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PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH

Year 2024, Volume: 33 Issue: 2, 217 - 223, 25.07.2024
https://doi.org/10.34108/eujhs.1394029

Abstract

In the present retrospective study, it was aimed to analyze the physiological effects of impacted mesiodens on adjacent teeth with dental and chronological age determination in cone beam computed tomography (CBCT). In the study, 68 CBCT images were examined. Two groups were formed, including 34 individuals with mesiodens (mesiodens group) and 34 without mesiodens (control group).Dental age and chronological age were compared in both groups. Demirjian's method was utilized to determine the dental age. The position and location of mesiodens were categorized. Statistical analysis was performed withSPSS software version 18.0(Chicago, IL, USA). Median diastema was seen in 16 cases (47.10%) in the mesiodens group. The mesiodens was most commonly impacted in the palatal (76.50%, n=26) and vertical (n= 19, 55.90%) position. There were significant differences between the incisor tooth development scores of the groups (p= 0.047 and p= 0.030, respectively). While the prevalence of H score of bilateral incisors in the control group (88.20% for both incisors) was higher than that of the mesiodens group (58.20% for both incisors), the G score was higher in the mesiodens group (20.60% and 23.50%) than in the control group (2.90% for both teeth). Mesiodens can delay root development of adjacent teeth.For this reason, extraction of these teeth may be considered in the early period to avoid affecting adjacent teeth and anatomical structures. It may also cause erroneous calculations in dental age determination. This situation should be taken into account in terms of forensic dentistry.

