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Fang H, Li P, Zhu S, Bi R. Genetic factors underlying Mandibular prognathism: insights from recent human and animal studies. Mamm Genome 2025; 36:293-305. [PMID: 39607497 DOI: 10.1007/s00335-024-10084-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2024] [Accepted: 11/06/2024] [Indexed: 11/29/2024]
Abstract
This review aims to provide an updated overview of the genetic etiology of mandibular prognathism (MP), focusing on recent research efforts, to summarize the findings from human studies utilizing genome-wide association studies (GWAS), candidate gene analyses, whole exome sequencing (WES) and single-nucleotide polymorphisms (SNPs) in relation to MP. Additionally, insights from animal studies are incorporated to understand the molecular mechanisms underlying mandibular development and the pathogenesis of MP. A comprehensive literature search was conducted to identify relevant studies on the genetic basis of MP. Human studies employing GWAS, candidate gene analyses, and SNPs investigations were reviewed. Animal studies, including European seabass, zebrafish, transgenic mouse and miniature horse were also examined to provide additional insights into mandibular development and MP's pathogenesis using GWAS, WES, transgenic techniques, morpholino antisense oligos and homozygote. Human studies have identified multiple loci and genes potentially associated with MP through GWAS, candidate gene analyses, and SNP investigations. Animal models have contributed valuable information about the molecular mechanisms involved in mandibular development and the development of MP. Recent research efforts have enhanced our understanding of the genetic etiology of MP. Integration of genetic studies with functional analyses has shed light on key signaling pathways and gene regulatory networks implicated in MP.
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Affiliation(s)
- Han Fang
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Peiran Li
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Songsong Zhu
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China.
| | - Ruiye Bi
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Orthognathic and TMJ Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China.
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Ju Y, Lee JY, Hwang W, Shin J, Kim HS, Hur JK, Lee E. Exonic and Intronic WNT10A Variants Isolated from Korean Children with Non-Syndromic Tooth Agenesis. Diagnostics (Basel) 2025; 15:310. [PMID: 39941240 PMCID: PMC11817635 DOI: 10.3390/diagnostics15030310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2024] [Revised: 01/24/2025] [Accepted: 01/26/2025] [Indexed: 02/16/2025] Open
Abstract
Background/Objectives: Tooth agenesis (TA) is a developmental anomaly prevalent in humans. It is particularly significant in children and adolescents because it is related to esthetic, physiological, and functional problems, including malocclusion, periodontal damage, and insufficient alveolar growth. WNT10A mutations have been identified as the main genetic alterations associated with tooth agenesis. Most previous studies have investigated WNT10A mutations in patients with tooth agenesis using single nucleotide polymorphism (SNP) arrays or exome sequencing. In this study, we conducted a comprehensive profiling of mutations within the exons and introns of WNT10A in Korean patients with non-syndromic tooth agenesis. Methods: Saliva samples were collected from Korean children and adolescents with non-syndromic tooth agenesis. Tagmentation-based sequencing was conducted to acquire mutation information for all exonic and intronic bases of the WNT10A gene. Results: Mutations were detected exclusively in the patient samples: 629C>G and 1100C>T in exon 1, 1977T>C in intron 1, 10256C>T and 10382G>A in exon 3, and 15953G>A in intron 4. Additional mutations were also observed at high ratios in the patient samples. Conclusions: The mutations identified in this study differ from previous findings. These results may provide useful information for understanding the pathogenicity of WNT10A mutations in Korean patients with tooth agenesis and support future diagnostic and therapeutic approaches.
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Affiliation(s)
- Yeonjin Ju
- Department of Pediatric Dentistry, School of Dentistry, Dental and Life Science Institute, Pusan National University, Yangsan 50612, Republic of Korea; (Y.J.); (J.S.)
- Department of Pediatric Dentistry, Dental Research Institute, Pusan National University Dental Hospital, Yangsan 50612, Republic of Korea
| | - Joo Yeon Lee
- New Drug Development Center, OSONG Medical Innovation Foundation, Cheongju 28160, Republic of Korea;
- Department of Biomedical Science, Graduate School of Medicine, Hanyang University, Seoul 04763, Republic of Korea
| | - Woochang Hwang
- Department of Pre-Medicine, College of Medicine, Hanyang University, Seoul 04763, Republic of Korea;
- Hanyang Institute of Bioscience and Biotechnology, Hanyang University, Seoul 04763, Republic of Korea
| | - Jonghyun Shin
- Department of Pediatric Dentistry, School of Dentistry, Dental and Life Science Institute, Pusan National University, Yangsan 50612, Republic of Korea; (Y.J.); (J.S.)
