Evaluation of Complications Related to Supernumerary Teeth with Cone Beam Computer Tomography

Abstract

Objectives: The aim of this retrospective study was to evaluate the complications associated with supernumerary teeth (ST) using cone beam computed tomography (CBCT). Materials and Methods: CBCT images of patients in all age groups who applied to Marmara University Faculty of Dentistry, Department of Oral and Maxillofacial Radiology, between 2018-2023, were retrospectively evaluated. Images with ST were detected and complications related to ST were evaluated based on the presence of resorption, malposition, impaction of the adjacent teeth and pathological formations (such as cysts or tumors). The relationship between ST-related complications and ST morphology was evaluated. Statistical analyzes of the data were evaluated using the SPSS package program. Statistical significance was accepted as p<0.05. Results: SD were found to cause malposition (%39.3), impaction (%13), resorption (%3.8) and pathological formations (%1.3) of adjacent teeth at different rates. A statistically significant relationship was found between the morphology and complications (p<0.001). Conclusions: The risk of complications was higher in tuberculate and supplemental morphologies, dentists should pay attention in prognosis and treatment planning in these morphologies of ST. The most common complications associated with ST were malposition and impaction of adjacent teeth. This indicates a high need for orthodontic treatment in patients with ST.

Keywords

• supernumerary teeth
• cone beam computer tomography
• complications
• morphology
• radiology

Süpernümerer Dişlerle İlişkili Komplikasyonların Konik Işınlı Bilgisayarlı Tomografi ile Değerlendirilmesi

Abstract

Amaç: Bu retrospektif çalışmanın amacı, süpernümerer dişlerle (SD) ilişkili komplikasyonları konik ışınlı bilgisayarlı tomografi (KIBT) ile değerlendirmektir. Gereç ve Yöntemler: 2018-2023 yılları arasında Marmara Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Radyolojisi Anabilim Dalı'na başvuran tüm yaş gruplarındaki hastaların KIBT görüntüleri retrospektif olarak değerlendirildi. SD içeren görüntüler tespit edildi ve SD ile ilişkili komplikasyonlar; komşu dişlerde rezorpsiyon, malpozisyon, gömülü kalma ve patolojik oluşumların (kist, tümör gibi) varlığına göre değerlendirildi. SD ile ilişkili komplikasyonlar ve SD morfolojisi arasındaki ilişki değerlendirildi. Verilerin istatistiksel analizleri SPSS programı kullanılarak değerlendirildi. İstatistiksel anlamlılık p<0,05 olarak kabul edildi. Bulgular: SD’nin komşu dişlerde farklı oranlarda malpozisyona (%39,3), gömülü kalmaya (%13), rezorpsiyona (%3,8) ve patolojik oluşumlara (%1,3) neden olduğu bulundu. Morfoloji ile komplikasyonlar arasında istatistiksel olarak anlamlı bir ilişki bulundu (p<0,001). Sonuçlar: Tüberkülat ve suplemental morfolojideki dişlerde komplikasyon riski daha yüksektir, diş hekimleri bu SD morfolojilerine prognoz ve tedavi planlamasında dikkat etmelidir. SD ile ilgili en yaygın komplikasyonlar, malpozisyon ve komşu dişte gömülü kalmadır. Bu durum SD’li hastalarda ortodontik tedavi ihtiyacının yüksek olduğunu gösterir.

Keywords

• süpernümerer dişler
• konik ışınlı bilgisayarlı tomografi
• komplikasyonlar
• morfoloji
• radyoloji

References

1. Anthonappa RP, King NM, Rabie AB. Aetiology of supernumerary teeth: a literature review. Eur Arch Paediatr Dent. 2013;14(5):279-288.
2. Anthonappa RP, Omer RS, King NM. Characteristics of 283 supernumerary teeth in southern Chinese children. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(6):e48-54.
3. Ata-Ali F, Ata-Ali J, Peñarrocha-Oltra D, Peñarrocha-Diago M. Prevalence, etiology, diagnosis, treatment and complications of supernumerary teeth. J Clin Exp Dent. 2014;6(4):e414-418.
4. Bereket C, Çakir-Özkan N, Şener İ, Bulut E, Baştan A. Analyses of 1100 supernumerary teeth in a nonsyndromic Turkish population: A retrospective multicenter study. Niger Clin Pract. 2015;18(6):731-738.
5. Cammarata-Scalisi F, Avendaño A, Callea M. Main genetic entities associated with supernumerary teeth. Arch Argent Pediatr. 2018;116(6):437-444.
6. Demiriz L, Durmuşlar MC, Mısır AF. Prevalence and characteristics of supernumerary teeth: A survey on 7348 people. J Int Soc Prev Community Dent. 2015;5(Suppl 1):S39-43.
7. Fardi A, Kondylidou-Sidira A, Bachour Z, Parisis N, Tsirlis A. Incidence of impacted and supernumerary teeth-a radiographic study in a North Greek population. Med Oral Patol Oral Cir Bucal. 2011;16(1):e56-61.
8. 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.

