Harshita Gupta¹, Gurkeerat Singh²*, Varun Goyal³, Sridhar Kannan³, Raj Kumar Singh⁴, Anu Rathi¹ and Ritu Gupta¹

¹1BDS, Postgraduate Resident, Department of Orthodontics and Dentofacial Orthopaedics, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
²BDS, MDS, M Orth Diplomat, Indian Board of Orthodontics (IBO), Vice Principal, Professor and Head, Department of Orthodontics and Dentofacial Orthopaedics, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
³BDS, MDS, Professor, Department of Orthodontics and Dentofacial Orthopaedics, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India
⁴BDS, MDS, Associate Professor, Department of Orthodontics and Dentofacial Orthopaedics, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India

*Corresponding Author: Gurkeerat Singh, BDS, MDS, M Orth Diplomat, Indian Board of Orthodontics (IBO), Vice Principal, Professor and Head, Department of Orthodontics and Dentofacial Orthopaedics, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.

Received: November 22, 2021; Published: December 23, 2021

Abstract

The occurrence of hypodontia, hyperdontia as well as impaction of teeth in the same individual is a rarely seen condition in dental practice. Thorough clinical and radiographical examination are essential in adequate treatment planning of such patients. This case report presents an unusual case of a nineteen-year-old male with the congenital agenesis of bimaxillary central incisors, with concomitant presence of a supernumerary tooth as well as impaction of canine having bifid roots. The condition has been reported to as concomitant hypo-hyperdontia. The erupted or unerupted tooth present in the anterior region of the jaws might cause aesthetic and/or functional problems. In this paper, the awareness about such condition; its diagnosis and treatment planning have been discussed in relation to the limited number of previously reported cases.

Keywords: Tooth Abnormalities; Hypodontia; Hypo-hyperdontia; Tooth Agenesis; Impaction