- Department of Pediatric Dentistry, Dental Research Institute, Pusan National University Dental Hospital, Yangsan 50612, Republic of Korea
| | - Hyung-Sik Kim
- Department of Oral Biochemistry, School of Dentistry, Pusan National University, Yangsan 50612, Republic of Korea;
- Dental and Life Science Institute, Pusan National University, Yangsan 50612, Republic of Korea
| | - Junho K. Hur
- Department of Biomedical Science, Graduate School of Medicine, Hanyang University, Seoul 04763, Republic of Korea
- Hanyang Institute of Bioscience and Biotechnology, Hanyang University, Seoul 04763, Republic of Korea
- Department of Genetics, College of Medicine, Hanyang University, Seoul 04763, Republic of Korea
| | - Eungyung Lee
- Department of Pediatric Dentistry, School of Dentistry, Dental and Life Science Institute, Pusan National University, Yangsan 50612, Republic of Korea; (Y.J.); (J.S.)
- Department of Pediatric Dentistry, Dental Research Institute, Pusan National University Dental Hospital, Yangsan 50612, Republic of Korea
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Wu Y, Ma Q, Han B, Shen Y, Wen S. Familial hypodontia in bronze age Northwest China (1046-771BC). Arch Oral Biol 2025; 169:106104. [PMID: 39383567 DOI: 10.1016/j.archoralbio.2024.106104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2024] [Revised: 09/05/2024] [Accepted: 10/01/2024] [Indexed: 10/11/2024]
Abstract
OBJECTIVE This research aimed to report hypodontia cases in a Middle Bronze Age high-tier cemetery in China and test the possible hereditary behind hypodontia by performing kinship tests on those individuals. DESIGN In this study, dental anomalies were observed on a human skeletal sample (n = 45) uncovered from Yaoheyuan, China. Ancient DNA analysis was subsequently employed on a subsample of the Yaoheyuan individuals (n = 15), including individuals observed hypodontia and individuals randomly sampled from the cemetery for preliminary investigation on the cemetery demography. Kinship estimation tests (READ, TKGWV2, KIN, and F3 test) were subsequently employed. RESULTS The Yaoheyuan elite population had a prevalence (n = 7, 15 %) of tooth agenesis in either the maxilla or mandible, with one to two teeth missing. All missing teeth were incisors, except for one individual missing maxillary second molar. Preliminary ancient DNA results indicate that several kinship groups existed among interred individuals, including those with hypodontia, indicating the hereditary origin of these cases. CONCLUSIONS The prevalence of hypodontia observed on site is high compared to that in both modern East Asian populations and archaeological samples in the Chinese population. The preliminary kinship analysis suggests a case of familial hypodontia. Ancient DNA analysis should be thoroughly conducted in future studies to understand the genetic markers contributing to those hypodontia cases among the Yaoheyuan individuals.
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Affiliation(s)
- Yaohan Wu
- Institute of Archaeological Science, Fudan University, Shanghai 200433, China; Department of Anthropology, University of California San Diego, La Jolla, CA 92093, USA
| | - Qiang Ma
- Ningxia Institute of Cultural Relics and Archaeology, Yinchuan 750001, China
| | - Baiwei Han
- Ningxia Institute of Cultural Relics and Archaeology, Yinchuan 750001, China
| | - Yuanyuan Shen
- Institute of Archaeological Science, Fudan University, Shanghai 200433, China; Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai 200433, China
| | - Shaoqing Wen
- Institute of Archaeological Science, Fudan University, Shanghai 200433, China; Ministry of Education Key Laboratory of Contemporary Anthropology, Department of Anthropology and Human Genetics, School of Life Sciences, Fudan University, Shanghai 200433, China; MOE Laboratory for National Development and Intelligent Governance, Fudan University, Shanghai 200433, China; Center for the Belt and Road Archaeology and Ancient Civilizations, Shanghai 200433, China.
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Akitomo T, Tsuge Y, Mitsuhata C, Nomura R. A Narrative Review of the Association between Dental Abnormalities and Chemotherapy. J Clin Med 2024; 13:4942. [PMID: 39201084 PMCID: PMC11355227 DOI: 10.3390/jcm13164942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2024] [Revised: 08/19/2024] [Accepted: 08/20/2024] [Indexed: 09/02/2024] Open
Abstract
Dental abnormalities are often detected in childhood and are reported to occur with high prevalence in patients who have undergone cancer treatment or chemotherapy. We performed a literature search of PubMed from 2004 to 2024 using the terms "dental anomaly" and "panoramic examination", and 298 potentially relevant articles were found. Thirty-one articles about dental abnormalities matched the eligibility criteria and were extracted for this review. Although the prevalence of tooth agenesis and microdontia in the general population was reported to be approximately 10% and 3%, respectively, the prevalence in patients who had undergone cancer treatment or chemotherapy was higher in all surveys, suggesting that the treatment is related to the occurrence of dental abnormalities. It is important to continue long-term follow-up with patients not only during treatment but also after the completion of treatment. Dental professionals should provide information about dental abnormalities to patients, their guardians, and medical professionals, which may lead to improvement in the quality of life of patients.
