Talon cusps in mandibular incisors: report of eight rare cases.

Talon cusps in mandibular anterior teeth are very rare. Talon cusps in mandibular anterior teeth associated with other anomalies are even rarer and that a bilateral case in the mandible has not been reported before. In this report, eight such rare cases of talon cusps in permanent mandibular incisors are presented. It includes a bilateral case that in the author's knowledge is the first case reported in the English literatures.

A retrospective study on 69 cases of maxillary tooth transposition.

The published literature on tooth transposition includes only a few studies that have involved more than 50 subjects. The aim of the present study was to investigate the prevalence of true maxillary tooth transposition and possible associated dental anomalies in a larger sample of children. The dental records and radiographs of children who had been diagnosed as having true maxillary tooth transposition at a School Dental Clinic in Hong Kong were studied retrospectively. Data were analyzed for sex and side distribution, as well as for associated dental anomalies. Trends of differences were analyzed statistically using the Fisher exact or chi-squared test. A total of 69 cases of true maxillary tooth transposition were identified and studied; its prevalence in Hong Kong Chinese children was 0.81%. More females than males were affected, and the difference between the sexes was statistically significant (P < 0.05). The prevalence of congenitally missing teeth, microdontia of the maxillary lateral incisors or dental impaction was higher in patients with maxillary tooth transposition than in the general population (P < 0.05, P < 0.0005, and P < 0.0001, respectively). The fact that patients with maxillary tooth transposition were more likely to have congenital absence or microdontia of the maxillary lateral incisors lent further support to the contention that a developmental field defect plays a role in the pathogenesis of maxillary tooth transposition.

Ehlers-Danlos syndrome (classic type): report of a case presenting with an unusual dental anomaly.

Ehlers-Danlos syndrome (EDS) comprises a group of generalised connective tissue disorders. Deficiency or alteration of the collagen present in the tissues results in some classic signs such as skin hyper extensibility, joint hypermobility, and vascular fragility. Multiple supernumerary teeth, congenitally missing teeth, and odontogenic keratocysts have been reported in some patients with EDS. To the author's knowledge, transposition of permanent canines has not previously been reported in any case of EDS. This case report presents the dental findings of a sporadic case of classic-type EDS in a 14-year-old Chinese male who had transposition of a permanent maxillary canine as well as the presence of two supernumerary premolars in the mandible.

Artefact in a panoral radiograph: a short communication.

Artefacts in dental radiographs are not uncommon findings. In some cases, however, such film faults might lead to difficult or even wrong diagnoses. In this brief report, the authors present a case where a small piece of paper cast a foreign body-like image onto a panoral radiograph. The importance of proper techniques and film handling when taking radiographs cannot be over-emphasised.

Multiple supernumerary premolars in two siblings: a case report.

The presence of three or more supernumerary teeth in one patient is uncommon. Genetic as well as environmental causes have been suggested as possible aetiological factors in the pathogenesis of supernumerary teeth. This report describes the dental findings and management of multiple supernumerary premolars in two siblings. The number and locations of the supernumeraries in both cases were almost identical. The findings from these cases give further support to the important role of genetic factors in the aetiology of supernumerary teeth. Primary care dentists who treat children should be aware of the possibility of familial occurrence of supernumerary teeth.

An audit of concomitant dental anomalies with maxillary talon cusps in a group of children from Hong Kong.

AIM: To investigate the prevalence of various concomitant dental anomalies in Hong Kong children with true talon cusps on the permanent maxillary incisors. METHODS: Dental records and radiographs of a group of Hong Kong Chinese primary schoolchildren with true talon cusps (half crown height or more) on one or more permanent maxillary incisors were selected and studied retrospectively. The prevalence of various dental anomalies in this group of children was compared with that of the general population of Hong Kong Chinese children of similar age. RESULTS: A total of 11,537 records were reviewed and 58 children with true talon cusps on one or more permanent maxillary incisors were identified. A total of 69 permanent maxillary incisors were affected, of which all except one were lateral incisors. Dens evaginatus on premolars, supernumerary teeth in the anterior maxilla, and hypodontia were found in 5 (8.6%), 5 (8.6%), and 5 (8.6%) cases respectively. The prevalence of supernumerary teeth was significantly higher in children with true talon cusps as compared with the results of two previous general studies of Chinese children of similar age (P<0.05, Fisher's exact test). CONCLUSION: Children with true talon cusps on the permanent maxillary incisors were more frequently affected by supernumerary teeth in the anterior maxilla. Further studies with a larger sample are needed to confirm a true association.