References

1. Wise GE., et al. “Cellular, molecular, and genetic determinants of tooth eruption”. Critical Reviews in Oral Biology and Medicine 4 (2002): 323-334.
2. Eshgian N., et al. “Prevalence of hyperdontia, hypodontia, and concomitant hypo-hyperdontia”. Journal of Dental Science2 (2021): 713-717.
3. Rakhshan V. “Congenitally missing teeth (hypodontia): A review of the literature concerning the etiology, prevalence, risk factors, patterns and treatment”. Journal of Dental Science1 (2015): 1-13.
4. Soni HK., et al. “An orthopantomographic study of prevalence of hypodontia and hyperdontia in permanent dentition in Vadodara, Gujarat”. Indian Journal of Dental Science 29 (2018): 529-533.
5. Polder B., et al. “A meta-analysis of the prevalence of dental agenesis of permanent teeth”. Community Dental and Oral Epidemiology 32 (2004): 217-226.
6. “Concomitant hypodontia and hyperodontia. Case report”. British Dental Journal 123.7 (1967): 338-339.
7. Nathanail P. Letter to the editor. British Dental Journal 129 (1970): 309.
8. Gibson ACL. “Concomitant Hypo-hyperodontia”. British Journal of Orthodology2 (1979): 101-105.
9. Porumb A., et al. “A rare case of bilateral agenesis of central lower incisors associated with upper impacted canine- A case report”. Iran Journal of Public Health3 (2016): 381-386.
10. Acerbi AG., et al. “Prevalence of numeric anomalies in the permanent dentition of patients with Down syndrome”. Special care in Dentistry2 (2001): 75-78.
11. Mallineni S., et al. “Concomitant occurrence of hypohyperdontia in a patient with Marfan syndrome: a review of the literature and report of a case”. Journal of Investigation Clinical Dentistry4 (2012): 253-257.
12. Matsumoto M., et al. “Simultaneous presence of a congenitally missing premolar and supernumerary incisor in the same jaw: report of case”. ASDC Journal of Dentistry for Children1 (2001): 63-66.
13. Sharma A. “A rare non-syndrome case of concomitant multiple supernumerary teeth and partial anodontia”. Journal of Clinical Pediatric Dentistry 2 (2002): 167-169.
14. Oliveira L., et al. “Radiographic diagnosis of supernumerary teeth: Report of six unusual cases”. Journal of Dentisrty for Children2 (2002): 175-179.
15. El-Bahannasawy E and Fung D. “Missing C, supplemental D and supplemental premolar all in one quadrant: a case report”. International Journal of Paediatric Dentistry 6 (2004): 461-464.
16. Patchett C., et al. “C2 Management of a patient exhibiting concomitant supernumerary teeth and hypodontia”. International Journal of Paediatric Dentistry 16 (2006): 3.
17. Anthonappa R., et al. “Hypohyperdontia: literature review and report of seven cases”. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology Endodontology5 (2008): e24-e30.
18. Sharma A. “A rare case of concomitant hypo-hyperdontia in identical twins”. Journal of Indian Society of Pedodontics and Preventive Dentistry 6 (2008): 79-81.
19. Varela M., et al. “Non-syndromic concomitant hypodontia and supernumerary teeth in an orthodontic population”. European Journal of Orthodontics 6 (2009): 632-637.
20. Nuvvula S., et al. “Hypohyperdontia: Agenesis of three third molars and mandibular centrals associated with midline supernumerary tooth in mandible”. Contemporary Clinical Dentistry 3 (2010): 136-141.
21. Nagaveni NB., et al. “Concomitant mandibular hypo-hyperdontia : Report of two rarest cases with the literature review”. International Journal of Contemporary Dental and Medical Reviews 6 (2015): 1-6.
22. Marya CM., et al. “Mandibular midline supernumerary tooth associated with agenesis of permanent central incisors: a diagnostic conundrum”. Baltic Dental and Maxillofacial Journal 14.2 (2012): 65-68.
23. Verma KG., et al. “Case report: A rare occurrence of non-syndromic hypo-hyperdontia in the mandibular anterior region”. European Archives of Paediatric Dentistry 13 (2012): 47-49.
24. Nirmala S., et al. “Pre-maxillary hypo-hyperdontia : Report of a rare case”. Romanian Journal of Morphology and Embryology 54 (2013): 443-445.
25. Gupta S and Popat H. “A Clinical Report of Nonsyndromic Concomitant Hypo-Hyperdontia”. Case Reports in Dentistry (2013).
26. Sawai MA. “Concomitant supernumerary tooth with partial anodontia in the mandibular anterior region: A nonsyndromic rare condition”. Dental and Medical Research 4 (2016): 54-56.
27. Tewari N., et al. “Concomitant hypodontia and hyperdontia: A report of two cases”. National Journal of Maxillofacial Surgery1 (2017): 75-77.
28. Kariya PB., et al. “Bimaxillary concomitant hypohyperdontia in a 10-year-old child”. BMJ Case Report (2017).
29. Bharti C., et al. “Bi-Maxillary Hyper-Hypodontia : A Unique Case Report with Review of Literature”. Journal of Morphology and Anatomy1 (2018): 113.
30. Sharma A and Sharma S. “A unique case of nonsyndromic concomitant hypodontia and multiple supernumerary teeth with talon cusps”. International Journal of Health and Allied Sciences 7 (2018): 55-57.
31. Pandey N. “Nonsyndromic concomitant Hypo-Hyperdontia: Report of a rare case”. Clinical Dentistry 8 (2019): 18-21.
32. Hlaing Ei Ei Hsu., et al. “Orthodontic management of a non-syndromic patient with concomitant bimaxillary hypohyperdontia: a case report”. Dental Press Journal of Orthodontics 1 (2020): 36-46.
33. Raina P and Goje S. “A novel case report of impacted mandibular canine with bifid roots”. International Journal of Integrated Health Sciences 8 (2020): 86-90.
34. Mallineni S., et al. “A comprehensive review of the literature and data analysis on hypo-hyperdontia”. The Journal of Oral Science (2014): 295-302.
35. Matalova E., et al. “Tooth agenesis: from molecular genetics to molecular dentistry”. Journal of Dental Research7 (2008): 617-623.
36. Juuri E and Balic A. “The biology underlying abnormalities of tooth number in humans”. Journal of Dental Research11 (2017): 1248-1256.
37. Gökkaya B., et al. “Prevalence and characteristics of non-syndromic hypodontia among Turkish orthodontic patient population”. J Int Soc Prev Community Dent3 (2015): 170.
38. Montesinos F., et al. “Accelerated osteogenic orthodontics^TM for retreatment of a patient with diminished root length and absence of the maxillary central incisor”. Saudi Dental Journal 27 (2015): 228-234.
39. Russell K and Folwarczana M. “Mesiodens - diagnosis and management of a common supernumerary tooth”. Journal of the Canadian Dental Association 69 (2003): 362-366.
40. Peck S., et al. “No Title”. American Journal of Orthodontics and Dentofacial Orthopedics6 (2002): 657-660.
41. Dachi S and Howell F. “A survey of 3 874 routine full- month radiographs. II. A study of impacted teeth”. Oral Surgery, Oral Medicine, Oral Pathology 14 (1961): 1165-1169.
42. Thilander B and Myrberg N. “The prevalence of malocclusion in Swedish schoolchildren”. European Journal of Oral Sciences 1 (1973): 12-20.

Citation

Citation: Gurkeerat Singh., et al. “Bimaxillary Agenesis of Central Incisors Along with Impaction of Canine having Bifid Roots - A Rare Case Report". Acta Scientific Dental Sciences 6.1 (2022): 68-74.

Copyright

Copyright: © 2022 Gurkeerat Singh., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.