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Paddenberg E, Silva-Souza AC, Blancato AB, Lepri CP, Proff P, Küchler EC, Kirschneck C. Association between craniofacial patterns and third molar agenesis in orthodontic patients. J Orofac Orthop 2024; 85:120-126. [PMID: 37378838 PMCID: PMC11371891 DOI: 10.1007/s00056-023-00484-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 05/15/2023] [Indexed: 06/29/2023]
Abstract
PURPOSE Third molar agenesis (TMA) is the most common craniofacial anomaly and has been associated with craniofacial patterns in different populations. Therefore, the aim of this retrospective cross-sectional study was to assess a possible association between craniofacial patterns and TMA in German orthodontic patients. METHODS Patients undergoing orthodontic treatment with dental records including anamnesis, pretreatment lateral cephalograms and orthopantomograms were evaluated. Cephalometric analyses were conducted digitally and lines, angles and proportions were measured to investigate craniofacial morphology. Skeletal classes were determined by the individualised Wits appraisal and ANB angle. The TMA was identified with the help of orthopantomograms. Patients showing agenesis of at least one third molar were included in the TMA group. Statistical analysis was performed to assess the association between TMA and craniofacial patterns (α of p ≤ 0.05). RESULTS A total of 148 patients were included, 40 (27.0%) presented at least one missing tooth (TMA group) and 108 (73.0%) showed full dentition (control group). Skeletal class determined by the individualised Wits appraisal revealed statistical significance between the TMA and control groups (p = 0.022), in which TMA patients were 11 times more likely to present with an individualised skeletal class III (odds ratio 11.3, 95% confidence interval 1.7-139.5). Skeletal cephalometric analysis revealed no statistical differences between TMA and control groups for any further angular, linear and proportional parameters. CONCLUSION Third molar agenesis was associated with skeletal class III determined by the individualised Wits appraisal.
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Affiliation(s)
- Eva Paddenberg
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
| | - Alice Correa Silva-Souza
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, USP-University of São Paulo, Ribeirão Preto, SP, Brazil
| | | | | | - Peter Proff
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
| | - Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg, Regensburg, Germany
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, USP-University of São Paulo, Ribeirão Preto, SP, Brazil
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Irish JD. Agenesis of the permanent teeth in sub-Saharan Africans: Prevalence, patterns, interpretations. Arch Oral Biol 2024; 162:105961. [PMID: 38547646 DOI: 10.1016/j.archoralbio.2024.105961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Revised: 03/08/2024] [Accepted: 03/17/2024] [Indexed: 04/17/2024]
Abstract
OBJECTIVE Dental agenesis data in modern and premodern sub-Saharan Africans are presented by region, West, Central, East, and South, and by sex. Beyond characterizing the anomaly, comparisons are made with other populations and future work is encouraged. The findings should be of use to dental clinicians and anthropologists. METHODS Agenesis of the UI2, LI1, UP2, LP2, UM3, and LM3 was recorded in 52 discrete samples of mainly skeletal dentitions (n = 2162) from across the subcontinent. After dividing into temporal categories, regional pooling was effected for adequate sample sizes across the vast geographic area. Only adults were included to record M3 status. Analyses included 95% confidence intervals and chi-square comparisons by region and sex. RESULTS Of 1668 modern individuals 2.3% have UI2-LP2 agenesis (CI 1.6-3.1%). Regional and sex differences are non-significant, though females are most affected. For M3s it is 7.0% (5.7-8.4%), with the Central region sample differing significantly from the East and South. Females again have greater prevalence, with the difference in the West significant. UI2-LP2 agenesis affects 0.6% of 494 premodern individuals (0.1-1.8%), while M3 agenesis is 8.5% (6.1-11.5%). None of these differences are significant. CONCLUSIONS Rates are toward the low end of global ranges, including 0.0-12.6% for UI2-LP2 from case reports, and 5.3-56.0% for M3 agenesis. With exceptions, generally insignificant inter-region differences imply that rates reasonably represent sub-Saharan peoples overall. Results will be of interest to anthropologists, but those related to risk factors, patterning, and prevalence may assist clinicians in tailoring treatment, while informing patients how this anomaly differs by population ancestry.
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Affiliation(s)
- Joel D Irish
- Research Centre in Evolutionary Anthropology and Palaeoecology, School of Biological and Environmental Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK.
