Infected Supernumerary or Supplemental Tooth.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 2
Abstract
Aim: To present a case report of a 12 year old male child of an infected supplemental tooth present in premaxillary region. Case Report: A 12 year male patient reported with pain in left upper front region since 1 week. Extraoral and intraoral examination was done, on palpation there was pain and gingiva was soft in consistency with respect to 23.On radiolographic investigation a supplemental tooth was found which was blocked by lateral and canine. It was the reason for pain and crowding in upper arch. Treatment planning was done and the supplemental tooth was extracted and fixed orthodontic mechanotherapy. Discussion: A supernumerary tooth is a developmental anomaly which develops most frequently in premaxillary region. Generally the supplemental teeth are not infected; they grow normally but causes crowding in the arch. Hence extracting supplemental tooth is the best choice of treatment. The frequency is high in permanent dentition rather than deciduous. But in deciduous dentition these teeth get missed and rarely diagnosed. Conclusion: Aesthetics and function are two important parameters in modern dentistry. Clinicians should always make an accurate diagnosis for both simple and complex dental pathologies by the help of radiographs or any other means of investigation. Early identification and an appropriate treatment plan minimize the potential complications of it. Supernumerary tooth defined as any tooth or tooth substances in excess of the usual configuration of 20 deciduous and 32 permanent teeth. (Schulze C 1970). These teeth have a variety as single or multiple, unilateral or bilateral any location in the arch with highest affinity towards premaxilla. Supernumerary teeth are mostly classified on position and its form. They were first described in 23 and 79 AD.1Supernumerary tooth classified on the basis of morphology by Bush [1897]: - Conic: tooth of a small volume and conic form, its root is short and palatine. - Tubercolate: tooth with several cusps. Its root is short and hooked. - Infundibulform: tooth with a funnel form. Its root is short and conic. Tomes [1873], classified as - Supplemental: tooth characterized by the same form and function of adjacent teeth with no anatomical differences and Supernumerary: tooth characterized by an unusual anatomic form and generally smaller than normal.2.
Authors and Affiliations
Dr. Shalini Dixit
Keywords
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