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Supplemental mandibular mesiodens: a diagnostic challenge.

Manjunath Naganahalli1, Adarsh Honnappa2, Nallan Csk Chaitanya3

  • 1Reader, Department of Oral Medicine & Radiology, Al-Badar Rural Dental College , Naganhalli Road, Near PDA Engineering College, Opp. Koranti Hanuman Temple, Gulbarga, Karnataka- 585102, India .

Journal of Clinical and Diagnostic Research : JCDR
|February 20, 2014
PubMed
Summary

Supernumerary teeth, extra teeth, are rare in the lower front jaw. This case report details identifying a supplemental supernumerary tooth in this unusual location.

Keywords:
Mandibular mesiodensSupernumerary toothSupplemental

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Area of Science:

  • Dentistry
  • Oral and Maxillofacial Surgery
  • Developmental Biology

Background:

  • Developmental anomalies affecting tooth number, including supernumerary teeth, occur in 1-3% of the population.
  • Supernumerary teeth most commonly affect the maxillary anterior region, followed by maxillary molars and premolars.
  • Congenital extra teeth are rare in the mandibular anterior region.

Purpose of the Study:

  • To report a rare case of a supplemental supernumerary tooth in the mandibular anterior region.
  • To describe the diagnostic methods used to differentiate this supernumerary tooth from the normal dentition.

Main Methods:

  • Clinical examination and radiographic assessment (e.g., periapical X-rays, panoramic X-rays).
  • Differential diagnosis to distinguish between supplemental and rudimentary types of supernumerary teeth.
  • Analysis of tooth morphology and position.

Main Results:

  • A supplemental supernumerary tooth was identified in the mandibular anterior region.
  • Diagnostic steps successfully differentiated the supernumerary tooth from the normally developed adjacent teeth.
  • The supernumerary tooth exhibited characteristics distinct from the regular dentition.

Conclusions:

  • Supplemental supernumerary teeth in the mandibular anterior region, though rare, require careful clinical and radiographic evaluation.
  • Accurate diagnosis is crucial for appropriate treatment planning and management of dental anomalies.