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Arif K, Gupta VK, Mishra G, Kumar S, Pai Khot A, Bhatia S, Patil RK, Singh A, Imran Khan M. Assessment of prevalence and distribution of congenital missing teeth among patients visiting tertiary care hospital: A radiographic study. J Oral Biol Craniofac Res 2024; 14:342-348. [PMID: 38736972 PMCID: PMC11087966 DOI: 10.1016/j.jobcr.2024.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Revised: 04/06/2024] [Accepted: 04/09/2024] [Indexed: 05/14/2024] Open
Abstract
Introduction Dental Agenesis is the usual developmental dental anomaly involving both primary and permanent dentition but most commonly it affects the permanent teeth. Genetic mutations in genes like MSX, PAX9,TGFA and AXIN2 are the likely primary contributors to tooth agenesis. Identifying the prevalence and distribution of congenital missing teeth allows for early detection and intervention which is crucial for preventing or mitigating potential dental issues that may arise due to missing teeth. Aim & objectives To assess the prevalence and distribution of congenitally missing teeth across different quadrants of the jaw among patients visiting to the Dental out patient department at Tertiary Care Centre of Lucknow city. Material & method A Questionnaire and orthopantomogram based cross-sectional study was conducted on both male and female patients aged between 15 and 30 years, coming for evaluation of their dental health problems to the hospital. Written informed consent was obtained. Results The overall prevalence of CMT was found to be 33.3 %. The significant difference was observed in proportion of CMT between Maxilla and Mandible sites (p = 0.008). Higher prevalence was in females compared to males for both maxillary and mandibular congenital missing teeth. (p = 0.020). Conclusion The most common CMT were third molars followed by lateral incisors. The insights derived from the study would aid dental professional in gaining a deeper comprehension of tooth agenesis.
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Affiliation(s)
- Khushboo Arif
- Department of Public Health Dentistry, Faculty of Dental Sciences, King George's Medical University, U.P, Lucknow, India
| | - Vinay Kumar Gupta
- Department of Public Health Dentistry, Faculty of Dental Sciences, King George's Medical University, U.P, Lucknow, India
| | - Gaurav Mishra
- Department of Public Health Dentistry, Faculty of Dental Sciences, King George's Medical University, U.P, Lucknow, India
| | - Sumit Kumar
- Department of Public Health Dentistry, Faculty of Dental Sciences, King George's Medical University, U.P, Lucknow, India
| | - Atrey Pai Khot
- Department of Public Health Dentistry, Faculty of Dental Sciences, King George's Medical University, U.P, Lucknow, India
| | - Sonal Bhatia
- Department of Public Health Dentistry, Faculty of Dental Sciences, King George's Medical University, U.P, Lucknow, India
| | - Ranjit kumar Patil
- Department of Oral Medicine & Radiology, King George's Medical University, U.P, Lucknow, India
| | - Abhishek Singh
- Department of Community Medicine & Public Health, King George's Medical University, U.P, Lucknow, India
| | - Mohammad Imran Khan
- Department Of Oral & Maxillofacial Pathology, Career Post Graduate Institute Of Dental Sciences & Hospital, Ghailla, Lucknow, India
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Alamoudi R, Kanavakis G, Oeschger ES, Halazonetis D, Gkantidis N. Occlusal characteristics in modern humans with tooth agenesis. Sci Rep 2024; 14:5840. [PMID: 38462644 PMCID: PMC10925589 DOI: 10.1038/s41598-024-56449-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 03/06/2024] [Indexed: 03/12/2024] Open
Abstract
Non-syndromic permanent tooth agenesis affects a significant proportion of the population, especially if third molars are considered. Although tooth agenesis has been linked to a smaller craniofacial size, reduced facial convexity and a shorter skeletal face, the occlusal characteristics of individuals with tooth agenesis remain largely unexplored. Therefore, this study investigated potential associations between tooth agenesis and metric occlusal traits in 806 individuals (491 with 4.1 missing teeth per subject, including third molars, and 315 without any tooth agenesis). Dentoskeletal morphology was defined through anatomical landmarks on pre-treatment cephalometric radiographs. Multivariate regression models, adjusted for sex and age, showed that tooth agenesis was significantly associated with a reduced overjet, an increased interincisal angle, and shorter upper and lower dental arch lengths, but not with overbite. Moreover, apart from reduced tooth length and dentoalveolar effects, as the number of missing teeth increased the upper front teeth were progressively retruded according to the craniofacial complex and to the face. Thus, tooth agenesis has a substantial influence on dental and occlusal characteristics, as well as on the sagittal position and inclination of anterior teeth. These findings emphasize the necessity for personalized, multidisciplinary approaches in individuals with multiple agenesis to successfully meet treatment goals.
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Affiliation(s)
- Ragda Alamoudi
- Department of Orthodontics and Dentofacial Orthopedics, University of Bern, 3010, Bern, Switzerland
| | - Georgios Kanavakis
- Department of Orthodontics and Pediatric Dentistry, UZB - University School of Dental Medicine, University of Basel, 4056, Basel, Switzerland
- Department of Orthodontics, School of Dentistry, National and Kapodistrian University of Athens, 11527, Athens, Greece
| | - Elias S Oeschger
- Department of Orthodontics and Dentofacial Orthopedics, University of Bern, 3010, Bern, Switzerland
| | - Demetrios Halazonetis
- Department of Orthodontics, School of Dentistry, National and Kapodistrian University of Athens, 11527, Athens, Greece
| | - Nikolaos Gkantidis
- Department of Orthodontics and Dentofacial Orthopedics, University of Bern, 3010, Bern, Switzerland.