References

  • Roychoudhury A, Gupta Y, Parkash H. Mesiodens: a retrospective study of fifty teeth. J Indian Soc Pedod Prev Dent. 2001;18:144-146.
  • Ferrés-Padró E, Prats-Armengol J, Ferrés-Amat E. A descriptive study of 113 unerupted supernumerary teeth in 79 pediatric patients in Barcelona. Med Oral Patol Oral Cir Bucal. 2009;14(3):E146-E152.
  • Dash JK, Sahoo PK, Das S, Mohanty UK. Prevalence of supernumerary teeth in deciduous and mixed dentition. J Indian Soc Pedod Prev Dent. 2003;21(1):37-41.
  • Gallas MM, García A. Retention of permanent incisors by mesiodens: a family affair. Britishdental journal. 2000;188(2):63-64.doi:10.1038/sj.bdj.4800390
  • Fernández Montenegro P, Valmaseda Castellón E, Berini Aytés L, Gay Escoda C. Retrospective study of 145 supernumerary teeth. Med Oral Patol Oral Cir Bucal. 2006;11(4):E339-344.
  • Tuna EB, Kurklu E, Gencay K, Ak G. Clinical and radiological evaluation of inverse impaction of supernumerary teeth. Med Oral Patol Oral Cir Bucal. 2013;18(4):e613-e618. doi:10.4317/medoral.18877
  • Ahammed H, Seema T, Deepak C, Ashish J. Surgical Management of Impacted Supernumerary Tooth: A Case Series. Int J Clin Pediatr Dent. 2021;14(5):726-729. doi:10.5005/jp-journals-10005-2008
  • Sharma A. Familial occurence of mesiodens--a case report. J Indian Soc Pedod Prev Dent. 2003;21(2):84-85.
  • Gregg TA, Kinirons MJ. The effect of the position and orientation of unerupted premaxillary supernumerary teeth on eruption and displacement of permanent incisors. Int J Paediatr Dent. 1991;1(1):3-7.doi:10.1111/j.1365-263x.1991.tb00314.x
  • Seehra J, Mortaja K, Wazwaz F, Papageorgiou SN, Newton JT, Cobourne MT. Interventions to facilitate the successful eruption of impacted maxillary incisor teeth due to the presence of a supernumerary: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2023;163(5):594-608. doi:10.1016/j.ajodo.2023.01.004
  • Khdairi N, Halilah T, Khandakji MN, Jost-Brinkmann PG, Bartzela T. The adaptation of Demirjian's dental age estimation method on North German children. Forensic Sci Int. 2019;303:109927. doi:10.1016/j.forsciint.2019.109927
  • Savita JK, Kumar BNY, Mamatha N. Teeth as age estimation tool in children and adolescents. 2017.doi:10.15713/ins.jmrps.101
  • Singh N, Grover N, Puri N, Singh S, Arora S. Age estimation from physiological changes of teeth: A reliable age marker? J Forensic Dent Sci. 2014;6(2):113-121.doi:10.4103/0975-1475.132541
  • Barham M, Okada S, Hisatomi M, et al. Influence of mesiodens on adjacent teeth and the timing of its safe removal. Imaging Sci Dent.2022;52(1):67-74.doi:10.5624/isd.20210218
  • Maber M, Liversidge H, Hector M. Accuracy of age estimation of radiographic methods using developing teeth. Forensic Sci Int.2006;159:S68-S73.doi: 10.1016/j.forsciint.2006.02.019
  • Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973;45(2):211-227.
  • Liversidge HM. The assessment and interpretation of Demirjian, Goldstein and Tanner's dental maturity. Ann Hum Biol. 2012;39(5):412-431. doi:10.3109/03014460.2012.716080
  • Hegde S, Patodia A, Dixit U. The applicability of the original and revised Demirjian standards to age estimations of 5-15 year old Indian children. J Forensic Odontostomatol. 2018;36(1):1-13.
  • Altunsoy M, Nur BG, Akkemik O, Ok E, Evcil MS. Applicability of the Demirjian method for dental age estimation in western Turkish children. Acta Odontol Scand. 2015;73(2):121-125. doi:10.3109/00016357.2014.956333
  • Bittencourt MV, Cericato G, Franco A, Girão R, Lima APB, Paranhos L. Accuracy of dental development for estimating the pubertal growth spurt in comparison to skeletal development: a systematic review and meta-analysis. Dentomaxillofac Radiol. 2018;47(4):20170362. doi:10.1259/dmfr.20170362
  • Celik S, Zeren C, Celikel A, Yengil E, Altan A. Applicability of the Demirjian method for dental assessment of southern Turkish children.J Forensic Leg Med. 2014;25:1-5.doi:10.1016/j.jflm.2014.04.006
  • Rinaldi MRL, de Lima EM, de Menezes LM, Rizzatto SMD, Matje PRB, Ribeiro RVP. Eruption rates of lower second premolars at different development stages evaluated with cone-beam computed tomography. Angle Orthod. 2017;87(4):570-575.doi:10.2319/071116-548.1
  • Tay F, Pang A, Yuen S. Unerupted maxillary anterior supernumerary teeth: report of 204 cases. ASDC J Dent Child.1984;51(4):289-294.
  • Nik-Hussein NN. Supernumerary teeth in the premaxillary region: its effects on the eruption and occlusion of the permanent incisors. Aust Orthod J.1990;11(4):247-250.
  • Bodin I, Julin P, Thomsson M. Hyperodontia. III. Supernumerary anterior teeth. Dentomaxillofac Radiol. 1981;10(1):35-42.doi:10.1259/dmfr.1981.0006
  • Lustmann J, Bodner L. Dentigerous cysts associated with supernumerary teeth. Int J Oral Maxillofac Surg.1988;17(2):100-102.doi:10.1016/s0901-5027(88)80159-0
  • von Arx T. Anterior maxillary supernumerary teeth: a clinical and radiographic study. Aust Dent J.1992;37(3):189-195.doi:10.1111/j.1834-7819.1992.tb00741.x
  • Kim Y, Jeong T, Kim J, Shin J, Kim S. Effects of mesiodens on adjacent permanent teeth: a retrospective study in Korean children based on cone-beam computed tomography. Int J Paediatr Dent. 2018;28(2):161-169.doi:10.1111/ipd.12317
  • Mason C, Azam N, Holt RD, Rule DC. A retrospective study of unerupted maxillary incisors associated with supernumerary teeth. Br J Oral Maxillofac Surg.2000;38(1):62-65.doi:10.1054/bjom.1999.0210
  • Ersin NK, Candan U, Alpoz AR, Akay C. Mesiodens in primary, mixed and permanent dentitions: a clinical and radiographic study. J Clin Pediatr Dent.2004;28(4):295-298.doi:10.17796/jcpd.28.4.0k2w2734hp76x541
  • Smailiene D, Sidlauskas A, Bucinskiene J. Impaction of the central maxillary incisor associated with supernumerary teeth: initial position and spontaneous eruption timing. Stomatologija. 2006;8(4):103-107.
  • Liu JF. Characteristics of premaxillary supernumerary teeth: a survey of 112 cases.ASDC J Dent Child. 1995;62(4):262-265.
  • Rajab LD, Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases.Int J Paediatr Dent.2002;12(4):244-254.doi:10.1046/j.1365-263x.2002.00366.x
  • Jung YH, Kim JY, Cho BH. The effects of impacted premaxillary supernumerary teeth on permanent incisors. Imaging Sci Dent.2016;46(4):251-258.doi:10.5624/isd.2016.46.4.251
  • Rubenstein LK, Lindauer SJ, Isaacson RJ, Germane N. Development of supernumerary premolars in an orthodontic population. Oral Surg Oral Med Oral Pathol. 1991;71(3):392-395.doi:10.1016/0030-4220(91)90324-6
  • Saini T, Keene JJ, Jr., Whetten J. Radiographic diagnosis of supernumerary premolars: case reviews. ASDC J Dent Child. 2002;69(2):184-190, 125.
  • Mallineni SK, Jayaraman J, Wong HM, King NM. Dental development in children with supernumerary teethin the anterior region of maxilla.Clin Oral Investig.2019;23:2987-2994.doi:10.1007/s00784-018-2709-2

