Abstract
Objectives: the purpose of the study was toanalyze the frequency, characteristics and associated complications of mesiodens in a groupof patients in Turkey.Materials and Methods: The present studyincluded 3782 patients (1590 male, 2192 female),who attended the Department of MaxillofacialRadiology, Faculty of Dentistry, Erciyes Universityfor their dental problems. Panoramic radiographsroutinely obtained during dental examinationsserved as the study basis for detection of theprevalence of mesiodens. In the case of mesiodensdetection additional occlusal radiographs wereobtained from the patients. In addition to age andgender, descriptive characteristics of meziodens,including number, shape, position, complicationcaused by mesiodens were recorded.Results: The prevalence of mesiodens in thepresent study was 2.7% (3.9% male, 1.8% female).The sex ratio was 2.17:1, favoring boys, the ratiowas statistically significant (p<0.001).The majorityof the mesiodens (50%) were conical in shape. Amajority of the mesiodens (62.1%) were verticallyaligned. Inverted and horizontally positions wereobserved in 20.2% and 16.1% of the cases. 17patients had two, and two patients had more thantwo mesiodens. Most of the mesiodens (58.1%)were associated with complications and only 41.9%were asymptomatic.Conclusions: The prevalence of mesiodens wasfound to be high comparable to similar studies inthe literature. The majority of the mesiodens wereimpacted and thus, in case of retention or delayederuption, dentists should bear in mind thatmesiodens may be the cause and early detection andtimely surgical intervention should be kept in mindto avoid unwanted complications.
References
- REFERANSLAR
- Gallas, M.M. and A. Garcia, Retention of permanent incisors by mesiodens: a family affair. Br Dent J 2000;188:636-4.
- Kim, S.G. and S.H. Lee, Mesiodens: a clinical and radiographic study. J Dent Child (Chic) 2003;70:58-60.
- Primosch, R.E., Anterior supernumerary teeth--assessment and surgical intervention in children. Pediatr Dent 1981;3:204-215.
- Bayrak, S., K. Dalci, and S. Sari, Case report: Evaluation of supernumerary teeth with computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endol 2005;100: e65-69.
- Liu, J.F., Characteristics of premaxillary supernumerary teeth: a survey of 112 cases. ASDC J Dent Child 1995;62:262-265.
- Sykaras, S.N., Mesiodens in primary and permanent dentitions. Report of a case. Oral Surg Oral Med Oral Pathol 1975;39:87087-84.
- Zhu, J.F., et al., Supernumerary and congenitally absent teeth: a literature review. J Clin Pediatr Dent 1996:20:87-95.
- Tyrologou, S., G. Koch, and J. Kurol, Location, complications and treatment of mesiodentes--a retrospective study in children. Swed Dent J 2005;29:1-9.
- Van Buggenhout, G. and I. Bailleul-Forestier, Mesiodens. Eur J Med Genet 2008;51: 178-181.
- Russell, K.A. and M.A. Folwarczna, Mesiodens--diagnosis and management of a common supernumerary tooth. J Can Dent Assoc 2003; 69: 362-326.
- Asaumi, J.I., et al., Radiographic examination of mesiodens and their associated complications. Dentomaxillofac Radiol 2004; 33:125-127.
- Moore, S.R., D.F. Wilson, and J. Kibble, Sequential development of multiple supernumerary teeth in the mandibular premolar region -- a radiographic case report. Int J Paediatr Dent 2002;12:143-145.
- Sedano, H.O. and R.J. Gorlin, Familial occurrence of mesiodens. Oral Surg Oral Med Oral Pathol 1969;27:360-361.
- Scheiner, M.A. and W.J. Sampson, Supernumerary teeth: a review of the literature and four case reports. Aust Dent J 1997;42:160-165.
- Rajab, L.D. and M.A. Hamdan, Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent 2002;12: 244-254.
- Ersin, N.K., et al., Mesiodens in primary, mixed and permanent dentitions: a clinical and radiographic study. J Clin Pediatr Dent 2004; 28:295-298.
- Gunduz, K., et al., Mesiodens: a radiographic study in children. J Oral Sci 2008;50: 287-291.
