth before leaving the school, coupled with the dynamic panorama of sporting activity worldwide and the significant increase in violence among the populations. Tooth trauma and its management loom as a major challenge to the dental practitioner. A case of a 11 year old boy with Ellis Class 3 traumatic injury to the maxillary left central incisor is reported. A pulpectomy was performed followed by reinforcement and reattachment of the crown fragment and restoration with composite resin.
Subject(s)
Accidental Falls , Child , Composite Resins , Dental Pulp Exposure/etiology , Dental Restoration, Permanent/methods , Follow-Up Studies , Glass Ionomer Cements , Humans , Incisor/injuries , Male , Maxilla , Orthodontic Wires , Post and Core Technique/instrumentation , Pulpectomy , Resin Cements , Tooth Crown/injuries , Tooth Fractures/classificationABSTRACT
Fusion of teeth results from abnormal events in the embryologic development of teeth. In most cases the clinical and radiological findings allow only a presumptive diagnosis to be established since the specific terminology described refers to the etiology of the process, which often cannot be established. An unusual case of bilateral fusion in primary mandibular incisor region in a four-year-old boy is reported.
Subject(s)
Child, Preschool , Fused Teeth/pathology , Humans , Incisor/abnormalities , Male , Mandible/diagnostic imaging , Radiography, DentalABSTRACT
Dentigerous cysts arising from overlying infected predecessor teeth are very rare. This report describes one such case where extraction of the infected deciduous tooth with marsupialization led to the eruption of the premolar. Periodic radiographic evaluation is required to note and prevent recurrence and other serious complications arising from these cysts.