GÖMÜLÜ MEZİODENSLERİN KOMŞU DİŞLERİN GELİŞİMİ ÜZERİNDEKİ FİZYOLOJİK ETKİLERİ

Year 2024, Volume: 33 Issue: 2, 217 - 223, 25.07.2024
https://doi.org/10.34108/eujhs.1394029

Abstract

Bu retrospektif çalışmada, Konik Işınlı Bilgisayarlı Tomografide (KIBT) gömülü meziodenslerin komşu dişler üzerindeki fizyolojik etkilerinin dental vekronolojik yaştayini ile analiz edilmesi amaçlanmıştır. Çalışmada 68 KIBT görüntüsü incelendi. 34 meziodensi olan (meziodens grubu) ve 34 meziodensi olmayan birey (control grubu) olmak üzere iki grup oluşturuldu. Diş yaşı ve kronolojik yaş her iki grupta karşılaştırıldı. Diş yaşını belirlemek için Demirjian yöntemi kullanıldı. Meziodenslerin pozisyonu ve konumu categorize edildi. İstatistiksel analiz SPSS yazılımı sürüm 18.0 (Chicago, IL, ABD) ile yapıldı. Meziodens grubunda 16 (%47.10) olguda orta hatta diastema görüldü. Meziodens en sık palatinal konumda (%76.50, n=26) ve vertikal (n= 19, %55.90) pozisyonda görüldü. Grupların kesici diş gelişim skorları arasında anlamlı fark vardı (sırasıyla p= 0.047 ve p= 0.030). Kontrol grubunda bilateral kesici dişlerin H skoru prevelansı (her iki kesici dişi çin %88.20) meziodens grubundan (her iki kesici diş için %58.20) daha yüksek iken, G skoru meziodens grubunda control grubuna göre (%20.60 ve %23.50) daha yüksekti (Her iki diş için %2.90). Meziodens komşu dişlerin kök gelişimini geciktirebilir. Bu nedenle komşu dişlerin ve anatomic yapıların etkilenmemesi için erken dönemde bu dişlerin çekimi düşünülebilir. Diş yaşı tespitinde de hatalı hesaplamalara neden olabilir. Bu durum adli diş hekimliği açısından dikkate alınmalıdır.

