Volume 22 Issue 6
Jun.  2024
Turn off MathJax
Article Contents
CHENG Xu, WU Xiaoting, WANG Yinlong. A retrospective analysis of 395 cases of non-syndromic supernumerary teeth in the anterior maxilla[J]. Chinese Journal of General Practice, 2024, 22(6): 971-974. doi: 10.16766/j.cnki.issn.1674-4152.003546
Citation: CHENG Xu, WU Xiaoting, WANG Yinlong. A retrospective analysis of 395 cases of non-syndromic supernumerary teeth in the anterior maxilla[J]. Chinese Journal of General Practice, 2024, 22(6): 971-974. doi: 10.16766/j.cnki.issn.1674-4152.003546

A retrospective analysis of 395 cases of non-syndromic supernumerary teeth in the anterior maxilla

doi: 10.16766/j.cnki.issn.1674-4152.003546
Funds:

 2108085QH335

  • Received Date: 2023-12-12
    Available Online: 2024-07-22
  •   Objective  Polydontia is a common disease in which the number of teeth increases due to abnormal tooth development. Clinically, polydontia can be classified into syndromic and non-syndromic types based on whether it is associated with systemic diseases, with the former being rare. This study discusses the clinical characteristics, imaging findings, and treatment methods of non-syndromic polydontia in the anterior maxillary region, providing references and a basis for clinical diagnosis, treatment, and research.  Methods  A total of 395 patients with polydontia in the anterior maxillary region treated at the Department of Oral and Maxillofacial Surgery of Anhui Medical University Affiliated Stomatological Hospital from January 2019 to June 2023 were selected. Retrospective analysis was conducted on the patients' personal data, clinical manifestations, imaging examinations, surgical plans, etc. Statistical analysis of the data was performed using SPSS 22.0 software.  Results  This study included 395 patients with polydontia in the anterior maxillary region, totaling 551 supernumerary teeth. The number of male patients was higher than that of female patients, with 293 male patients and 102 female patients, a male-to-female ratio of 2.87∶1. The ages of the patients ranged from 3 to 45 years old. Single supernumerary teeth were the most common, with 256 cases, accounting for 64.81%. Most patients presented during the mixed dentition period, with 251 cases, accounting for 63.54%. The most common shapes of supernumerary teeth were conical and nodular, totaling 529 teeth, accounting for 96.01%. The most common positional relationship with adjacent teeth was inversion, with 264 teeth, accounting for 47.91%. The most common surgical approach was through the palatal side, with 292 cases, accounting for 73.92%.  Conclusion  Non-syndromic maxillary anterior teeth are asymptomatic, with a few clinical manifestations such as impacted teeth and widened dental space, and are more common in children during their transitional period. Male patients are more common than female patients. High impacted teeth are the most common, and the palatal approach is often used for surgery.

     

  • loading
  • [1]
    SEEHRA J, MORTAJA K, WAZWAZ F, et al. Interventions to facilitate the successful eruption of impacted maxillary incisor teeth due to the presence of a supernumerary: a systematic review and meta-analysis[J]. Am J Orthod Dentofacial Orthop, 2023, 163(5): 594-608. doi: 10.1016/j.ajodo.2023.01.004
    [2]
    余椤. 口腔锥形束CT在上颌埋伏牙诊断中的应用价值[J]. 中国社区医师, 2023, 39(21): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202321028.htm

    YU L. Application value of dental cone beam CT in diagnosis of maxillary embedded teeth[J]. Chinese Community Doctors, 2023, 39(21): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202321028.htm
    [3]
    HUA W H, GAN Z Q, WU Y K, et al. Identification of a novel missense mutation in non-syndromic familial multiple supernumerary teeth[J]. Arch Oral Biol, 2022, 143: 105542. DOI: 10.1016/j.archoralbio.2022.105542.
    [4]
    周航天, 张志宏. 儿童正中多生牙位置与并发症的相关性研究[J]. 中国医刊, 2021, 56(3): 329-331. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI202103029.htm

