Yan Lei, Yu Long Wang, Bhandari Kishor, Shan Chang Li
Department of Oral and Maxillofacial Surgery, 2nd Affiliated Hospital of Stomatology, Jiamusi University, Heilongjiang, China.
Indian J Dent. 2014 Apr;5(2):92-5. doi: 10.4103/0975-962X.135271.
Supernumerary teeth occur frequently in human dentition, but presence of multiple supernumerary teeth in patients without any associated syndrome or systemic disorder is a rare phenomenon. Presence of supernumerary teeth in itself is not a problem and may not require removal in all cases but in certain conditions, they may be associated with several clinical complications and require removal. Here, we present a 14 year old female who complained of non emergence of permanent teeth. Orthopantomogram initially showed presence of fifteen impacted supernumerary teeth distributed in all quadrants, but later, cone-beam computed tomography further revealed four additional teeth, totaling to nineteen supernumerary teeth. Consultation with concerned specialists ruled out any syndromes or systemic disorders which led us to the diagnosis of "non-syndromic multiple supernumerary teeth" and this probably is the highest number of supernumerary teeth reported in a single non-syndromic patient till date.
多生牙在人类牙列中较为常见，但在没有任何相关综合征或全身性疾病的患者中出现多个多生牙是一种罕见现象。多生牙本身并非问题，并非所有情况都需要拔除，但在某些情况下，它们可能与多种临床并发症相关，需要拔除。在此，我们报告一名14岁女性，她主诉恒牙未萌出。曲面断层片最初显示在所有象限中有15颗埋伏多生牙，但后来锥形束计算机断层扫描进一步发现另外4颗牙齿，则多生牙总数达到19颗。与相关专科医生会诊排除了任何综合征或全身性疾病后，我们诊断为“非综合征性多发性多生牙”，这可能是迄今为止单个非综合征患者报告的多生牙数量最多的病例。