References

  • Roychoudhury A, Gupta Y, Parkash H. Mesiodens: a retrospective study of fifty teeth. J Indian Soc Pedod Prev Dent. 2001;18:144-146.
  • Ferrés-Padró E, Prats-Armengol J, Ferrés-Amat E. A descriptive study of 113 unerupted supernumerary teeth in 79 pediatric patients in Barcelona. Med Oral Patol Oral Cir Bucal. 2009;14(3):E146-E152.
  • Dash JK, Sahoo PK, Das S, Mohanty UK. Prevalence of supernumerary teeth in deciduous and mixed dentition. J Indian Soc Pedod Prev Dent. 2003;21(1):37-41.
  • Gallas MM, García A. Retention of permanent incisors by mesiodens: a family affair. Britishdental journal. 2000;188(2):63-64.doi:10.1038/sj.bdj.4800390
  • Fernández Montenegro P, Valmaseda Castellón E, Berini Aytés L, Gay Escoda C. Retrospective study of 145 supernumerary teeth. Med Oral Patol Oral Cir Bucal. 2006;11(4):E339-344.
  • Tuna EB, Kurklu E, Gencay K, Ak G. Clinical and radiological evaluation of inverse impaction of supernumerary teeth. Med Oral Patol Oral Cir Bucal. 2013;18(4):e613-e618. doi:10.4317/medoral.18877
  • Ahammed H, Seema T, Deepak C, Ashish J. Surgical Management of Impacted Supernumerary Tooth: A Case Series. Int J Clin Pediatr Dent. 2021;14(5):726-729. doi:10.5005/jp-journals-10005-2008
  • Sharma A. Familial occurence of mesiodens--a case report. J Indian Soc Pedod Prev Dent. 2003;21(2):84-85.
  • Gregg TA, Kinirons MJ. The effect of the position and orientation of unerupted premaxillary supernumerary teeth on eruption and displacement of permanent incisors. Int J Paediatr Dent. 1991;1(1):3-7.doi:10.1111/j.1365-263x.1991.tb00314.x
  • Seehra J, Mortaja K, Wazwaz F, Papageorgiou SN, Newton JT, Cobourne MT. Interventions to facilitate the successful eruption of impacted maxillary incisor teeth due to the presence of a supernumerary: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2023;163(5):594-608. doi:10.1016/j.ajodo.2023.01.004
  • Khdairi N, Halilah T, Khandakji MN, Jost-Brinkmann PG, Bartzela T. The adaptation of Demirjian's dental age estimation method on North German children. Forensic Sci Int. 2019;303:109927. doi:10.1016/j.forsciint.2019.109927
  • Savita JK, Kumar BNY, Mamatha N. Teeth as age estimation tool in children and adolescents. 2017.doi:10.15713/ins.jmrps.101
  • Singh N, Grover N, Puri N, Singh S, Arora S. Age estimation from physiological changes of teeth: A reliable age marker? J Forensic Dent Sci. 2014;6(2):113-121.doi:10.4103/0975-1475.132541
  • Barham M, Okada S, Hisatomi M, et al. Influence of mesiodens on adjacent teeth and the timing of its safe removal. Imaging Sci Dent.2022;52(1):67-74.doi:10.5624/isd.20210218
  • Maber M, Liversidge H, Hector M. Accuracy of age estimation of radiographic methods using developing teeth. Forensic Sci Int.2006;159:S68-S73.doi: 10.1016/j.forsciint.2006.02.019
  • Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973;45(2):211-227.
  • Liversidge HM. The assessment and interpretation of Demirjian, Goldstein and Tanner's dental maturity. Ann Hum Biol. 2012;39(5):412-431. doi:10.3109/03014460.2012.716080
  • Hegde S, Patodia A, Dixit U. The applicability of the original and revised Demirjian standards to age estimations of 5-15 year old Indian children. J Forensic Odontostomatol. 2018;36(1):1-13.
  • Altunsoy M, Nur BG, Akkemik O, Ok E, Evcil MS. Applicability of the Demirjian method for dental age estimation in western Turkish children. Acta Odontol Scand. 2015;73(2):121-125. doi:10.3109/00016357.2014.956333
  • Bittencourt MV, Cericato G, Franco A, Girão R, Lima APB, Paranhos L. Accuracy of dental development for estimating the pubertal growth spurt in comparison to skeletal development: a systematic review and meta-analysis. Dentomaxillofac Radiol. 2018;47(4):20170362. doi:10.1259/dmfr.20170362
  • Celik S, Zeren C, Celikel A, Yengil E, Altan A. Applicability of the Demirjian method for dental assessment of southern Turkish children.J Forensic Leg Med. 2014;25:1-5.doi:10.1016/j.jflm.2014.04.006
  • Rinaldi MRL, de Lima EM, de Menezes LM, Rizzatto SMD, Matje PRB, Ribeiro RVP. Eruption rates of lower second premolars at different development stages evaluated with cone-beam computed tomography. Angle Orthod. 2017;87(4):570-575.doi:10.2319/071116-548.1
  • Tay F, Pang A, Yuen S. Unerupted maxillary anterior supernumerary teeth: report of 204 cases. ASDC J Dent Child.1984;51(4):289-294.
  • Nik-Hussein NN. Supernumerary teeth in the premaxillary region: its effects on the eruption and occlusion of the permanent incisors. Aust Orthod J.1990;11(4):247-250.
  • Bodin I, Julin P, Thomsson M. Hyperodontia. III. Supernumerary anterior teeth. Dentomaxillofac Radiol. 1981;10(1):35-42.doi:10.1259/dmfr.1981.0006
  • Lustmann J, Bodner L. Dentigerous cysts associated with supernumerary teeth. Int J Oral Maxillofac Surg.1988;17(2):100-102.doi:10.1016/s0901-5027(88)80159-0
  • von Arx T. Anterior maxillary supernumerary teeth: a clinical and radiographic study. Aust Dent J.1992;37(3):189-195.doi:10.1111/j.1834-7819.1992.tb00741.x
  • Kim Y, Jeong T, Kim J, Shin J, Kim S. Effects of mesiodens on adjacent permanent teeth: a retrospective study in Korean children based on cone-beam computed tomography. Int J Paediatr Dent. 2018;28(2):161-169.doi:10.1111/ipd.12317
  • Mason C, Azam N, Holt RD, Rule DC. A retrospective study of unerupted maxillary incisors associated with supernumerary teeth. Br J Oral Maxillofac Surg.2000;38(1):62-65.doi:10.1054/bjom.1999.0210
  • Ersin NK, Candan U, Alpoz AR, Akay C. Mesiodens in primary, mixed and permanent dentitions: a clinical and radiographic study. J Clin Pediatr Dent.2004;28(4):295-298.doi:10.17796/jcpd.28.4.0k2w2734hp76x541
  • Smailiene D, Sidlauskas A, Bucinskiene J. Impaction of the central maxillary incisor associated with supernumerary teeth: initial position and spontaneous eruption timing. Stomatologija. 2006;8(4):103-107.
  • Liu JF. Characteristics of premaxillary supernumerary teeth: a survey of 112 cases.ASDC J Dent Child. 1995;62(4):262-265.
  • Rajab LD, Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases.Int J Paediatr Dent.2002;12(4):244-254.doi:10.1046/j.1365-263x.2002.00366.x
  • Jung YH, Kim JY, Cho BH. The effects of impacted premaxillary supernumerary teeth on permanent incisors. Imaging Sci Dent.2016;46(4):251-258.doi:10.5624/isd.2016.46.4.251
  • Rubenstein LK, Lindauer SJ, Isaacson RJ, Germane N. Development of supernumerary premolars in an orthodontic population. Oral Surg Oral Med Oral Pathol. 1991;71(3):392-395.doi:10.1016/0030-4220(91)90324-6
  • Saini T, Keene JJ, Jr., Whetten J. Radiographic diagnosis of supernumerary premolars: case reviews. ASDC J Dent Child. 2002;69(2):184-190, 125.
  • Mallineni SK, Jayaraman J, Wong HM, King NM. Dental development in children with supernumerary teethin the anterior region of maxilla.Clin Oral Investig.2019;23:2987-2994.doi:10.1007/s00784-018-2709-2
There are 37 citations in total.

