Two Rare Cases of Non-Syndromic Paramolars with Family Occurrence and a Review of Literature

Palikaraki, Georgia; Vardas, Emmanouel; Mitsea, Anastasia

doi:10.3390/dj7020038

Cited by 8 publications

(7 citation statements)

References 29 publications

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“…18 The various complications might be impediment or late eruption of related secondary teeth; deranged erupting nearby teeth; migration, or turning of nearby teeth; crowding because of space problems; mal-occlusion because of a decrease of area; spaces between molars; trauma to cheek mucosal membrane when buccal para-molars cause tears; interference when undergoing orthodontic treatment; abnormality in root growth of erupting secondary tooth; cystic creation; excess new growth; tri-geminal neural pain due to the para-molar compresses ion of the trigeminal neural tissue, pulpal degeneration, and root absorption of nearby teeth because of force exertion; tooth decay because of bacterial retention in non-cleansing regions; and gingivitis and local periodontal inflammation in the tissues. 19,20 As reported here in our report, the existence of para-molars lead to dental caries due to food/bacteria deposition and showed inflamed adjacent periodontium. The second molar is palatably placed because of these paramolars in our case.…”

Section: Discussionsupporting

confidence: 60%

Unilateral double maxillary paramolars in a non-syndromic child – a rare case report

Acharya,

Singh,

Sahoo

et al. 2023

Eur J Clin Exp Med

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Introduction and aim. Extra teeth are the teeth which are more than the normal number of teeth in jaws. They can be present on a single side or both sides, singular or many, maxillary or mandibular. Paramolars are uncommon supernumerary molars which can be present on buccal or palatal side of molars. Very few reports of supernumerary teeth in maxilla or mandible being paramolars has been stated. No literature on unilateral twin paramolars in maxilla has been reported in literature yet. This is a first case report of unilateral twin paramolars in maxilla in a child. Description of the case. This case report describes the presence of unilateral double maxillary paramolars and their handling in a thirteen-year-old boy, whose primary concern was that of severe pain in maxilla on both sides. After an identification of double maxillary paramolars was put forward and established by cone beam computer tomography, both the paramolars were extracted. Conclusion. Supernumerary teeth have to be removed as soon as detected otherwise they can lead to malocclusion and pain due to caries after pulp involvement.

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Section: Discussionsupporting

confidence: 60%

Unilateral double maxillary paramolars in a non-syndromic child – a rare case report

Acharya,

Singh,

Sahoo

et al. 2023

Eur J Clin Exp Med

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“…13,27,81 Signalling pathways related to supernumerary tooth In human, the aetiology of supernumerary teeth is multifactorial and involves both genetic and environmental factors. 82 Although the genetic propensity of supernumerary teeth is not consistent with a simple Mendelian pattern, they are more common in the relatives of patients than in the general population. 83 To date, multiple genes have been identified in supernumerary teeth cases, such as APC, RUNX2, FAM20A etc.. [84][85][86] And related mouse models have been employed to explore the pathogenesis (Table 1).…”

Section: Pathogenetic Mechanisms Of Tooth Number Abnormalitymentioning

confidence: 99%

Tooth number abnormality: from bench to bedside

Zhang

Gong

et al. 2023

Int J Oral Sci

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Tooth number abnormality is one of the most common dental developmental diseases, which includes both tooth agenesis and supernumerary teeth. Tooth development is regulated by numerous developmental signals, such as the well-known Wnt, BMP, FGF, Shh and Eda pathways, which mediate the ongoing complex interactions between epithelium and mesenchyme. Abnormal expression of these crutial signalling during this process may eventually lead to the development of anomalies in tooth number; however, the underlying mechanisms remain elusive. In this review, we summarized the major process of tooth development, the latest progress of mechanism studies and newly reported clinical investigations of tooth number abnormality. In addition, potential treatment approaches for tooth number abnormality based on developmental biology are also discussed. This review not only provides a reference for the diagnosis and treatment of tooth number abnormality in clinical practice but also facilitates the translation of basic research to the clinical application.

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“…Os dentes supranumerários que não erupcionam podem causar erupção ectópica ou impactação dentária de um dente adjacente, desenvolvimento radicular retardado ou anormal de dentes permanentes associados ou sua dilaceração, além de cistos foliculares que podem surgir diante da degeneração do saco folicular do dente supranumerário (Palikaraki et al, 2019).…”

Section: Complicações Da Presença De Dentes Supranumeráriosunclassified

Uso da radiografia panorâmica para diagnóstico de dentes permanentes supranumerários

Duarte,

Carvalho

2023

RSD

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Hiperdontia é uma anomalia de número no qual o paciente apresenta um número excedido de dentes, os quais recebem o nome de supranumerários, podendo aparecer tanto em dentição decídua, quanto na dentição permanente, sendo essa a mais comum. Os dentes supranumerários podem apresentar anatomia igual ou diferente da dentição normal, como formato cônico, por exemplo, podendo ocasionar problemas estéticos ou oclusais. Não se sabe a etiologia correta dessa anomalia, podendo ser de origem de falhas da odontogênese ou multifatorial. Este trabalho tem como objetivo evidenciar a prevalência de dentes supranumerários por meio da análise de radiografias panorâmicas de uma clínica radiológica da cidade de Viçosa. Foram analisadas um total de 883 radiografias panorâmicas de pacientes com idade entre 7 e 15 anos de ambos os gêneros. De todas as radiografias analisadas, 17 pacientes apresentavam dentes supranumerários, nos quais 8 deles eram do gênero feminino e 9 eram do gênero masculino. Foram encontradas um total de 23 dentes supranumerários, sendo mais comum os pacientes apresentarem apenas um dente supranumerário na arcada. No entanto, também podem apresentar dois ou mais dentes supranumerários, no qual foram encontrados em apenas 4 radiografias panorâmicas. Além disso, não houveram diferenças significativas na prevalência dessa anomalia em relação aos gêneros masculino e feminino. Pode-se concluir que essa anomalia de número não é muito comum, no entanto, entre os dentes supranumerários encontrados, o mais comum foi o “mesiodens”. Além disso, quanto aos ossos gnáticos, a maxila teve maior prevalência, especificamente em região anterior.

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Two Rare Cases of Non-Syndromic Paramolars with Family Occurrence and a Review of Literature

Cited by 8 publications

References 29 publications

Unilateral double maxillary paramolars in a non-syndromic child – a rare case report

Unilateral double maxillary paramolars in a non-syndromic child – a rare case report

Tooth number abnormality: from bench to bedside

Uso da radiografia panorâmica para diagnóstico de dentes permanentes supranumerários

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