Extraction of a geminated supernumerary tooth in upper jaw
Keywords:
tooth supernumerary, tooth abnormalities, computed tomography.Abstract
Introduction: Supernumerary teeth constitute an anomaly of number where the normal number of teeth is exceeded and gemination is an anomaly of shape characterized by the presence of a bifid crown, a common root. Geminate supernumerary teeth are of rare occurrence; indicating imaging examinations are important to determine their characteristics and their relationship with neighboring structures.Objective: To present the clinical case of a patient with a geminate supernumerary tooth.
Clinical case: A 23-year-old male patient came to the dental office due to an elevation on the left side of the palate, without discomfort. In the clinical examination, an increase in the volume of the palatal mucosa of teeth 24 and 25 was observed. The imaging examinations were performed and a retained geminated supernumerary tooth was diagnosed, surgical treatment was performed and the patient progressed favorably.
Conclusion: Geminate supernumerary teeth are rare, a timely and correct imaging evaluation will allow the clinician to make an adequate diagnosis and treatment.
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References
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2. Buchanan GD, Tredoux S, Schouwstra CM, Nel C, Gamieldien MY. Double Gemination or Fusion of a Permanent Mandibular Second Molar: A Case Report. Chin J Dent Res. 2021; 24(3):199-202. DOI: 10.3290/j.cjdr.b1964973
3. Jammal N, Silva R. Prevalencia de dientes supernumerarios en una muestra mexicana. Revista Mexicana de Ortodoncia. 2015; 3: 88-91. DOI: 10.1016/j.rmo.2016.03.025
4. Jurado S, Guadarrama L. Geminación bilateral. Reporte de caso. Revista Tamé. 2018 [acceso: 29/01/2023]; 6(18):680-2. Disponible en: https://www.medigraphic.com/pdfs/tame/tam-2018/tam1818g.pdf
5. Soin A, Sharma G, Soin G, Raina A, Mutneja A, Nagpal A. Multiple Geminated Supernumerary Premolars: A Rare Case Report. Hindawi. 2015. 726458. DOI: 10.1155/2015/726458
6. Figueroa L, Ruby C, Alvarez E. Quiste radicular asociado a diente geminado: tratamiento endodóntico-quirúrgico. Rev clin periodoncia implantol rehabil oral. 2015; 8(2):101-105. DOI:10.1016/j.piro.2015.05.003
7. Siddiqui R, Sayeed S, Sarwar G, Bey A. Outcomes of Crevicular Incision on Periodontal Health When Used in Open Reduction and Internal Fixation in Case of Mandibular Fractures. Saudi J Oral Dent Res. 2019; 4(3):140-5. DOI: 10.21276/sjodr.2019.4.3.7
8. Sánchez O. Determinación Del Grado De Inflamación Posterior A La Extracción Quirúrgica De Terceros Molares Inferiores Retenidos Utilizando Técnicas De Colgajo Envolvente Y Colgajo Trapezoidal [Tesis título cirujano dentista]. Guatemala 2015 [acceso: 02/02/2023]. Disponible en: https://core.ac.uk/download/pdf/35291482.pdf
9. Faris A, Khalid L, Hashim M, Yaghi S, Magde T, Bouresly W, et al. Characteristics of Suture Materials Used in Oral Surgery: Systematic Review. Int Dent J. 2022; 72(3):278-87. DOI: 10.1016/j.identj.2022.02.005
10. 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):150-5. DOI: 10.1016/j.oooo.2020.03.002
11. Ramezani M, Asgari S, Adel M. Endodontic management of a rare case of the geminated maxillary second molar tooth using CBCT. Clin Case Rep. 2021; 25; 9(8):e04496. DOI: 10.1002/ccr3.4496
12. Buchanan GD, Tredoux S, Schouwstra CM, Nel C, Gamieldien MY. Double Gemination or Fusion of a Permanent Mandibular Second Molar: A Case Report. Chin J Dent Res. 2021; 24(3):199-202. DOI: 10.3290/j.cjdr.b1964973
13. Asociación médica mundial. Declaración de Helsinki de la AMM-Principios éticos para las investigaciones médicas en seres Humanos. WMA; 2013. [acceso: 04/02/2023]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
14. Guardado-Luevanos I, Haro AJ, Godínez-Rubí M, Puente-de Los Santos JA, Aguirre-Macías J, Soltero-Chávez DP, et al. Multiple calcifying hyperplastic dental follicles: a major diagnostic consideration in multiple pericoronal lesions - report of two cases. BMC Oral Health. 2020; 20(1):159. DOI: 10.1186/s12903-020-01146
15. Canales J, Espinoza C, Alarcón M. Material de suturas en periodoncia e implantes. Rev. Estomatol Herediana. 2013 [acceso: 15/01/2023]; 23(3):148-53 Disponible en: https://www.redalyc.org/pdf/4215/421539378007.pdf
16. Sedeño A. Resección de torus palatino y colocación post-quirúrgica de placa contensora de colgajo. Reporte de caso. Odontología Activa. 2019; 4:69-74. DOI: 10.31984/oactiva.v4iEsp.400
17. Baron C, Houchmand-Cuny M, Enkel B, Lopez-Cazaux S. Prevalence of dental anomalies in French orthodontic patients: A retrospective study. Arch Pediatr. 2018; (7):426-430. DOI: 10.1016/j.arcped.2018.07.002
Published
2023-11-15
How to Cite
1.
Herrera Plasencia PM, Mamani Fernández AM, Castillo Bayona EA. Extraction of a geminated supernumerary tooth in upper jaw. Rev Cubana Med Milit [Internet]. 2023 Nov. 15 [cited 2025 May 12];52(4):e02302987. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2987
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