    ZHOU H T, ZHANG Z H. A study on the correlation between the position of median supernumerary teeth and complications in children[J]. Chinese Journal of Medicine, 2021, 56(3): 329-331. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI202103029.htm
    [5]
    MLADENOVIC R, ARSIC Z, VELICKOVIC S, et al. Assessing the efficacy of AI segmentation in diagnostics of nine supernumerary teeth in a pediatric patient[J]. Diagnostics (Basel), 2023, 13(23): 3563. DOI: 10.3390/diagnostics13233563.
    [6]
    张春霞. 锥形束CT在儿童上颌前牙区多生牙定位中的应用价值[J]. 医疗装备, 2022, 35(9): 35-36, 39. https://www.cnki.com.cn/Article/CJFDTOTAL-YLZB202209011.htm

    ZHANG C X. Application value of cone beam CT in the positioning of supernumerary teeth in children's maxillary anterior area[J]. Medical Equipment, 2022, 35(9): 35-36, 39. https://www.cnki.com.cn/Article/CJFDTOTAL-YLZB202209011.htm
    [7]
    王冠. 锥形束CT结合微创技术与传统技术拔除上颌埋伏多生牙的临床效果分析[J]. 中国社区医师, 2021, 37(7): 60-61. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202107029.htm

    WANG G. Analysis of clinical effect of CBCT combined with minimally invasive technique and traditional technique in extraction of impacted supernumerary teeth[J]. Chinese Community Doctors, 2021, 37(7): 60-61. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202107029.htm
    [8]
    THOTE K, DEEPA J, PRASAD B V, et al. Multiple developmental dental anomalies in a nonsyndromic patient: a rare case report[J]. J Pharm Bioallied Sci, 2023, 15(Suppl 1): S810-S813. DOI: 10.4103/jpbs.jpbs_521_22.
    [9]
    刘婷, 张伟伟, 程艺, 等. 多位置多形态多生牙1例报道并文献回顾[J]. 中国实用口腔科杂志, 2022, 15(3): 378-380. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSKQ202203026.htm

    LIU T, ZHANG W W, CHENG Y, et al. Supernumerary tooth with different morphologies at multiple positions: report of one case and literature review[J]. Chinese Journal of Practical Stomatology, 2022, 15(3): 378-380. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSKQ202203026.htm
    [10]
    高青, 吴明, 刘璐, 等. 辽宁省6~11岁儿童口腔健康情况及其龋病发生的家庭知晓率情况分析[J]. 中华全科医学, 2023, 21(5): 878-881, 899. doi: 10.16766/j.cnki.issn.1674-4152.003005

    GAO Q, WU M, LIU l, et al. Analysis of oral health status and household awareness rate of dental caries among children aged 6-11 years in Liaoning Province[J]. Chinese Journal of General Practice, 2023, 21(5): 878-881, 899. doi: 10.16766/j.cnki.issn.1674-4152.003005
    [11]
    贺佳倩, 丘美霞. 上颌中切牙萌出异常的局部病因学分析[J]. 中国社区医师, 2022, 38(16): 24-26. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202216008.htm

    HE J Q, QIU M X. Etiological analysis of local cause for anomaly of maxillary central incisors eruption[J]. Chinese Community Doctors, 2022, 38(16): 24-26. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202216008.htm
    [12]
    贺莉丹, 阙国鹰. 非综合征性多生牙的研究进展[J]. 北京口腔医学, 2023, 31(1): 73-76. https://www.cnki.com.cn/Article/CJFDTOTAL-BJKX202301017.htm

    HE L D, QUE G Y. A review on nonsyndromic supernumerary teeth[J]. Beijing Journal of Stomatology, 2023, 31(1): 73-76. https://www.cnki.com.cn/Article/CJFDTOTAL-BJKX202301017.htm
    [13]
    刘晓琳, 王泽琛, 任群, 等. 119颗后牙区多生牙临床资料分析[J]. 中国口腔颌面外科杂志, 2023, 21(3): 243-247. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKQ202303006.htm

