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Sequential development of multiple supplemental premolars. Four-year follow-up report
Rajesh T Anegundi1, Anand Tavargeri, K R Indushekar
1Department of Pediatric Dentistry, SDM College of Dental Sciences and Hospital, Dharwad, India.
The New York State Dental Journal
|April 12, 2008
Summary
This case study highlights a rare dental anomaly: multiple supernumerary premolars in all four quadrants, particularly in the maxilla. Regular radiographic monitoring is crucial for managing such isolated cases.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Dental Radiology
Background:
- Supernumerary teeth are often linked to genetic syndromes.
- Isolated dental anomalies, like extra premolars, are less common.
- Multiple supplemental premolars across all four quadrants, especially in the maxilla, represent an extremely rare presentation.
Observation:
- A unique case involving multiple supplemental premolars in all four quadrants is presented.
- The distribution was uneven, with two erupted and five unerupted teeth observed.
- Sequential radiographic imaging over four years revealed developing bilateral supplemental premolars in the maxilla.
Findings:
- The study documents an exceptionally rare occurrence of multiple supernumerary premolars.
- Maxillary supplemental premolars, noted in this case, are particularly uncommon.
- The case emphasizes the potential for ongoing development of these anomalies over time.
Implications:
- This case underscores the importance of vigilant diagnosis and management of rare dental anomalies.
- Regular radiographic monitoring is essential for tracking the development and eruption patterns of supernumerary teeth.
- Understanding such isolated anomalies contributes to comprehensive dental care and treatment planning.
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