- Anthonappa, R., N. King, and A. Rabie, Diagnostic tools used to predict the prevalence of supernumerary teeth: a meta-analysis. Dentomaxillofac Radiol, 2012; 41:444-449.
- Kazanci, F., et al., The frequency and characteristics of mesiodens in a Turkish patient population. Eur J Dent 2011; 5: 361-365.
- Tay, F., A. Pang, and S. Yuen, Unerupted maxillary anterior supernumerary teeth: report of 204 cases. ASDC J Dent Child 1984;51:289-294.
- von Arx, T., Anterior maxillary supernumerary teeth: a clinical and radiographic study. Aust Dent J 1992;37:189-195.
- Mukhopadhyay, S., Mesiodens: a clinical and radiographic study in children. J Indian Soc Pedod Prev Dent 2011;29:34-38.
Bir Grup Türk Populasyonunda Görülen Meziodenslerin Sıklığı, Özellikleri Ve Meydan Getirdikleri Komplikasyonlar
Abstract
Objectives: the purpose of the study was to analyze the frequency, characteristics and associated complications of mesiodens in a group of patients in Turkey.
Materials and Methods: The present study included 3782 patients (1590 male, 2192 female), who attended the Department of Maxillofacial Radiology, Faculty of Dentistry, Erciyes University for their dental problems. Panoramic radiographs routinely obtained during dental examinations served as the study basis for detection of the prevalence of mesiodens. In the case of mesiodens detection additional occlusal radiographs were obtained from the patients. In addition to age and gender, descriptive characteristics of meziodens, including number, shape, position, complication caused by mesiodens were recorded.
Results: The prevalence of mesiodens in the present study was 2.7% (3.9% male, 1.8% female). The sex ratio was 2.17:1, favoring boys, the ratio was statistically significant (p<0.001).The majority of the mesiodens (50%) were conical in shape. A majority of the mesiodens (62.1%) were vertically aligned. Inverted and horizontally positions were observed in 20.2% and 16.1% of the cases. 17 patients had two, and two patients had more than two mesiodens. Most of the mesiodens (58.1%) were associated with complications and only 41.9% were asymptomatic.
Conclusions: The prevalence of mesiodens was found to be high comparable to similar studies in the literature. The majority of the mesiodens were impacted and thus, in case of retention or delayed eruption, dentists should bear in mind that mesiodens may be the cause and early detection and timely surgical intervention should be kept in mind to avoid unwanted complications.
Keywords: Supernumerary teeth, prevalence, panoramic radiographs, mesiodens.
ÖZET
Amaç: Bu çalışmanın amacı bir grup Türk populasyonunda görülen meziodenslerin sıklığı, özellikleri ve meziodens dişlerle ilişkili komplikasyonların araştırılmasıdır.
Gereç ve Yöntem: Bu çalışmada çeşitli dental problemleri nedeniyle Erciyes Üniversitesi, Dişhekimliği Fakültesi, Ağız Diş ve Çene Radyolojisi Anabilim Dalına başvuran, 3782 hastanın (1590 erkek, 2192 kadın) rutin dental muayene nedeniyle alınan panoromik radyografları ve klinik verileri değerlendirilmiştir. Radyograflarında meziodens saptanan hastalardan dişlerin lokalizasyonu ve meydana getirdikleri komplikasyonların değerlendirilmesi için okluzal radyografiler alınmıştır. Meziodens saptanan hastaların yaşları ve cinsiyetleri yanı sıra, dişlerin sayısı, şekli, pozisyonları ve meydana getirdikleri komplikasyonlar kaydedilmiştir.
Bulgular: Meziodens görülme sıklığı cinsiyetler arası istatistiksel olarak anlamlı bulunmuştur (erkek/kadın oranı 2.17:1 olarak bulunmuştur p<0.001). Meziodenslerin çoğunluğunun konik şekilli(%50) ve vertikal pozisyonda olduğu (% 62,1) olduğu saptanmıştır. Dişlerin %20,2 sinin inverted ve % 16,1 sının horizontal pozisyonda olduğu görülmüştür. 17 hastada iki, iki hastada ikiden çok meziodens görülmüştür. Meziodenslerin çoğu (%58,1) komplikasyona yol açarken % 41,9’u komplikasyona yol açmamaktadır.
