A Third Supernumerary Tooth Occurring in the Same Region: A Case Report

Akitomo, Tatsuya; Asao, Yuria; Iwamoto, Yumiko; Kusaka, Satoru; Usuda, Momoko; Kametani, Mariko; Ando, Toshinori; Sakamoto, Shinnichi; Mitsuhata, Chieko; Kajiya, Mikihito; Kozai, Katsuyuki; Nomura, Ryota

doi:10.3390/dj11020049

Cited by 11 publications

(5 citation statements)

References 8 publications

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“…However, in the present case, the tooth eruption was delayed compared with the left side in the alveolar bone before CBCT was taken. Other dental abnormalities such as supernumerary teeth and odontomas can also cause delayed tooth eruption [3,52]. This review reconfirms the importance of long-term follow-up, and the present case report highlights the need for detailed examinations to determine if there is a dental abnormality in cases in which tooth eruption is delayed.…”

Section: Prognosissupporting

confidence: 75%

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Fusion of a Tooth with a Supernumerary Tooth: A Case Report and Literature Review of 35 Cases

Akitomo,

Kusaka,

Usuda

et al. 2023

Children

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Tooth fusion is a dental anomaly with a prevalence of 0.1% in permanent dentition. The aim of this paper is to present the occurrence, region of fusion, and prognosis of fused tooth which is a very rare case in the literature. The authors present a very rare case with a maxillary right lateral incisor fused to a supernumerary tooth on the palatal side. The eruption was delayed, but eruption occurred naturally at 9 years and 6 months. However, cone-beam computed tomography at 11 years and 6 months revealed it was diagnosed as a fused tooth. The authors undertook a literature review over the past 10 years and found 30 articles about fused teeth between permanent teeth and supernumerary teeth. It was more common in males than females and there were no differences depending on the occurrence. Mesiodistal fusion was more common in the incisor region, while labiopalatal fusion was more common in the molar region. Most cases required dental treatment with a surgical approach, root canal treatment, or orthodontic treatment. The present study highlights the importance of long-term follow-up and suggests the region of fusion and prognosis of the fused tooth may vary depending on the occurrence.

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Section: Prognosissupporting

confidence: 75%

“…Dental anomalies include abnormal tooth counts, morphology, size, and eruption times [1][2][3][4]. Congenital types are inherited and have a genetic basis, developmental types occur at the tooth formation stage, and acquired anomalies occur after tooth development [5].…”

Section: Introductionmentioning

confidence: 99%

Fusion of a Tooth with a Supernumerary Tooth: A Case Report and Literature Review of 35 Cases

Akitomo,

Kusaka,

Usuda

et al. 2023

Children

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“…On the other hand, a delayed surgical approach at approximately 8 to 10 years of age, when the roots of adjacent permanent anterior teeth are complete, can avoid damaging roots that are still forming. The delayed approach is beneficial as the patient's age can aid in the treatment process [12]. In our case report, we decided to perform surgical treatment after diagnosis due to the patient's compromised aesthetics caused by the presence of a clinically visible supernumerary tooth and the failed eruption of the right lateral incisor.…”

Section: Discussionmentioning

confidence: 99%

The Role of Artificial Intelligence in the Accurate Diagnosis and Treatment Planning of Non-Syndromic Supernumerary Teeth: A Case Report in a Six-Year-Old Boy

et al. 2023

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Hyperdontia can cause numerous aesthetic and functional problems. The diagnosis is made radiologically, and the most commonly used radiological method is orthopantomography, while CBCT is also used. CBCT has the advantage of being three-dimensional. Artificial Intelligence is widely used in medicine and dentistry, and it can create a specific algorithm to aid in diagnosis and suggest therapeutic procedures. In a case report, a 6-year-old boy was diagnosed with a supernumerary tooth between the upper central incisors. Orthopantomography revealed another impacted supernumerary tooth, and the patient was referred for CBCT. A platform for analyzing dental images, based on artificial intelligence, Diagnocat (Diagnocat Inc., San Francisco, CA, USA), was used for analysis and the AI system identified the supernumerary teeth and provided a complete plan for treatment. The use of AI in dentistry allows for faster and more accurate diagnosis and treatment planning.

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“…Chemotherapy for pediatric oncology patients often causes dental developmental anomalies that affect future dental care [7]. Dental anomalies include abnormalities in tooth count, morphology, size, and eruption times, and chemotherapy causes irreversible 2 of 8 morphological changes in permanent teeth, including tooth agenesis, microdontia, and short-rooted teeth [8][9][10]. Although there are some case reports about dental anomalies in pediatric patients who have received chemotherapy, they have mainly focused on a small number of patients.…”

Section: Introductionmentioning

confidence: 99%

Dental Abnormalities in Pediatric Patients Receiving Chemotherapy

Akitomo,

Ogawa,

Kaneki

et al. 2024

JCM

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Background: Chemotherapy is a common treatment for pediatric cancer. Although life prognosis is improving because of advances in medical science, it is important to deal with late effects such as dental abnormalities. We investigated the association between dental abnormalities and chemotherapy by age and tooth type. Methods: Among the 568 patients referred to the pediatric dentistry department of our hospital, we selected 32 patients (21 male and 11 female) who received chemotherapy between the ages of 0 and 6 and underwent panoramic examination after the age of 7. We recorded the age of chemotherapy commencement, diagnosis of systemic disease, and dental abnormalities such as congenital absence, microdonts, and short-rooted teeth. Results: Almost half of the patients had dental abnormalities such as congenital absence, microdonts, and short-rooted teeth, but there were no significant differences in the incidence of these abnormalities by age. When we analyzed the incidence of abnormal teeth by tooth type, the incidence of congenital absence was significantly higher in premolars (5.5%) and second molars (3.9%) than in incisor or canine or 1st molar (0.4%) (p < 0.01). The incidence of microdonts was significantly higher in premolars (3.9%) than in incisor or canine or 1st molar (0.2%) and second molars (0.0%) (p < 0.05). Conclusions: Patients who received chemotherapy had a high prevalence of dental abnormalities, and the incidence of abnormalities varied by tooth type. It is important to maintain long-term oral care for patients who have undergone chemotherapy even after the treatment is completed.

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A Third Supernumerary Tooth Occurring in the Same Region: A Case Report

Cited by 11 publications

References 8 publications

Fusion of a Tooth with a Supernumerary Tooth: A Case Report and Literature Review of 35 Cases

Fusion of a Tooth with a Supernumerary Tooth: A Case Report and Literature Review of 35 Cases

The Role of Artificial Intelligence in the Accurate Diagnosis and Treatment Planning of Non-Syndromic Supernumerary Teeth: A Case Report in a Six-Year-Old Boy

Dental Abnormalities in Pediatric Patients Receiving Chemotherapy

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