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Katanaki N, Makrygiannakis MA, Kaklamanos EG. The Prevalence of Congenitally Missing Permanent Teeth in a Sample of Orthodontic and Non-Orthodontic Caucasian Patients. Healthcare (Basel) 2024; 12:541. [PMID: 38470652 PMCID: PMC10931087 DOI: 10.3390/healthcare12050541] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 02/11/2024] [Accepted: 02/20/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND Hypodontia represents a notable clinical and public health concern. OBJECTIVE To assess the prevalence of congenitally missing permanent teeth in a sample of orthodontic/dental patients of Caucasian origin originating from the Greek island of Lesvos. MATERIALS AND METHODS Panoramic X-rays from 621 children and adolescents, aged 9 to 16 years (average age 12.5 years), 521 seeking orthodontic care (orthodontic group) and 100 seeking dental care (non-orthodontic group) were examined to identify congenitally missing permanent teeth. RESULTS The orthodontic group exhibited a 5.5% prevalence of congenitally missing permanent teeth (2.8% females; 2.7% males), while the non-orthodontic group showed a prevalence of 4% (3% females; 1% males). The descending order of prevalence for missing tooth types was as follows: lower second premolars, upper laterals, lower central incisors, lower canines, upper second premolars, and lower second molars. Among orthodontic patients with missing teeth, 62% presented with an Angle's Class II malocclusion. Hypodontia was most frequently observed in the mandible. No statistically significant differences were observed between the orthodontic and non-orthodontic groups in terms of the percentage of children and types of congenitally missing teeth. CONCLUSIONS Congenitally missing teeth were observed in about 4-5% of the studied population with a female predilection. The lower second premolar was the most commonly absent tooth, followed by the maxillary lateral incisors. An Angle's Class II malocclusion was present in the majority of orthodontic patients with hypodontia, mostly in the mandible.
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Affiliation(s)
| | | | - Eleftherios G. Kaklamanos
- School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece;
- School of Dentistry, European University Cyprus, Nicosia 2404, Cyprus
- Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai P.O. Box 505055, United Arab Emirates
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Meade MJ, Dreyer CW. Tooth agenesis: An overview of diagnosis, aetiology and management. JAPANESE DENTAL SCIENCE REVIEW 2023; 59:209-218. [PMID: 37645267 PMCID: PMC10461125 DOI: 10.1016/j.jdsr.2023.07.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 06/25/2023] [Accepted: 07/02/2023] [Indexed: 08/31/2023] Open
Abstract
Patients with one or more developmentally absent teeth are routinely encountered in dental practice. Tooth agenesis can be associated with significant functional, aesthetic and psycho-social problems. The present article provides an overview of the prevalence and aetiology of tooth agenesis, as well as the condition's clinical characteristics and management options with reference to the evidence base. A timely diagnosis can facilitate the appropriate planning and management which might not be straightforward, and patient care will likely require multi- and inter-disciplinary input. It is critical that dental care practitioners are aware of the clinical characteristics and management options for tooth agenesis.
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Affiliation(s)
- Maurice J. Meade
- Orthodontic Unit, Adelaide Dental School, The University of Adelaide, South Australia, Australia
| | - Craig W. Dreyer
- Orthodontic Unit, Adelaide Dental School, The University of Adelaide, South Australia, Australia
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Kim H, Hyun HK, Shin TJ, Kim YJ, Kim JW, Jang KT, Song JS. Criteria for early diagnosis of mandibular third molar agenesis based on the developmental stages of mandibular canine, first and second premolars, and second molar: a retrospective cohort study. BMC Oral Health 2023; 23:650. [PMID: 37684629 PMCID: PMC10492292 DOI: 10.1186/s12903-023-03349-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 08/24/2023] [Indexed: 09/10/2023] Open
Abstract
BACKGROUND Permanent first molars with severe dental caries, developmental defects, or involved in oral pathologies are at risk of poor prognosis in children. Accordingly, using the third molar to replace the first molar can be a good treatment option when third molar agenesis is predicted early. Thus, this retrospective cohort study aimed to develop criteria for early detection of mandibular third molar (L8) agenesis based on the developmental stages of mandibular canine (L3), first premolar (L4), second premolar (L5), and second molar (L7). METHOD Overall, 1,044 and 919 panoramic radiographs of 343 males and 317 females, respectively, taken between the ages of 6 and 12 years were included. All developmental stages of L3, L4, L5, L7, and L8 were analyzed based on the dental age, as suggested by Demirjian et al. The independent t-test was used to assess age differences between males and females. The rank correlation coefficients were examined using Kendall's tau with bootstrap analysis and Bonferroni's correction to confirm the teeth showing developmental stages most similar to those of L8s. Finally, a survival analysis was performed to determine the criteria for the early diagnosis of mandibular third molar agenesis. RESULTS Some age differences were found in dental developmental stages between males and females. Correlation coefficients between all stages of L3, L4, L5, and L7 and L8 were high. In particular, the correlation coefficient between L7 and L8 was the highest, whereas that between L3 and L8 was the lowest. CONCLUSION If at least two of the following criteria (F stage of L3, F stage of L4, F stage of L5, and E stage of L7) are met in the absence of L8 crypt, agenesis of L8 can be confirmed.