Molar incisor hypomineralization in Hong Kong Chinese children.

BACKGROUND: Most prevalence studies on molar incisor hypomineralization (MIH) were carried out in European countries, and data from the East-Asian populations were lacking. AIM: This study aimed to investigate the prevalence of MIH in Hong Kong Chinese children. DESIGN: Since 2006, charting of teeth with MIH was included into the routine dental examination in a school dental clinic. The dental records of grade 6 primary school children who attended annual check-up in this clinic in 2006 were subsequently reviewed retrospectively. The records were selected for this study if the charting indicated that the children were affected by MIH. RESULTS: A total of 2635 records were reviewed and 73 cases of MIH were identified. The prevalence of MIH in this group of children was 2.8%. Their mean age was 12, and the male-to-female ratio was 1 : 1.2. The mean decayed, missing, or filled permanent teeth value of those affected was 1.5, which was higher than that of the general Hong Kong Chinese children aged 12 years old (0.8). A total of 192 teeth were affected. The most commonly affected teeth were permanent maxillary first molars, followed by mandibular first molars and maxillary central incisors. Dental fillings and fissure sealants were found in 52 (38%) and 65 (47%) permanent first molars with hypomineralization, respectively. Medical histories were unremarkable in 60 children, whereas early childhood diseases were reported in 13 cases. CONCLUSIONS: The prevalence of MIH in the permanent dentition of Hong Kong Chinese children was 2.8%. Children with MIH showed higher caries experience in the permanent dentition than the general population of similar age.

Impaction of permanent mandibular second molars in ethnic Chinese schoolchildren.

OBJECTIVE: To investigate the prevalence of impaction of permanent mandibular second molars and associated dental and radiographic characteristics of Chinese children in Hong Kong. MATERIALS AND METHODS: Dental and radiographic records of a group of Chinese schoolchildren were studied retrospectively. Cases of impaction of 1 or both permanent mandibular second molars were selected. Demographic data and dental and radiographic findings were recorded and analyzed. The angle of the impacted second molars was measured on panoramic radiographs. RESULTS: Among the 3,053 records reviewed, 32 cases of impaction of permanent mandibular second molars were identified and studied. Mesial impaction was found in all but 1 case. The angle of the mesially impacted teeth ranged from 13 degrees to 75 degrees . Mandibular crowding and the presence of third molars were common. Dens evaginatus, taurodontism and Class III malocclusions were significantly more prevalent in the study group than in the general population of Chinese children of similar age. CONCLUSIONS: The prevalence of impaction of permanent mandibular second molars in Chinese children was estimated to be 1%. Thorough and regular examination of the child"s developing dentition is recommended to diagnose dental impaction promptly.

Management of supplemental permanent maxillary lateral incisors in association with talon cusp on the primary predecessors: a report of 3 cases.

Most of the cases of talon cusp in the primary dentition affected the maxillary central incisors, but have no effect on the permanent successors. Among the 5 cases of a talon cusp in primary maxillary lateral incisors reported in the dental literature, however, one was associated with a supernumerary tooth and 3 with supplemental permanent successors. The purpose of this report was to describe 3 cases of a talon cusp on the primary maxillary lateral incisors of Chinese children, all of which were associated with talon teeth or the permanent successors. A conservative approach was used to manage these supplemental permanent lateral incisors, and the advantages of such an approach are discussed.

Supplemental permanent maxillary canines: report of two rare bilateral cases.

Supernumerary teeth in the permanent maxillary canine areas are uncommon, and are usually in the form of small conical-shaped teeth. Only a few reports of supplemental maxillary canines have been published in the literature, and most relate to unilateral cases. Bilateral occurrence of such supplemental teeth in non-syndromic patients has been reported to be extremely rare. This article reports two cases of bilateral supplemental permanent maxillary canines in children with no associated syndrome.

Autotransplantation of a supplemental premolar: a case report.

In this article, we describe the autotransplantation of a supplemental premolar to replace an extracted first permanent molar in a 12-year-old boy. Although the end results are not ideal due to the small size of the donor tooth, the esthetics and function of the dental arch are partly restored using a natural tooth rather than a prosthesis. This case report illustrates the usefulness of autotransplantation as a viable treatment option in children with missing permanent teeth.

Primary double tooth: report of a rare correlation with the permanent dentition.

Double tooth is a developmental anomaly that is seen more frequently in the primary than the permanent dentition. Double tooth involving primary canines and lateral incisors is found only in the mandible. The succeeding permanent lateral incisor is often found missing congenitally in the same region. This article reports a rare case of a double tooth involving a mandibular primary canine and lateral incisor. Instead of agenesis, the double tooth has been succeeded by a permanent supernumerary tooth in the same region.

