The aim of this study was to characterize dental anomalies. The pretreatment records (photographs and radiographs) of 2897 patients (41.4% males and 58.6% females) were utilized to detect dental anomalies. The dental anomalies studied were related to number, size and shape, position, and eruption. A Chi-square test was carried out to detect associations between dental anomalies, jaw, and sex. A total of 1041 (36%) of the subjects manifested at least one dental anomaly. The prevalence of all dental anomalies was jaw-dependent and greater in the maxilla, except for submerged and transmigrated teeth. The most frequently missing teeth were the maxillary lateral incisor (62.3%) and the mandibular second premolars (60.6%). The most frequent supernumerary teeth were the incisors in the maxilla (97%) and the first premolars in the mandible (43%). Dental anomalies are more frequent in the maxilla and mainly involve the anterior teeth; in the mandible, however, it is the posterior teeth. These differences can be attributed to the evolutionary history of the jaws and their diverse development patterns.
(1) Background: Tooth agenesis is one of the most common developmental dental anomalies often affecting the maxillary incisors area and premolar regions. (2) Purpose: The aim of this study was to assess the prevalence and distribution of permanent tooth agenesis and the associated dental abnormalities among orthodontically treated children. (3) Materials and Methods: This study was carried out utilizing 3000 pretreatment records of children who underwent orthodontic treatment, 1780 (59%) females and 1220 (41%) males, aged 10–25 years (mean age 15 years). Tooth agenesis and other dental anomalies were surveyed using their panoramic radiographs, according to gender, pattern, and location. The level of statistical significance was set at p < 0.05 using t-test or Chi-Square tests. (4) Results: The total number of missing teeth, excluding third molars, was 518 (17%) found in 326 (11%) children. The majority were the maxillary lateral incisors, which was 176 teeth (34%) (p < 0.05). Of them, 111 (63%) were in females, and 65 (37%) were in males. The second most common missing tooth was mandibular second premolars, which was 137 teeth (26%), followed by missing 73 (14%) maxillary second premolars. Impacted teeth had the highest associated dental anomaly prevalence (14.3%), while transposition showed the lowest anomaly prevalence (0.5%). (5) Conclusions: A prevalence of 11% for tooth agenesis was detected in this study. More teeth were missing in the maxilla compare with the mandible. A significant association was found between missing maxillary lateral incisors and missing premolars (p < 0.05). Associated dental anomalies included an increased number of peg-shaped maxillary lateral incisors, palatally displaced and impacted maxillary canines, ectopic teeth, and infra-occluded (submerged) primary second molars.
1 January 2019 in Journal of Clinical Pediatric Dentistry
Background: Supernumerary teeth are one of the most common anomalies in the human dentition, found most frequently in the maxillary anterior region causing impaction or displacement of the adjacent permanent teeth. Aim :The purpose of this retrospective study was to determine the prevalence and characteristics of supernumerary teeth in orthodontically treated patients. Study design: Pre-treatment facial and intraoral photographs, study models, panoramic and periapical radiographs of 3,000 consecutively treated orthodontic patients (mean age 12.2 years) from the Department of Orthodontics Tel Aviv University, were examined to detect supernumerary teeth in both arches. They were recorded according to gender, age, number, location, position and morphology. Results: Thirty-six patients, 22 (61%) males and 14 (39%) females with 50 supernumerary teeth, of which 42 (84%) were found in the maxillary anterior region, and 8 (16%) in the mandible, presenting a prevalence of 1.2%. Conclusions: A prevalence of 1.2% was found in our study. The most common supernumerary tooth is mesiodens located at the maxillary anterior region. The characteristics of supernumeraries were based on their morphology, location and position. The most frequent complications caused were rotations, displacement and arrested eruption of maxillary incisors.
1 January 2018 in Journal of Clinical Pediatric Dentistry
Supernumerary teeth are the most common developmental dental anomalies in the maxillary anterior region causing interference to the developing permanent incisors resulting in poor dental and facial esthetics. Two different opinions regarding the timing for surgical removal of the supernumerary teeth are presented. In this case report, three brothers with supernumerary teeth in the maxillary anterior region are presented, their surgical and orthodontic management and outcome are discussed.
29 June 2018 in Community Dentistry and Oral Epidemiology
(1) Background: tooth agenesis is a very common dental anomaly of the human dentition most often affecting the maxillary anterior region, mandibular and maxillary premolar regions. (2) Purpose: the present study was aimed to evaluate the prevalence and patterns between bilateral and unilateral tooth agenesis among orthodontic individuals and to illustrate the treatment options for missing teeth and the outcome. (3) Materials and methods: Pre-treatment records, photographs and radiographs, of 3000 consecutively treated orthodontic individuals from the post-graduate clinic of Tel Aviv University were surveyed to detect permanent tooth agenesis in either dental arch. The data was recorded according to gender, and location and quantified between unilateral and bilateral agenesis. Descriptive and comparative statistical analysis were performed with t-test and Chi-square test (p < 0.05). (4) Results: permanent teeth agenesis, excluding third molars, was found in 326 individuals (11%), 139 males (43%) and 187 females (57%). Of them, 59% were missing in the maxilla and (41%) were missing in the mandible. A higher prevalence rate of bilateral missing lateral incisors in the maxilla (62 cases), followed by bilateral missing second premolars in the mandible (44 cases) compared with unilateral missing teeth. (5) Conclusions: this study found an overall prevalence of missing permanent teeth in orthodontic patients to be 11%. The female: male prevalence ratio was roughly 3:2, with a greater tendency in the maxilla than in the mandible. A higher prevalence of bilateral missing maxillary lateral incisors and mandibular second premolar than unilateral missing teeth.
About Me
Yehoshua Shapira is Clinical Associate Professor, Department of Orthodontics, Tel Aviv University School of Dental Medicine.
Yehoshua Shapira is Clinical Associate Professor, Department of Orthodontics, Tel Aviv University School of Dental Medicine.