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Affiliation(s)
- Hyuntae Kim
- Department of Pediatric Dentistry, Seoul National University Dental Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Hong-Keun Hyun
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Teo Jeon Shin
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Young-Jae Kim
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Jung-Wook Kim
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Ki-Taeg Jang
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Ji-Soo Song
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
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Bilińska M, Burzykowski T, Plakwicz P, Zadurska M, Czochrowska EM. Availability of Third Molars as Donor Teeth for Autotransplantation to Replace Congenitally Absent Second Premolars in Children and Young Adults. Diagnostics (Basel) 2023; 13:diagnostics13111874. [PMID: 37296726 DOI: 10.3390/diagnostics13111874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 05/20/2023] [Accepted: 05/22/2023] [Indexed: 06/12/2023] Open
Abstract
The aim of the study was to assess the presence and distribution of third molars (M3) regarding their autotransplantation in patients with congenital absence of second premolars (PM2). Additionally, M3 development in relation to patients' age and gender was investigated. Panoramic radiographs of non-syndromic patients with at least one congenitally absent PM2 were used to assess the localization and number of missing PM2 and the presence or absence of M3 (minimum age 10 years). The alternate logistic regression model was applied to analyze associations between the presence of PM2 and M3. A total of 131 patients with PM2 agenesis were identified (82 females, 49 males). At least one M3 was present in 75.6% and all M3 were present in 42.7% of patients. A statistically significant association between the number of PM2 and M3 agenesis was found; the effects of age and gender were not significant. More than half of M3 in patients between 14-17 years old had completed ¼ of their root development. The congenital absence of maxillary PM2 was associated with the absence of maxillary PM2, M3, and no correlation was found in the mandible. In patients with PM2 agenesis, at least one M3 is often present and can be considered as a donor tooth for autotransplantation.
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Affiliation(s)
| | - Tomasz Burzykowski
- Data Science Institute, Hasselt University, 3500 Hasselt, Belgium
- Department of Statistics and Medical Informatics, Medical University of Bialystok, 15-295 Białystok, Poland
| | - Paweł Plakwicz
- Department of Periodontology, Medical University in Warsaw, 02-097 Warsaw, Poland
| | - Małgorzata Zadurska
- Department of Orthodontics, Medical University in Warsaw, 02-097 Warsaw, Poland
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Ma S, Park SH, Chung CJ, Choi YJ, Lee W, Kim KH. Evaluation of the dimensional alternation of the alveolar bone in patients with a congenitally missing mandibular lateral incisor using cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2023; 163:233-242. [PMID: 36400643 DOI: 10.1016/j.ajodo.2021.10.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 10/06/2022] [Accepted: 10/27/2022] [Indexed: 11/17/2022]
Abstract
INTRODUCTION The alveolar bone is an essential consideration when planning treatment for patients with tooth agenesis. This study evaluated the changes in the alveolar bone and adjacent teeth in patients with a congenitally missing mandibular lateral incisor using cone-beam computed tomography. METHODS Twenty-three nonorthodontically treated adults with a unilateral congenitally missing mandibular lateral incisor were the missing group (M group). The control group (C group) consisted of 23 nonorthodontically treated adults with normal occlusion and no missing teeth. First, the difference in the arch perimeter between the groups was compared at the cementoenamel junction (CEJ) level and the root apex (RA) level. Next, the root divergence of the anterior teeth in the M group was observed. Finally, the alveolar bone thickness ratio was compared between the M and C groups at different vertical levels. RESULTS The arch perimeter was significantly decreased in the M group at the CEJ and RA levels (P <0.05). Root divergence was observed adjacent to the missing site (P <0.0001). There were a reduction in total and cancellous cortical alveolar bone thickness (ABT) ratios at the 3-, 6-, and 9-mm positions (P <0.05). The buccal cortical ABT ratios decreased at the 3-and 6-mm positions. The lingual ABT ratio increased at the 9-mm position (P <0.05). CONCLUSIONS The congenitally missing mandibular lateral incisor caused a reduction in the arch perimeter in the CEJ area and the RA area. The root divergences were observed in the teeth adjacent to the missing areas. A significant decrease in the buccal cortical bone and cancellous bone was observed in the missing area.
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Affiliation(s)
- Seunghee Ma
- Department of Orthodontics, Yonsei University, College of Dentistry, Seoul, South Korea
| | - Sun-Hyung Park
- Department of Orthodontics, the Institute of Craniofacial Deformity, Yonsei University, College of Dentistry, Seoul, South Korea
| | - Chooryung J Chung
- Department of Orthodontics, the Institute of Craniofacial Deformity, Gangnam Severance Dental Hospital, Yonsei University, College of Dentistry, Seoul, South Korea
| | - Yoon Jeong Choi
- Department of Orthodontics, the Institute of Craniofacial Deformity, Yonsei University, College of Dentistry, Seoul, South Korea
| | - Won Lee
- Department of Orthodontics, Yonsei University, College of Dentistry, Seoul, South Korea
| | - Kyung-Ho Kim
- Department of Orthodontics, the Institute of Craniofacial Deformity, Gangnam Severance Dental Hospital, Yonsei University, College of Dentistry, Seoul, South Korea.