Details

Primary Language English
Subjects Oral and Maxillofacial Radiology, Forensic Medicine
Journal Section Research Article
Authors

Merve Yar 0000-0001-8604-8029

Nurşat Türker 0000-0003-4546-846X

Duygu Göller Bulut 0000-0003-4260-2520

Deniz Yaman 0000-0002-1492-6897

Early Pub Date July 22, 2024
Publication Date July 25, 2024
Submission Date November 21, 2023
Acceptance Date May 21, 2024
Published in Issue Year 2024 Volume: 33 Issue: 2

Cite

APA Yar, M., Türker, N., Göller Bulut, D., Yaman, D. (2024). PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH. Sağlık Bilimleri Dergisi, 33(2), 217-223. https://doi.org/10.34108/eujhs.1394029
AMA Yar M, Türker N, Göller Bulut D, Yaman D. PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH. JHS. July 2024;33(2):217-223. doi:10.34108/eujhs.1394029
Chicago Yar, Merve, Nurşat Türker, Duygu Göller Bulut, and Deniz Yaman. “PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH”. Sağlık Bilimleri Dergisi 33, no. 2 (July 2024): 217-23. https://doi.org/10.34108/eujhs.1394029.
EndNote Yar M, Türker N, Göller Bulut D, Yaman D (July 1, 2024) PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH. Sağlık Bilimleri Dergisi 33 2 217–223.
IEEE M. Yar, N. Türker, D. Göller Bulut, and D. Yaman, “PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH”, JHS, vol. 33, no. 2, pp. 217–223, 2024, doi: 10.34108/eujhs.1394029.
ISNAD Yar, Merve et al. “PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH”. Sağlık Bilimleri Dergisi 33/2 (July 2024), 217-223. https://doi.org/10.34108/eujhs.1394029.
JAMA Yar M, Türker N, Göller Bulut D, Yaman D. PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH. JHS. 2024;33:217–223.
MLA Yar, Merve et al. “PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH”. Sağlık Bilimleri Dergisi, vol. 33, no. 2, 2024, pp. 217-23, doi:10.34108/eujhs.1394029.
Vancouver Yar M, Türker N, Göller Bulut D, Yaman D. PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH. JHS. 2024;33(2):217-23.