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Original Research

Open Access

A retrospective evaluation of the eruption of impacted permanent incisors after extraction of supernumerary teeth

  • Leila Leyland1,*,
  • Puneet Batra2
  • F Wong3
  • R Llewelyn4

1Maxillofacial and Dental Department, Great Ormond Street Hospital for Children NHS Trust

2Former Clinical Research Fellow Maxillofacial and Dental Department, Great Ormond Street Hospital for Children NHS Trust

3Paediatric Dentisrty Paediatric Dental Department, St Bart's and The Royal London Hospital

4Paediatric Dentisrty Paediatric Dental Department, The Royal Liverpool Children's Hospital

DOI: 10.17796/jcpd.30.3.60p6533732v56827 Vol.30,Issue 3,May 2006 pp.225-232

Published: 01 May 2006

*Corresponding Author(s): Leila Leyland E-mail: leilaleyland@hotmail.com

Abstract

Aims. Delayed eruption of teeth may be caused by the presence of one or more supernumerary teeth. The purpose of this study was to evaluate findings, predisposing factors and differentiate different tech-niques used that affect the outcome following removal of supernumerary teeth. A comprehensive lit-erature review was also undertaken.

Methods. A longitudinal retrospective study was carried out at the Royal Liverpool Children’s Hos-pital. A total of 120 patients were identified from the general anesthesia records that had supernumer-aries extracted. Only 43 cases had delayed eruption of teeth caused by supernumeraries. The pre and post extraction record data collected were the gender, radiographic assessment, position of the super-numerary, age at time of referral and extraction of the supernumerary, age at time of eruption of the impacted tooth and the orthodontic and surgical management.

Results. The mean age of referral was 9.1 years with a male to female ratio of 4.4:1. There was a greater predilection for supernumeraries to be on the left side and be positioned palatally. Tuberculate type supernumeraries were the most frequent followed by the conical type. Spontaneous eruption of the impacted tooth occurred in 49% of cases. Eruption of the impacted tooth within eighteen months following removal of the supernumerary was observed in 91% of cases. The chronological age and space availability were the two factors that were critical in determining if eruption was spontaneous following removal of the supernumerary.

Conclusions. The findings of this study reiterates the fact that given early referral, sufficient space and time, the majority of teeth prevented from erupting by a supernumerary tooth would erupt spon-taneously following removal of the supernumerary alone. Randomized multi-centre prospective stud-ies are suggested.

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Leila Leyland,Puneet Batra,F Wong,R Llewelyn. A retrospective evaluation of the eruption of impacted permanent incisors after extraction of supernumerary teeth. Journal of Clinical Pediatric Dentistry. 2006. 30(3);225-232.

References

1. Primosch RE. Anterior supernumerary teeth-assessment and surgical intervention in children. Pediatr Dent;3:204–215. 1981

2. Brin I, Zilberman Y, Azaz B. The unerupted maxillary central incisor: review of its etiology and treatment. ASDC J Dent Child;49(5):352–357. 1982

3. Mitchell L, Bennett TG. Supernumerary teeth causing delayed eruption- A retrospective study. Br J Orthod;19:41-46. 1992

4. Howard RD. The unerupted incisor. A study of the post-eruptive history of incisors delayed in their eruption by supernumerary teeth. Dent Practit;17:332–341.1967

5. Gregg TA, Kinirons MJ. The effect of the position and orienta-tion of unerupted supernumerary teeth on eruption and dis-placement of permanent incisors. Int J Pediatr Dent;1:3–7. 1991

6. Ravn JJ, Fibaek B. Impaction of central incisors associated with supernumerary teeth. Dent Abstr-16:568. 1971

7. Nazif MM, Ruffalo RC, Zullo T. Impacted supernumerary teeth: a survey of 50 cases. JADA;106:201–4. 1983

8. Mason C, Azam N, Holt RD, Rule DC. A retrospective study of unerupted maxillary incisors associated with supernumerary teeth. Br J Oral Maxillofac Surg;38:62–65. 2000

9. Tay F, Pang A, Yuen S. Unerupted maxillary anterior supernu-merary teeth: report of 204 cases. ASDC J Dent Child;51:289–294. 1984

10. Hurlen B, Humerfelt D. Characteristics of premaxillary hyper-dontia. A radiographic study. Acta Odontol Scand;43:75–81. 1985

11. Sadano HO, Gorlin R. Familial occurrence of mesiodens. Oral Surg Oral Med Oral Pathol;27:360–2. 1969

12. Rajab LD, Hamdan MAM. Supernumerary teeth: review of lit-erature and a survey of 152 cases. Int J Pediatr Dent;12:244–254. 2002

13. Grahnen H, Lindahl B. Supernumerary teeth in the permanent dentition. Odontol Revy;12:290–294. 1961

14. Von Arx T. Anterior maxillary supernumerary teeth: a clinical and radiographic study. Aust Dent J;37:189–195. 1992

15. Levine N. The clinical management of supernumerary teeth. J Can Dent Assoc; 28:297–303. 1962

16. Taylor GS. Characteristics of supernumerary teeth in the prima-ry and permanent dentition. Dent Practit;22:203–208. 1972