9. Fleming PS, Xavier GM, DiBiase AT, Cobourne MT. Revisiting the supernumerary: the epidemiological and molecular basis of extra teeth. Br Dent J. 2010;208(1):25-30.
10. Garcés-Ortíz LM, Salcido-García JF, Hernández-Flores F, Garcés-Ortíz M. Multiple supernumeraries in a non-syndromic patient. J Clin Pediatr Dent. 2012;37(2):193-197.
11. Garvey MT, Barry HJ, Blake M. Supernumerary teeth--an overview of classification, diagnosis and management. J Can Dent Assoc. 1999;65(11):612-616.
12. Gurgel CV, Costa AL, Kobayashi TY, Rios D, Silva SM, Machado MA, et al. Cone beam computed tomography for diagnosis and treatment planning of supernumerary teeth. Gen Dent. 2012;60(3):e131-135.
13. Hadziabdic N, Haskic A, Mujkic A, Hasic-Brankovic L, Dzankovic A, Korac S, et al. Epidemiological, Clinical and Radiographic Features of Supernumerary Teeth in Nonsyndromic Bosnian and Herzegovinian Population: a Monocentric Study. Med Arch. 2022;76(5):348-353.
14. Jiang Y, Ma X, Wu Y, Li J, Li Z, Wang Y, et al. Epidemiological, clinical, and 3-dimentional CBCT radiographic characterizations of supernumerary teeth in a non-syndromic adult population: a single-institutional study from 60,104 Chinese subjects. Clin Oral Investig. 2020;24(12):4271-4281.
15. Kapila S, Conley RS, Harrell WE, Jr. The current status of cone beam computed tomography imaging in orthodontics. Dentomaxillofac Radiol. 2011;40(1):24-34.
16. Leco Berrocal MI, Martín Morales JF, Martínez González JM. An observational study of the frequency of supernumerary teeth in a population of 2000 patients. Med Oral Patol Oral Cir Bucal. 2007;12(2):E134-138.
17. Liu DG, Zhang WL, Zhang ZY, Wu YT, Ma XC. Three-dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(3):403-411.
18. Ma X, Jiang Y, Ge H, Yao Y, Wang Y, Mei Y, et al. Epidemiological, clinical, radiographic characterization of non-syndromic supernumerary teeth in Chinese children and adolescents. Oral Dis. 2021;27(4):981-992.
19. Mallineni SK. Supernumerary Teeth: Review of the Literature with Recent Updates. Conference Papers in Science. 2014;2014:764050.
20. Mossaz J, Kloukos D, Pandis N, Suter VG, Katsaros C, Bornstein MM. Morphologic characteristics, location, and associated complications of maxillary and mandibular supernumerary teeth as evaluated using cone beam computed tomography. Eur J Orthod. 2014;36(6):708-718.
21. Nematolahi H, Abadi H, Mohammadzade Z, Soofiani Ghadim M. The Use of Cone Beam Computed Tomography (CBCT) to Determine Supernumerary and Impacted Teeth Position in Pediatric Patients: A Case Report. J Dent Res Dent Clin Dent Prospects. 2013;7(1):47-50.
22. Park SY, Jang HJ, Hwang DS, Kim YD, Shin SH, Kim UK, et al. Complications associated with specific characteristics of supernumerary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;130(2):150-155.
23. Parolia A, Kundabala M, Dahal M, Mohan M, Thomas MS. Management of supernumerary teeth. J Conserv Dent. 2011;14(3):221-224.
24. Primosch RE. Anterior supernumerary teeth--assessment and surgical intervention in children. Pediatr Dent. 1981;3(2):204-215.
25. 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.
26. Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc. 2006;72(1):75-80.
27. Seremet M. [Supernumerary teeth--hyperdontia]. Acta Stomatol Croat. 1974;8(4):184-188.
28. Shah A, Gill DS, Tredwin C, Naini FB. Diagnosis and management of supernumerary teeth. Dent Update. 2008;35(8):510-512, 514-516, 519-520.
29. Subasioglu A, Savas S, Kucukyilmaz E, Kesim S, Yagci A, Dundar M. Genetic background of supernumerary teeth. Eur J Dent. 2015;9(1):153-158.
30. Syriac G, Joseph E, Rupesh S, Philip J, Cherian SA, Mathew J. Prevalence, Characteristics, and Complications of Supernumerary Teeth in Nonsyndromic Pediatric Population of South India: A Clinical and Radiographic Study. J Pharm Bioallied Sci. 2017;9(Suppl 1):S231-s236.
31. Wang D, He X, Wang Y, Li Z, Zhu Y, Sun C, et al. External root resorption of the second molar associated with mesially and horizontally impacted mandibular third molar: evidence from cone beam computed tomography. Clin Oral Investig. 2017;21(4):1335-1342.