The relationship between a primary maxillary incisor with a talon cusp and the permanent successor: a study of 57 cases.

BACKGROUND: Most reported cases of talon cusps in the primary dentition have been on the maxillary central incisors and the permanent successors have remained unaffected. Four of the five reported cases on a maxillary lateral incisor, however, have been associated with a supernumerary permanent successor. AIM: This paper describes the relationship between the presence of talon cusps on a primary maxillary incisor, and the morphology and number of the permanent successors in a population of Chinese children. DESIGN: The dental records of children diagnosed with a talon cusp on a primary incisor were retrieved for review. The diagnoses took place in a regional school dental clinic in Hong Kong between April 2002 and August 2005. RESULTS: Fifty-eight primary maxillary incisors with talon cusps were found. When the central incisors were involved, 32 of the 35 (91.4%) underlying permanent successors were not found to be associated with any odontogenic abnormalities. When the lateral incisors were involved, however, 18 of the 23 cases (78.3%) showed odontogenic abnormalities, 14 of which were associated with supernumerary teeth. CONCLUSIONS: The present study shows that, when there is a talon cusp on a primary maxillary lateral incisor, a high proportion of the underlying permanent successors can be expected to exhibit odontogenic abnormalities.

Six mandibular permanent incisors: report of a case.

This article involves dental management of a girl with bilateral supplemental mandibular permanent incisors. If not removed promptly, these supernumerary teeth will lead to crowding and malocclusion; as a result, early diagnosis is important. Dentists who treat children should be aware of this condition when unusual crowding and displacement is seen in the mandibular incisor region.

Conservative management of regional odontodysplasia: case report.

Regional odontodysplasia is an uncommon developmental anomaly affecting a localized area of the dentition. The affected teeth are often grossly malformed and develop abscess soon after eruption. Although extractions are often required, in some milder cases the teeth may be retained for a long period. The treatment plan should be based on the degree of involvement as well as functional and esthetic needs in each case. This article describes a conservative treatment approach in a 10-year-old boy with regional odontodysplasia.

Talon cusp in the primary dentition: literature review and report of three rare cases.

This paper reviews the nomenclature, prevalence, definition, etiology, association with other dental/anomalies, diagnosis and treatment planning of talon cusp in the primary anterior teeth. Most of the reported cases have involved the primary maxillary central incisors. However, talon cusps on the primary maxillary lateral incisors are associated with high percentages of anomalies in the permanent successors. This paper reported three such rare cases and dentists should be aware of such additional anomalies.

Supplemental mandibular permanent incisor teeth: report of two cases.

Two cases of supplemental mandibular permanent incisors are presented. These supernumerary teeth often erupt into the dental arches causing crowding and aesthetic problems. Management may range from simple extraction of the supernumerary teeth to comprehensive orthodontic treatment. Early diagnosis may provide better opportunity for optimal treatment outcome.

Supernumerary premolars associated with dens evaginatus: report of 2 cases.

Dens evaginatus is a dental anomaly found predominantly in people of Mongoloid origin. Dentists practising in Western countries should also be aware of this condition because of the increasing migration of people from Asia. Supernumerary premolars are uncommon but may be found incidentally during radiographic examination of teeth with dens evaginatus. This article reports 2 cases of concomitant occurrence of supernumerary premolars and dens evaginatus. The presence of a supernumerary premolar in 1 quadrant is an indication for radiographic examination of all other premolar regions.

Hypodontia involving only mandibular permanent canines: report of six cases.

Agenesis of mandibular permanent canines is uncommon. The occurrence of such an anomaly in patients with all other permanent teeth present, except third molars, is even more rare. The purpose of this case report was to summarize the radiographic findings in 6 Chinese children with hypodontia involving only mandibular permanent canines. The etiology of such an anomaly is not known, but both genetic and environmental factors may play a role.

Replantation of an avulsed incisor after prolonged dry storage: a case report.

Management of tooth avulsion in the permanent dentition often presents a challenge. Definitive treatment planning and consultation with specialists is seldom possible at the time of emergency treatment. Replantation of the avulsed tooth can restore esthetic appearance and occlusal function shortly after the injury. This article describes the management of a child with an avulsed maxillary permanent incisor that had been air-dried for about 18 hours. The replanted incisor retained its esthetic appearance and functionality 2 years after replantation, yet the long-term prognosis is not good because of progressive replacement root resorption.