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A case of five mandibular incisors

From Volume 44, Issue 8, September 2017 | Pages 787-792

Authors

Madhumitha Natarajan

MDS

Associate Professor, Department of Orthodontics, Manipal College of Dental Sciences, Karnataka, India

Articles by Madhumitha Natarajan

Bharath Rao

MDS

Associate Professor, Department of Oral Biology, Faculty of Dentisty, Melaka Manipal Medical College (MMMC), Manipal University, Manipal, Karnataka, India

Articles by Bharath Rao

Arun S Urala

MDS

(Associate Professor), Department of Orthodontics, K D Dental College & Hospital, Mathura, Uttar Pradesh, India

Articles by Arun S Urala

Abstract

Abstract: Supernumeraries in the mandible is a rare phenomenon with a prevalence of 1% and varied aetiology. An additional mandibular incisor is a common clinical finding. Diagnosis is purely by clinical evaluation and a decision to extract or retain such teeth is critical in treatment planning. This is a case report of a 14-year-old female patient with forwardly placed front teeth. Intra-oral examination revealed a lingually erupting mandibular incisor. Diagnosis of the mandibular incisor supernumerary and its management will be discussed.

CPD/Clinical Relevance: Differentiating a supplemental incisor can be quite challenging.

Article

Supernumerary teeth may be single or multiple, unilateral or bilateral, and may occur in one or both jaws. The incidence of supernumerary is 1–3% and most occur in the maxillary anterior region, followed by maxillary molars, and the (maxillary/mandibular) premolars.1

Multiple supernumerary teeth are often found in syndromes such as cleidocranial dyostosis, Gardner's syndrome and cleft lip and palate. However, the occurrence of a supernumerary tooth is rare in the incisor region of the mandible. The first case of bilateral supernumerary mandibular incisors was reported by Tanaka et al in Japan.2 Bodin et al examined 21,609 patients and found 422 supernumerary teeth, of which only four were seen in the mandibular incisor region.3 Locht studied the radiographs of 704 children and found no cases of supernumerary teeth in the anterior part of the mandible.4

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