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Lupinetti GM, Li P, Feagin K, MacDougall M, Lamani E. Non-syndromic hypodontia of maxillary lateral incisors and its association with other dental anomalies. Prog Orthod 2022; 23:53. [PMID: 36581787 PMCID: PMC9800678 DOI: 10.1186/s40510-022-00451-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 11/15/2022] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Tooth agenesis (TA) is the developmental absence of one or more teeth and is the most common craniofacial disorder in humans. Maxillary lateral incisor agenesis (MLIA) is a specific subtype of TA and can have esthetic, functional, and psychosocial implications for patients. The aim of this study was to evaluate the prevalence of MLIA amongst patients with non-syndromic tooth agenesis, as well as its association with other dental anomalies. MATERIALS AND METHODS The dental records of 240 patients with non-syndromic congenitally missing teeth treated at the University of Alabama at Birmingham Department of Orthodontics were reviewed. Dolphin Imaging software was used to identify missing teeth, microdonts, peg laterals, impactions, and transpositions. Data were analyzed using chi-square or Fisher's exact test. All the tests were two-sided at the significance level of 0.05 (SAS 9.4). RESULTS In the patient cohort, MLIA prevalence was 37.5% (second most common) and no gender or ethnic differences were identified. We also observed the bilaterally missing lateral incisors more frequently than the unilateral presentation (p = 0.0006). Additionally, 62.5% of patients with unilateral MLIA displayed a contralateral tooth that was a peg (p = 0.0001); however, no association was found with other microdonts. Furthermore, of the 90 patients missing at least one maxillary lateral incisor, 42.2% were missing another tooth type and 10% of MLIA patients also had an impacted tooth (mainly maxillary canines). However, these were not statistically significant. Finally, no transposed teeth were found in our patients. CONCLUSIONS This study found that maxillary lateral incisors were the second most frequently missing teeth. When clinicians diagnose congenital absence of a maxillary lateral incisor, the patient should be evaluated for other missing teeth, peg lateral incisors, or potential impactions, especially maxillary canines.
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Affiliation(s)
- Giana Maria Lupinetti
- grid.265892.20000000106344187Department of Orthodontics, School of Dentistry, University of Alabama at Birmingham, 1919, 7th Avenue South, SDB 313, Birmingham, AL 35294-0007 USA
| | - Peng Li
- grid.265892.20000000106344187Department of Acute, Chronic and Continuing Care, School of Nursing, University of Alabama at Birmingham, Birmingham, AL USA
| | - Kyle Feagin
- grid.265892.20000000106344187Department of Orthodontics, School of Dentistry, University of Alabama at Birmingham, 1919, 7th Avenue South, SDB 313, Birmingham, AL 35294-0007 USA
| | - Mary MacDougall
- grid.17091.3e0000 0001 2288 9830Faculty of Dentistry, University of British Columbia, Vancouver, BC Canada
| | - Ejvis Lamani
- grid.265892.20000000106344187Department of Orthodontics, School of Dentistry, University of Alabama at Birmingham, 1919, 7th Avenue South, SDB 313, Birmingham, AL 35294-0007 USA
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Association between Hypodontia and Angle’s Malocclusions among Orthodontic Patients in Kathmandu, Nepal. Int J Dent 2022; 2022:9595920. [DOI: 10.1155/2022/9595920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2022] [Revised: 11/08/2022] [Accepted: 11/10/2022] [Indexed: 12/12/2022] Open
Abstract
Background. Disturbances during the early tooth development stages may result in the congenital absence of teeth. The purpose of this study was to assess the relationship between hypodontia and Angle’s malocclusions. Materials and Methods. The sample comprised 601 orthodontic patients’ pretreatment records (242 men and 259 women), selected from the achieved orthodontic records. Developmental anomalies of teeth affecting the number were examined on dental panoramic radiographs. Based on Angle’s classification, pretreatment dental casts were assessed and classified into different classes of malocclusion. The relationship between hypodontia and different classes of malocclusion was evaluated using the chi-square test. Results. The prevalence of tooth agenesis was 7.48%, that is, 45 out of 601 samples. There were a total of 72 (0.42%) missing teeth, excluding the third molars. The most frequent missing tooth was the maxillary lateral incisor (35, 48.61%), followed by the mandibular lateral incisor (14, 19.44%), the mandibular central incisor (6, 8.33%), the mandibular second premolar (5, 6.294%), and the maxillary second premolar (4, 5.55%). Hypodontia was more common in the upper jaw. Although hypodontia was mostly seen in Class I malocclusion patients (7.87%), followed by Class II malocclusion patients (6.99%) and least in Class III malocclusion patients. However, there was no significant difference in hypodontia among different classes of malocclusions (p = 0.352). Conclusion. The most frequently missing tooth was the maxillary lateral incisor, followed by lateral and central mandibular incisors and mandibular second premolars, while excluding the third molars. The present study did not find any association between various types of malocclusions and hypodontia.
