Abstract:Introduction: Tooth agenesis is one of the most common dental anomalies; however, the concomitant occurrence of opposite dental numerical variation of hypohyperdontia is extremely rare. Objective: To report the successful orthodontic management of a patient with non-syndromic concomitant bilateral agenesis of mandibular canines and two midline inverted supernumerary maxillary teeth. Case report: 21-year-old female patient with a chief complaint of protrusive right maxillary central incisor. The patient was … Show more
“…Although there are not many publications on the subject in the literature, we found a wide range of approaches, but each of them emphasizes the complex variety of problems that are concomitant: a difficult eruption of adjacent teeth, dental transposition, conditions for tooth retention, root resorption of teeth, ectopic breakthrough and others [11]. Therefore, the publication of each new case enriches the orthodontic community with a new clinical approach or confirms one.…”
Section: Discussionmentioning
confidence: 87%
“…In our previous study, we found out that the prevalence of the supernumerary teeth is 1.82%, and the prevalence of mesiodens is 0.74% [10]. Exactly in the same area, hyperodontia is observed in concomitant hypo-hyperodontia [11,12,13]. Hyperodontia in the frontal segment drastically changes the position of the teeth and leads to occlusal disorders.…”
Purpose: The low frequency of concomitant hypo-hyperdontia and the lack of established clinical protocols in treatment are our motives to analyse our experience in three different clinical cases and derive principles of clinical behaviour. Material and methods: Analysis of the documentation of the 2886 patients, from which three clinical cases were with CHH: case 1 – agenesis of the second upper primary molars and hyperdontia of the upper left lateral; case 2 – Hyperdontia of the upper primary and permanent left lateral and hypodontia of the lower left second premolar; case 3 - two supernumerary (left and right) canines and hypodontia of the lower right second premolar. Results: From all the patients diagnosed and treated by us, hypodontia was found in 7.38% (excluding third molar hypodontia); hyperdontia in 1.9% and only 0.1% have concomitant hypo-hyperdontia. In the three patients, hyperdontia occurs in the frontal segment, and the phenomenon of hypodontia covers the distal segments. Discussion: Following the treatment plans of all three clinical cases, the following stereotype is required as a treatment approach: Solving the problem of hyperdontia (extraction); Levelling dental arches; Solving the problem of hypodontia - placement of implants or closing the space; Retention. In practice, it is found that the solution starts with a relatively smaller problem - hyperdontia, especially in cases where we have access to these teeth. The more serious obstacle is hypodontia, which, if unilateral, leads to disruption of the occlusal ratios. Conclusion: CHH is a rare problem, and the treatment is long, and its favourable outcome depends on early diagnosis.
“…Although there are not many publications on the subject in the literature, we found a wide range of approaches, but each of them emphasizes the complex variety of problems that are concomitant: a difficult eruption of adjacent teeth, dental transposition, conditions for tooth retention, root resorption of teeth, ectopic breakthrough and others [11]. Therefore, the publication of each new case enriches the orthodontic community with a new clinical approach or confirms one.…”
Section: Discussionmentioning
confidence: 87%
“…In our previous study, we found out that the prevalence of the supernumerary teeth is 1.82%, and the prevalence of mesiodens is 0.74% [10]. Exactly in the same area, hyperodontia is observed in concomitant hypo-hyperodontia [11,12,13]. Hyperodontia in the frontal segment drastically changes the position of the teeth and leads to occlusal disorders.…”
Purpose: The low frequency of concomitant hypo-hyperdontia and the lack of established clinical protocols in treatment are our motives to analyse our experience in three different clinical cases and derive principles of clinical behaviour. Material and methods: Analysis of the documentation of the 2886 patients, from which three clinical cases were with CHH: case 1 – agenesis of the second upper primary molars and hyperdontia of the upper left lateral; case 2 – Hyperdontia of the upper primary and permanent left lateral and hypodontia of the lower left second premolar; case 3 - two supernumerary (left and right) canines and hypodontia of the lower right second premolar. Results: From all the patients diagnosed and treated by us, hypodontia was found in 7.38% (excluding third molar hypodontia); hyperdontia in 1.9% and only 0.1% have concomitant hypo-hyperdontia. In the three patients, hyperdontia occurs in the frontal segment, and the phenomenon of hypodontia covers the distal segments. Discussion: Following the treatment plans of all three clinical cases, the following stereotype is required as a treatment approach: Solving the problem of hyperdontia (extraction); Levelling dental arches; Solving the problem of hypodontia - placement of implants or closing the space; Retention. In practice, it is found that the solution starts with a relatively smaller problem - hyperdontia, especially in cases where we have access to these teeth. The more serious obstacle is hypodontia, which, if unilateral, leads to disruption of the occlusal ratios. Conclusion: CHH is a rare problem, and the treatment is long, and its favourable outcome depends on early diagnosis.
Introduction: Tooth agenesis is often associated with other tooth anomalies, such as microdontia, delayed eruption and ectopic eruption. Moreover, they may be found all in the same individual, as certain genetic mutations may have a variable phenotypic expression. Treatment of cases of hypodontia of anterior teeth should not involve only opening or closing space for prosthetic rehabilitation. Individuals with hypodontia of permanent maxillary lateral incisors may have teeth with a mesiodistal width smaller than that of patients with a normal dentition, and which may need reshaping to achieve an esthetic and functional occlusion. Objective: This clinical case report discusses the association of hypodontia of permanent maxillary lateral incisors with other tooth anomalies and their treatment alternatives.
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