Sonuç: Çalışmamızda meziodens prevelansı literatürdeki diğer çalışmalarla uyumlu bulunmuştur. Meziodenslerin büyük bir çoğunluğu gömülü oldukları için dişhekimleri intraoral muayene sırasında diş sürmesinde gecikme veya retansiyonla karşılaştıklarında meziodensleri de hatırlamalıdırlar. Erken tanı ile gecikme olmadan yapılan cerrahi tedaviler ile istenmeyen komplikasyonlar önlenebilmektedir.
References
- REFERANSLAR
- Gallas, M.M. and A. Garcia, Retention of permanent incisors by mesiodens: a family affair. Br Dent J 2000;188:636-4.
- Kim, S.G. and S.H. Lee, Mesiodens: a clinical and radiographic study. J Dent Child (Chic) 2003;70:58-60.
- Primosch, R.E., Anterior supernumerary teeth--assessment and surgical intervention in children. Pediatr Dent 1981;3:204-215.
- Bayrak, S., K. Dalci, and S. Sari, Case report: Evaluation of supernumerary teeth with computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endol 2005;100: e65-69.
- Liu, J.F., Characteristics of premaxillary supernumerary teeth: a survey of 112 cases. ASDC J Dent Child 1995;62:262-265.
- Sykaras, S.N., Mesiodens in primary and permanent dentitions. Report of a case. Oral Surg Oral Med Oral Pathol 1975;39:87087-84.
- Zhu, J.F., et al., Supernumerary and congenitally absent teeth: a literature review. J Clin Pediatr Dent 1996:20:87-95.
- Tyrologou, S., G. Koch, and J. Kurol, Location, complications and treatment of mesiodentes--a retrospective study in children. Swed Dent J 2005;29:1-9.
- Van Buggenhout, G. and I. Bailleul-Forestier, Mesiodens. Eur J Med Genet 2008;51: 178-181.
- Russell, K.A. and M.A. Folwarczna, Mesiodens--diagnosis and management of a common supernumerary tooth. J Can Dent Assoc 2003; 69: 362-326.
- Asaumi, J.I., et al., Radiographic examination of mesiodens and their associated complications. Dentomaxillofac Radiol 2004; 33:125-127.
- Moore, S.R., D.F. Wilson, and J. Kibble, Sequential development of multiple supernumerary teeth in the mandibular premolar region -- a radiographic case report. Int J Paediatr Dent 2002;12:143-145.
- Sedano, H.O. and R.J. Gorlin, Familial occurrence of mesiodens. Oral Surg Oral Med Oral Pathol 1969;27:360-361.
- Scheiner, M.A. and W.J. Sampson, Supernumerary teeth: a review of the literature and four case reports. Aust Dent J 1997;42:160-165.
- Rajab, L.D. and M.A. Hamdan, Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent 2002;12: 244-254.
- Ersin, N.K., et al., Mesiodens in primary, mixed and permanent dentitions: a clinical and radiographic study. J Clin Pediatr Dent 2004; 28:295-298.
- Gunduz, K., et al., Mesiodens: a radiographic study in children. J Oral Sci 2008;50: 287-291.
- Anthonappa, R., N. King, and A. Rabie, Diagnostic tools used to predict the prevalence of supernumerary teeth: a meta-analysis. Dentomaxillofac Radiol, 2012; 41:444-449.
- Kazanci, F., et al., The frequency and characteristics of mesiodens in a Turkish patient population. Eur J Dent 2011; 5: 361-365.
- Tay, F., A. Pang, and S. Yuen, Unerupted maxillary anterior supernumerary teeth: report of 204 cases. ASDC J Dent Child 1984;51:289-294.
- von Arx, T., Anterior maxillary supernumerary teeth: a clinical and radiographic study. Aust Dent J 1992;37:189-195.
- Mukhopadhyay, S., Mesiodens: a clinical and radiographic study in children. J Indian Soc Pedod Prev Dent 2011;29:34-38.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | November 1, 2013 |
| Submission Date | December 19, 2012 |
| Published in Issue | Year 2013Volume: 16 Issue: 4 |
Cited By
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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