    LIU X L, WANG Z C, REN Q, et al. Clinical data analysis of 119 supernumerary teeth in posterior teeth area[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(3): 243-247. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKQ202303006.htm
    [14]
    MAIHEMAITI M, AINIWAER A, WANG L. A clinical study of the piezosurgery, high-speed contra-angle handpiece, and the combined application of both for extraction of embedded supernumerary teeth[J]. BMC Oral Health, 2023, 23(1): 147. DOI: 10.1186/s12903-023-02829-y.
    [15]
    陈云, 曹灵, 王雅欣, 等. 815颗儿童上颌多生牙的回顾性分析[J]. 口腔医学, 2023, 43(8): 717-721. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX202308009.htm

    CHEN Y, CAO L, WANG Y X, et al. A retrospective study on 815 maxillary supernumerary teeth in children[J]. Stomatology, 2023, 43(8): 717-721. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYX202308009.htm
    [16]
    郑佳佳, 丁美丽, 吴佳琪, 等. 儿童非综合征型上颌前牙区多生牙X线片回顾性分析[J]. 口腔医学研究, 2022, 38(7): 622-627. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYZ202207008.htm

    ZHENG J J, DING M L, WU J Q, et al. Characteristics of supernumerary teeth in maxillary anterior region among children without syndrome: a radiographic study[J]. Journal of Oral Science Research, 2022, 38(7): 622-627. https://www.cnki.com.cn/Article/CJFDTOTAL-KQYZ202207008.htm
    [17]
    刘鹏, 李宏伟, 张同韩, 等. CBCT辅助下应用超声骨刀行儿童上颌埋伏多生牙拔除术临床研究[J]. 中国美容医学, 2021, 30(8): 146-149. https://www.cnki.com.cn/Article/CJFDTOTAL-MRYX202108043.htm

    LIU P, LI H W, ZHANG T H, et al. Clinical study on the extraction of children's maxilla embedded multiple teeth with ultrasound bone knife assisted by CBCT[J]. Chinese Journal of Aesthetic Medicine, 2021, 30(8): 146-149. https://www.cnki.com.cn/Article/CJFDTOTAL-MRYX202108043.htm
    [18]
    曾涛. 微创拔牙法治疗儿童埋伏多生牙中的临床应用[J]. 航空航天医学杂志, 2022, 33(1): 27-29. https://www.cnki.com.cn/Article/CJFDTOTAL-HKHT202201008.htm

    ZENG T. Clinical study of the low speed straight phone for extraction of children's impacted supernumerary teeth in the maxillary bone[J]. Journal of Aerospace Medicine, 2022, 33(1): 27-29. https://www.cnki.com.cn/Article/CJFDTOTAL-HKHT202201008.htm
    [19]
    陈幸, 陈崇崇, 黄铮, 等. 锥形束CT在不同牙周袋深度牙根纵裂患牙诊断中的应用研究[J]. 中华全科医学, 2020, 18(5): 730-733. doi: 10.16766/j.cnki.issn.1674-4152.001341

    CHEN X, CHEN C C, HUANG Z, et al. The application of cone beam CT in the diagnosis of vertical root fracture with different depth of periodontal pocket[J]. Chinese Journal of General Practice, 2020, 18(5): 730-733. doi: 10.16766/j.cnki.issn.1674-4152.001341
    [20]
    陈亮, 徐旭. 数字化导板在口腔医学领域的应用现状[J]. 浙江医学, 2020, 42(18): 2012-2015. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE202018030.htm

    CHEN L, XU X. The Application Status and Development Trends of Digital Guideboards in the Field of Stomatology[J]. Zhejiang Medical Journal, 2020, 42(18): 2012-2015. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE202018030.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(1)

    Article Metrics

    Article views (84) PDF downloads(6) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return