RESUMO
Supernumerary teeth are the most common developmental dental anomalies in the maxillary anterior region causing interference to the developing permanent incisors resulting in poor dental and facial esthetics. Two different opinions regarding the timing for surgical removal of the supernumerary teeth are presented. In this case report, three brothers with supernumerary teeth in the maxillary anterior region are presented, their surgical and orthodontic management and outcome are discussed.
Assuntos
Dente Supranumerário/diagnóstico por imagem , Dente Supranumerário/cirurgia , Criança , Humanos , Masculino , Maxila , Irmãos , Tempo para o Tratamento , Erupção Dentária , Dente ImpactadoRESUMO
PURPOSE: Developmental disturbances during tooth formation may cause abnormalities in tooth size and shape, resulting in poor dental and facial esthetics. The purpose of this study was to evaluate the prevalence of fused/geminated teeth in the maxillary anterior region of orthodontically treated patients, and present treatment options and their outcome. METHODS: Pre- and post-treatment facial and intraoral photographs, study models, and panoramic and periapical radiographs of 574 consecutively treated patients (mean age: 13.3 years) from the orthodontic department were examined for the presence of fusion or gemination in the maxillary anterior region. RESULTS: There were eight patients (1.4 percent) with fused/geminated teeth in the maxillary anterior region. CONCLUSIONS: The prevalence found is relatively high compared to previous reports. Esthetic consideration is a determining factor for various treatment alternatives. A multidisciplinary approach is imperative for the successful treatment of these dental abnormalities.
Assuntos
Dentes Fusionados/epidemiologia , Dentes Fusionados/terapia , Ortodontia Corretiva , Dente Supranumerário/epidemiologia , Dente Supranumerário/terapia , Adolescente , Criança , Dentição Permanente , Feminino , Dentes Fusionados/diagnóstico por imagem , Humanos , Incisivo , Masculino , Maxila , Prevalência , Radiografia Panorâmica , Dente Supranumerário/diagnóstico por imagemAssuntos
Dentes Fusionados/cirurgia , Incisivo/anormalidades , Técnicas de Movimentação Dentária/métodos , Dente Supranumerário/cirurgia , Criança , Resinas Compostas/química , Proteínas do Esmalte Dentário/uso terapêutico , Materiais Dentários/química , Restauração Dentária Permanente/métodos , Dentição Mista , Feminino , Dentes Fusionados/terapia , Humanos , Incisivo/cirurgia , Má Oclusão Classe I de Angle/cirurgia , Má Oclusão Classe I de Angle/terapia , Maxila/cirurgia , Osteogênese/efeitos dos fármacos , Retalhos Cirúrgicos/cirurgia , Raiz Dentária/efeitos dos fármacos , Dente Supranumerário/terapiaRESUMO
Amelogenesis imperfect (AI) is a hereditary dental condition that affects tooth enamel, resulting in small and discolored teeth, tooth sensitivity, poor esthetics, and anterior open bite associated with severe discrepancy in the vertical relation of the jaws. Treatment can be complex and includes an interdisciplinary approach involving orthodontics, oral surgery, and restorative therapy. The purpose of this report is to describe the case of a 12-year-old girl with AI and severe open bite who received conservative, non-surgical therapy that led to good functional occlusion and acceptable dental and facial esthetics. A three-year follow-up showed excellent post-treatment stability.
