Díaz Antonio, Orozco Jose, Fonseca Maria
Dentist University of Cartagena, Periodontics University Javeriana, Education University of the Norte, Doctorate in Biomedical Sciences University of Cartagena, Colombia.
Med Oral Patol Oral Cir Bucal. 2009 May 1;14(5):E229-31.
Supernumerary teeth or hyperodontia is an infrequent developmental alteration that appears in any area of the dental arches and can affect any dental organ. Multiple hyperodontia can be associated with several syndromes such as Gardner's, cleidocranial dysplasia, tricho-rhino phalangic syndrome or in patients with cleft lip and palate. However, it can be present in patients without any systemic pathology. The presence of supernumerary teeth is associated with different alterations in neighboring teeth, being the most common: over retained teeth or delayed eruption, ectopic eruption, dental malposition, occlusal problems, diastemas and rotated neighboring teeth, among a series of associated pathologies. The routine use of radiographic images during examination is a valuable tool that helps make the early diagnosis of these types of abnormalities. Keeping in mind that there are different treatment options, the therapeutic modalities increase. A case of a 20 year old female patient with multiple supernumerary teeth with non syndromic association is presented. The teeth were located in the maxilla and the mandible causing a severe malocclusion.
多生牙或额外牙是一种罕见的发育异常,出现在牙弓的任何区域,可影响任何牙齿器官。多发性多生牙可与多种综合征相关,如Gardner综合征、锁骨颅骨发育不全、毛发-鼻-指综合征,或唇腭裂患者。然而,它也可能出现在没有任何系统性疾病的患者中。多生牙的存在与相邻牙齿的不同改变有关,最常见的是:牙齿滞留或萌出延迟、异位萌出、牙齿错位、咬合问题、牙间隙和相邻牙齿扭转等一系列相关病变。检查期间常规使用影像学图像是有助于早期诊断这类异常的宝贵工具。鉴于有不同的治疗选择,治疗方式也会增加。本文介绍了一例20岁女性患者,有多颗非综合征性相关的多生牙。这些牙齿位于上颌和下颌,导致严重的错牙合畸形。