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Investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study

PURPOSE: The purpose of this study was to investigate the impacted supernumerary teeth which were initially detected on panoramic radiographs by using cone beam computed tomography (CBCT). MATERIALS AND METHODS: In this retrospective study, supernumerary teeth diagnosed on panoramic radiographs take...

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Autores principales: Gurler, Gokhan, Delilbasi, Cagri, Delilbasi, Evren
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Istanbul University Faculty of Dentisty 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624141/
https://www.ncbi.nlm.nih.gov/pubmed/29114426
http://dx.doi.org/10.17096/jiufd.20098
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author Gurler, Gokhan
Delilbasi, Cagri
Delilbasi, Evren
author_facet Gurler, Gokhan
Delilbasi, Cagri
Delilbasi, Evren
author_sort Gurler, Gokhan
collection PubMed
description PURPOSE: The purpose of this study was to investigate the impacted supernumerary teeth which were initially detected on panoramic radiographs by using cone beam computed tomography (CBCT). MATERIALS AND METHODS: In this retrospective study, supernumerary teeth diagnosed on panoramic radiographs taken from patients who had admitted for routine dental treatment were evaluated using CBCT. Patients’ age, gender, systemic conditions as well as number of supernumerary teeth, unilateral-bilateral presence, anatomical localization (maxilla, mandible, anterior-premolar-molar, mesiodens-lateral-canine, parapremolar-paramolar-distomolar) shape (rudimentary, supplemental, tuberculate, odontoma), position (palatal-lingual-buccal-labial-central), shortest distance between the tooth and adjacent cortical plate, complications and treatment were assessed. RESULTS: A total of 47 impacted supernumerary teeth in 34 patients were investigated in this study. Of these, 33 (70.2%) were unilateral and 14 (29.8%) were bilateral. Only 1 supernumerary tooth was found in 27 patients (79.4%) whereas 7 patients (20.6%) had 2 or more supernumerary teeth. Most of the teeth located in the anterior region (74.4%) of the jaws and maxilla (74.4%). Twenty teeth (42.5%) were mesiodens, 11 (23.4%) were lateral or canine, 14 (29.7%) were parapremolar and 2(4.4%) were distomolar. Twenty-seven teeth (57.4%) were rudimentary, 15 (31.9%) were supplemental and 5 (10.7%) were odontoma in shape. The shortest distance between the supernumerary tooth and adjacent cortical plate varied between 0 to 2.5 mm with a mean of 0.66 mm. The most common clinical complaint was the non-eruption of permanent teeth (42.5%). All supernumerary teeth were removed under local anesthesia. Orthodontic traction was performed for those impacted permanent teeth if necessary. CONCLUSION: Impacted supernumerary teeth are usually in close proximity to cortical bone. Although this may facilitate surgical access, there is a risk of damaging surrounding anatomical structures. Therefore, CBCT evaluation of impacted supernumerary teeth for accurate planning is recommended.
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spelling pubmed-56241412017-11-07 Investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study Gurler, Gokhan Delilbasi, Cagri Delilbasi, Evren J Istanb Univ Fac Dent Articles PURPOSE: The purpose of this study was to investigate the impacted supernumerary teeth which were initially detected on panoramic radiographs by using cone beam computed tomography (CBCT). MATERIALS AND METHODS: In this retrospective study, supernumerary teeth diagnosed on panoramic radiographs taken from patients who had admitted for routine dental treatment were evaluated using CBCT. Patients’ age, gender, systemic conditions as well as number of supernumerary teeth, unilateral-bilateral presence, anatomical localization (maxilla, mandible, anterior-premolar-molar, mesiodens-lateral-canine, parapremolar-paramolar-distomolar) shape (rudimentary, supplemental, tuberculate, odontoma), position (palatal-lingual-buccal-labial-central), shortest distance between the tooth and adjacent cortical plate, complications and treatment were assessed. RESULTS: A total of 47 impacted supernumerary teeth in 34 patients were investigated in this study. Of these, 33 (70.2%) were unilateral and 14 (29.8%) were bilateral. Only 1 supernumerary tooth was found in 27 patients (79.4%) whereas 7 patients (20.6%) had 2 or more supernumerary teeth. Most of the teeth located in the anterior region (74.4%) of the jaws and maxilla (74.4%). Twenty teeth (42.5%) were mesiodens, 11 (23.4%) were lateral or canine, 14 (29.7%) were parapremolar and 2(4.4%) were distomolar. Twenty-seven teeth (57.4%) were rudimentary, 15 (31.9%) were supplemental and 5 (10.7%) were odontoma in shape. The shortest distance between the supernumerary tooth and adjacent cortical plate varied between 0 to 2.5 mm with a mean of 0.66 mm. The most common clinical complaint was the non-eruption of permanent teeth (42.5%). All supernumerary teeth were removed under local anesthesia. Orthodontic traction was performed for those impacted permanent teeth if necessary. CONCLUSION: Impacted supernumerary teeth are usually in close proximity to cortical bone. Although this may facilitate surgical access, there is a risk of damaging surrounding anatomical structures. Therefore, CBCT evaluation of impacted supernumerary teeth for accurate planning is recommended. Istanbul University Faculty of Dentisty 2017-10-02 /pmc/articles/PMC5624141/ /pubmed/29114426 http://dx.doi.org/10.17096/jiufd.20098 Text en Copyright © 2017 Journal of Istanbul University Faculty of Dentistry This article is licensed under Creative Commons License Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license ( (https://creativecommons.org/licenses/by-nc-nd/4.0/) ). Users must give appropriate credit, provide a link to the license, and indicate if changes were made. Users may do so in any reasonable manner, but not in any way that suggests the journal endorses its use. The material cannot be used for commercial purposes. If the user remixes, transforms, or builds upon the material, he/she may not distribute the modified material. No warranties are given. The license may not give the user all of the permissions necessary for his/her intended use. For example, other rights such as publicity, privacy, or moral rights may limit how the material can be used.
spellingShingle Articles
Gurler, Gokhan
Delilbasi, Cagri
Delilbasi, Evren
Investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study
title Investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study
title_full Investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study
title_fullStr Investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study
title_full_unstemmed Investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study
title_short Investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study
title_sort investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624141/
https://www.ncbi.nlm.nih.gov/pubmed/29114426
http://dx.doi.org/10.17096/jiufd.20098
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