Evaluation of Surgical Options for Supernumerary Teeth in the Anterior Maxilla

Maddalone, Marcello; Rota, Elisa; Amosso, Ernesto; Porcaro, G; Mirabelli, Luca

doi:10.5005/jp-journals-10005-1529

Cited by 8 publications

(5 citation statements)

References 107 publications

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“…When the SNT is not visible on flap elevation, a window is created in the bone wall for access. If necessary, odontosection was performed with an air rotor handpiece or the bicordia approach was chosen (21) Source: Authors (2023).…”

Section: Resultsmentioning

confidence: 99%

Surgical approach techniques for extraction of impacted or retained mesiodens: Literature review

González¹,

Torres²,

Calle³

2023

World J. Adv. Res. Rev.

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The mesiodens corresponds to a number anomaly of dental development, which is formed between the upper central incisors. It is diagnosed by radiographic examination and the precise therapeutic option is extraction. The aim of this study is to review the different surgical techniques used in the extraction of intraosseous mesiodens by means of a review of the literature. Methodology: The collection of information was carried out through the search and selection of articles related to surgical techniques for the extraction of intraosseous mesiodens in the electronic databases PubMed, Google Scholar and Journal of Dental Research. The selection criteria taken into account were: age not older than 5 years, key words, human studies, impacted or retained mesiodens. From a total of 113 articles, 17 were chosen that are in accordance with the criteria of this research. Results and Conclusions: The free hand surgical approach has good results, but the use of surgical guides improves patient satisfaction, reduces operative time and difficulty of surgery and facilitates more precise osteotomies and incisions, without unnecessary tissue damage resulting in a more satisfactory postoperative improvement.

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Section: Resultsmentioning

confidence: 99%

Surgical approach techniques for extraction of impacted or retained mesiodens: Literature review

González¹,

Torres²,

Calle³

2023

World J. Adv. Res. Rev.

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“…Therefore, the diagnosis of intranasal teeth is primarily made according to the clinical and radiographic findings, with CBCT scanning being particularly helpful in confirming the diagnosis and planning treatment. Treatment of intranasal teeth typically involves early surgical extraction to relieve symptoms and prevent possible morbidity [20]. While various approaches exist to remove a nasal mesiodens, a definitive treatment plan has not yet been established.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Surgical Approach for a Mesiodens in the Nasal Cavity: A Rare Phenomenon

Iacomino,

Fratini,

Zoccali

et al. 2024

Reports

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The nasal cavity is a sporadic site for mesiodens, and if it is impacted in the lower nasal floor or localized in the nasal septum, it may cause various nasal symptoms such as nasal obstruction, recurrent rhinitis, and epistaxis. Early diagnosis is made through clinical findings and a cone-beam computed tomography (CBCT) scan, but a definite treatment plan has not yet been developed. This study aims to present a case of a mesiodens in a 27-year-old male, located in the nasal septum, an unusual and rare site, and its surgical removal using an endoscopic nasal approach with subperiosteal intranasal dissection. The result of the study appears significant because this technique led to fewer postoperative complications, and it appears to be safer and more effective than the traditional palatal or transoral approach. Moreover, the nasal endoscopic approach is more natural to the ear, nose, and throat (ENT) surgeons than the transoral approach.

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“…ST are diverse in shape (conical, tubercular, supplemental, odontoma) and are found in 1.2%–3.5% of all orthodontically treated patients (Becker, 2002; Mason et al, 2000). The surgical complications that may arise due to mesiodentes include cystic lesions, intra-oral infections, eruption of teeth in the nasal cavity and perforation of the nasopalatine canal (Maddalone et al, 2018; Mallineni, 2014; Mossaz et al, 2014). The presence of an untreated ST, regardless of its eruption status—unerupted, partially erupted or erupted, can cause a number of orthodontic discrepancies, such as delayed eruption or retention of adjacent teeth, displacement of the crowns of the neighbouring teeth, crowding, spacing, abnormal root formation or root resorption and so on (Barham et al, 2022; Campbell and Kindelan, 2006; Mallineni, 2014).…”

Section: Introductionmentioning

confidence: 99%

Effect of maxillary anterior supernumerary tooth extraction on the underlying malocclusion

Cholakova

Georgiev

2023

J Orthod

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Introduction: Orthodontic discrepancies are a common finding in patients with supernumerary teeth (ST). The presence of a ST can cause a number of orthodontic discrepancies, such as delayed eruption or retention of adjacent teeth, crowding, spacing, abnormal root formation and so on. The aim of the present study was to assess the effect of extraction of an anterior supernumerary tooth on the underlying orthodontic discrepancies without additional treatment for a 6-month period. Methods: This was a prospective, longitudinal, observational, study. It included 40 individuals with orthodontic malocclusions due to maxillary anterior supernumeraries. We examined the changes in the crowding and excessive space in the anterior and posterior segments on cast models. Results: In the group that presented with crowding, a statistically significant decrease of 0.95 ± 0.17 mm ( P < 0.001) was found between T0 and T1. Of the participants, three exhibited full self-correction. The excessive space at T0 (3.06 mm) decreased by 1.78 ± 0.19 mm to T1 (1.28 mm) in the anterior segment. Seven patients showed full self-correction of the diastemas after the 6-month observation period. Conclusion: The results imply that orthodontic treatment can be postponed for at least 6 months after the extraction of the supernumerary tooth as potential self-correction can be expected. This natural alleviation of the malocclusions may make the orthodontic treatment simpler, shorten the treatment time and decrease overall appliance wear time.

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Evaluation of Surgical Options for Supernumerary Teeth in the Anterior Maxilla

Cited by 8 publications

References 107 publications

Surgical approach techniques for extraction of impacted or retained mesiodens: Literature review

Surgical approach techniques for extraction of impacted or retained mesiodens: Literature review

Endoscopic Surgical Approach for a Mesiodens in the Nasal Cavity: A Rare Phenomenon

Effect of maxillary anterior supernumerary tooth extraction on the underlying malocclusion

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