Maryam Johari¹, Zahra Sadat Madani² and Fateme Aghaee³*

¹Assistant Professor, Department of Oral and Maxillofacial Radiology Babol University of Medical Sciences, Babol, Iran
²Associate Professor of Endodontics, Department of Endodontics, School of Dentistry, Babol University of Medical Sciences, Babol, Iran
³Postgraduate Student, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran

*Corresponding Author: Fateme Aghaee, Postgraduate Student, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran.

Received: July 15, 2022; Published: August 16, 2022

Abstract

Supernumerary teeth are denoted as those in addition to the normal number of permanent or deciduous dentitions. They may occur anywhere in the dental arch and lead to many aesthetic and functional problems. Dilated odontoma is the most severe form of dens invaginatus. Dens invaginatus is a developmental malformation that occurs due to infolding the enamel into dentine. This invagination can cause pulp necrosis and periapical lesion. In this rare case there is a fused supernumerary tooth associated with dilated odontoma in the anterior mandible, which is detected accurately by clinical features and radiographs, particularly Cone-Beam Computed Tomography (CBCT).

Keywords: Cone Beam Computed Tomography; Pulp Necrosis; Supernumerary Teeth; Microdontia; Dens Invaginatus

References

1. Primosch RE. “Anterior supernumerary teeth assessment and surgical intervention in children”. Pediatric Dentistry 3 (1981): 204-214.
2. Gibson N. “A late developing mandibular premolar supernumerary tooth”. Australian Dental Journal 46 (2001): 51-52.
3. Umweni AA and Osunbor GE. “Non-syndrome multiple supernumerary teeth in Nigerians”. Odonto-stomatologie Tropicale 25 (2002): 43-48. 
4. Rajab LD and Hamdan MA. “Supernumerary teeth: Review of the literature and a survey of 152 cases”. International Journal of Paediatric Dentistry 12 (2002): 244-254.
5. Martínez González JG and Ortiz Orrego G. “Prevalencia de dientes supernumerarios”. CES Odontología 1 (2003): 79-84.
6. Matsusue Y., et al. “A dilated odontoma in the second molar region of the mandible”. The Open Dentistry Journal 5 (2011): 150-153.
7. Crincoli V., et al. “Dens invaginatus: A qualitative-quantitative analysis. Case report of an upper second molar”. Ultrastructural Pathology 34 (2010): 7-15.
8. Sanjay M Mallya and Ernest WN Lam. "White and pharoh`s oral radiology”. 8^th Amsterdam: Elsevier (2019): 345-346.
9. Oehlers FAC. “Dens invaginatus (dilated composite odontome)”. Oral Surgery, Oral Medicine, Oral Pathology 10 (1957): 1204-1218. 
10. Kallianpur S., et al. “Dens invaginatus (Type III B)”. Journal of Oral and Maxillofacial Pathology 16 (2012): 262.
11. Jaya R., et al. “A rare case of dilated invaginated odontome with talon cusp in a permanent maxillary central incisor diagnosed by cone beam computed tomography”. Imaging Science in Dentistry 43 (2013): 209-213.
12. Meghana S and Thejokrishna P. “Type III dens invaginatus with an associated cyst: a case report and literature review”. International Journal of Clinical Pediatric Dentistry 4 (2011): 139-141.
13. Simões FXPC., et al. “Prevalence of supernumerary teeth in orthodontic patients from Southwestern Brazil”. International Journal of Odontostomatology 5 (2011): 199-202.
14. Sykaras SN. “Mesiodens in primary and permanent dentitions. Report of a case”. Oral Surgery, Oral Medicine, Oral Pathology 39 (1975): 870-874.
15. Pindborg JJ. “Pathology of Dental Hard tissues”. 1^st edition”. Philadelphia: WB Saunders company (1970): 26-33.
16. Wall A., et al. “The value of cone beam CT in assessing and managing a dilated odontome of a maxillary canine”. Dental Update 42 (2015): 126-128.
17. Bansal M., et al. “A rare presentation of dens in dente in the mandibular third molar with extra oral sinus”. Journal of Oral and Maxillofacial Pathology 14 (2010): 80.
18. Arsenault M., et al. “Facial cellulitis secondary to dens invaginatus: a case report”. Journal of the Canadian Dental Association 76 (2010): a114.
19. Mishra S., et al. “A type III dens invaginatus with unusual helical CT and histologic findings: a case report”. Journal of Clinical and Diagnostic Research 6 (2012): 1606-1609.
20. Sulabha AN and Sameer C. “Association of Mesiodentes and Dens Invaginatus in a Child: A Rare Entity”. Case Reports in Dentistry (2012): 198032.
21. Pallivathukal RG., et al. “Dens invaginatus in a geminated maxillary lateral incisor”. Case Reports (2015): bcr2015209672.

Citation

Citation: Fateme Aghaee., et al. “A Fused Supernumerary Tooth Associated with Dilated Odontoma". Acta Scientific Dental Sciences 6.9 (2022): 29-32.

Copyright

Copyright: © 2022 Fateme Aghaee., 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.