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Four maxillary incisors: a case report

C A Trotman1, T McNamara

  • 1Department of Orthodontics, University of Michigan, Ann Arbor.

Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
|May 1, 1994
PubMed
Summary
This summary is machine-generated.

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This case report details the orthodontic treatment of a young female with supernumerary teeth and rare cervical vertebral anomalies. Treatment involved extracting extra incisors and aligning the teeth using braces.

Area of Science:

  • Dentofacial morphology
  • Orthodontics
  • Genetics

Background:

  • A 9-year-old female patient presented with a complex medical history including a benign oral teratoma, cleft tongue, and cleft palate.
  • She also exhibited rare cervical vertebral anomalies.

Observation:

  • The patient presented with a Class II division I malocclusion.
  • Supernumerary permanent teeth were noted: two supplemental maxillary central incisors and one supplemental mandibular central incisor.
  • Symptom-free cervical vertebral abnormalities were also present.

Findings:

  • The dentofacial morphology was characterized by the presence of four maxillary incisors and a Class II division I malocclusion.
  • Orthodontic treatment focused on extracting the two most centrally located supernumerary maxillary incisors.

Related Experiment Videos

  • Fixed orthodontic appliances were utilized for maxillary arch alignment.

    • Implications:

    • This case highlights the importance of comprehensive diagnosis and management in patients with complex dental anomalies and associated conditions.
    • Successful orthodontic intervention can correct malocclusion in cases with supernumerary teeth and congenital anomalies.
    • Further research into the genetic basis of these combined anomalies may improve future treatment strategies.