17. Liu JF. Characteristics of premaxillary supernumerary teeth: a survey of 112 cases. ASDC J Dent Child ;62:262–265. 1995

18. Di Biase DD. Midline supernumeraries and eruption of maxil-lary central incisor. Dent Practit;20:35–40. 1969

19. Foster TD, Taylor GS. Characteristics of supernumerary teeth in the upper central incisor region. Dent Pract;20:95–108. 1969

20. Hattab FN, Yassin OM, Rawashdeh MA. Supernumerary teeth: Report of three cases and review of literature. ASDC J Dent Child;61:382–393. 1994

21. Garvey MT, Barry HJ, Blake M. Supernumerary teeth- an overview of the classification, diagnosis and management. J Can Dent Assoc;65:612–616. 1999

22. Patchett CL, Crawford PJM, Cameron AC, Stephens CD. The management of supernumerary teeth in childhood—a retrospec-tive study of practice in Bristol Dental Hospital England and Westmead Dental Hospital, Sydney, Australia. Int J Pediatr Dent;11:259–265. 2001

23. Batra P, Duggal R, Kharbanda OP, Parkash H. Orthodontic treat-ment of impacted anterior teeth due to odontomes: report of two cases. J Clin Pediatr Dent; 28:289–294. 2004

24. Day RCB. Supernumerary teeth in the premaxillary region. Br Dent J;116:304–8. 1964

25. Gardiner JH. Supernumerary teeth. Dent Practit;20:8-12. 1969

26. Munns D. Unerupted incisors. Br J Orthod;8:39–42. 1981

27. Luten JR. The prevalence of supernumerary teeth in primary and mixed dentition. J Dent Child;34:346–353. 1967

28. Bergstrom K. An orthopantomographic study of hypodontia, supernumeraries and other anomalies in school children between the ages of 8-9 years. Swed Dent J 1:145–157. 1977

29. Munro D. Supernumerary teeth in the permanent and deciduous dentitions. Br Dent J;93:321–322. 1952

30. Mason C, Rule DC, Hopper C. Multiple supernumeraries: the importance of clinical and radiographic followup. Dentomaxillofac Radiol;25:109–113. 1996

31. Javinen S. Supernumerary and congenitally missing permanent upper anterior teeth in seven year old Finnish children. Proc Finn Dent Soc;72:99–102. 1976

32. Howard RD. Maxillary anterior displacement and impaction in the mixed dentition. DCNA;22:635–645. 1978

33. Scheiner MA, Sampson WJ. Supernumerary teeth: a review of the literature and four case reports. Aust Dent J;42:160–165. 1997

34. Davis PJ. Hypodontia and hyperdontia of permanent teeth in Hong Kong school children. Community Dent Oral Epidemiol;15:218–220. 1987

35. Bodenham RS. The treatment and prognosis of unerupted max-illary incisors associated with the presence of supernumerary teeth. Br Dent J;123:173–7. 1967

36. Burke PH. Eruptive movements of permanent central incisors after surgical exposure. Trans Eur Orthod Soc;39:251–64. 1963

37. Di Biase DD. The management of mid-line supernumeraries. J Int Assoc Dent Child;2:21–26. 1971

38. Stoy PJ. Unerupted permanent central incisors and their relation to supernumerary teeth. Dent Res;74:48–51. 1954

39. Mills JRE. Principles and practice of orthodontics. 2nd edition, Churchill Livingstone, Edinburgh.

40. Jones JW, Hussain J. Management of the unerupted incisor. Dent Update;23:36–39. 1996

41. McDonald F, Yap WL. The surgical exposure and application of direct traction of unerupted teeth.Am J Orthod;89:331–340. 1986

42. As quoted in: Koch H, Schwartz O, Klausen B. Indications for surgical removal of supernumerary teeth in the premaxilla. Int J Maxillofac Surg;15:273–281. 1986

43. Koch H, Schwatrz O, Klausen B. Indications for surgical removal of supernumerary teeth in the premaxilla. Int J Oral Maxillofac Surg;15:273–281. 1986

44. Witsenburg B, Boering G. Eruption of impacted permanent upper incisors after removal of supernumerary teeth. J Oral Surg;10:423–431. 1981

45. Zilberman Y, Malron M, Shteyer A. Assessment of 100 children in Jerusalem with supernumerary teeth in the premaxillary region. ASDC J Dent Child;61: 44–47. 1994

46. Betts A, Camilleri GE. A review of 47 cases of unerupted maxil-lary incisors. Int J Pediatr Dent;9:277–284. 1999

47. Nik-Hussein NN. Supernumerary teeth in the premaxillary region: its effects on the eruption and occlusion of permanent incisors. Aust J Orthod;11:247–250. 1990

48. Linehan CF, Richardson AR. Delayed eruption of central incisor teeth. J Ir Dent Assoc;13:5–9. 1974

49. Hogstrum A, Andersson L. Complications related to surgical removal of anterior supernumerary teeth teeth in children. ASDC J Dent Child ;54:341–343. 1987

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