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Ku JH, Han B, Kim J, Oh J, Kook YA, Kim Y. Common dental anomalies in Korean orthodontic patients: An update. Korean J Orthod 2022; 52:324-333. [PMID: 35844099 PMCID: PMC9512625 DOI: 10.4041/kjod21.280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 01/16/2022] [Accepted: 03/19/2022] [Indexed: 11/27/2022] Open
Abstract
Objective The aim of this study was 1) to investigate the prevalence and pattern of dental anomalies (DAs), 2) to compare DAs according to the type of malocclusion, and 3) to investigate the correlation between tooth impaction and other DAs in the Korean orthodontic population. Methods A total of 3,240 orthodontic patients were classified as Class I, Class II, or Class III malocclusion groups. The presence and location of common DAs, including impaction, microdontia, agenesis, supernumerary tooth, transposition, and fusion, were identified by examining diagnostic records. Furthermore, samples were classified as Group 1 without impaction or Group 2 with impaction. The prevalence of other DAs concurrent with impaction was investigated and compared to Group 1. Results Impaction was the most prevalent DA, followed by microdontia, agenesis, and supernumerary. Class I and Class III groups showed the same order of prevalence, but agenesis was more frequent than microdontia in the Class II group. The prevalence of the four DAs was lowest in the Class III group. Overall, 8.6% of patients were classified into Group 2. The incidence of DAs other than impaction and the prevalence of multiple concurrent DAs were significantly higher in Group 2. Impaction showed a significant relationship with supernumerary tooth, transposition, and fusion. Conclusions The prevalence and pattern of DAs varied depending on the type of malocclusion. As there was a higher risk of other DAs in patients with impacted teeth, early detection of the impacted tooth and a detailed diagnosis of other possible DAs may be essential.
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Affiliation(s)
- Ja Hyeong Ku
- Department of Orthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Byoul Han
- Graduate School of Clinical Dental Science, The Catholic University of Korea, Seoul, Korea
| | - Jaehyun Kim
- Department of Orthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jiyoung Oh
- Department of Orthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Yoon-Ah Kook
- Department of Orthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Yoonji Kim
- Department of Orthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Periodontal ligament preloading and rapid prototyping of the donor tooth in the autotransplantation of premolars with complete root formation. Am J Orthod Dentofacial Orthop 2022; 162:108-121. [DOI: 10.1016/j.ajodo.2021.01.039] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Revised: 01/01/2021] [Accepted: 01/01/2021] [Indexed: 12/26/2022]
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Farcașiu AT, Luca R, Didilescu A, Stanciu IA, Farcasiu C, Vinereanu A, Munteanu A. Congenitally missing second permanent molars in non‑syndromic patients (Review). Exp Ther Med 2021; 23:145. [PMID: 35069826 PMCID: PMC8756395 DOI: 10.3892/etm.2021.11068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 10/15/2021] [Indexed: 11/23/2022] Open
Abstract
Hypodontia (tooth agenesis) is regarded as the most common congenital dental anomaly. The present review discusses the epidemiological characteristics of congenitally missing second permanent molars (CMSPMs) within a systematic review of the literature. The review was based on Pubmed library associated with the search of various scientific databases or academic resources, improved by hand search of reference lists. The terms ‘hypodontia’ or ‘anodontia’ in combination with ‘prevalence’ or ‘epidemiology’ were searched in the data sources for studies published between January 2001 and December 2020. Abstracts of non-English papers were also analyzed. The inclusion criteria were as follows: i) Study provided precise data about CMSPMs, even if no second permanent molar was reportedly missing; ii) the number of CMSPMs distributed by jaw was provided and iii) studies on subjects >3 years were used. The exclusion criteria were as follows: i) Studies on patients with history of trauma of the maxilla or the mandible, any type of syndrome affecting bone metabolism, metabolic disorders, previous extraction or tooth loss due to dental caries, cleft lip and palate; ii) studies performed on cohorts of patients with hypodontia and iii) studies reporting data including third molars, except for those that presented sufficient data to perform correct calculations. A total of 79 studies were selected, accumulating a population of 281,968 people, with an average sample size of 3,524.60±11,255.25. The prevalence of CMSPMs (IpHSPM) was 2.79±3.16% among all missing teeth (1.03±1.59% for upper CMSPMs and 1.76±2.32% for lower CMSPMs; P=0.011). There were no significant differences (P=0.250) in IpHSPM between men (1.59±1.52%) and women (2.13±1.67%). However, significant differences were recorded between continents. Furthermore, lower CMSPMs were found more frequently in orthodontic samples (P=0.033). The prevalence of CMSPMs is low compared with the overall prevalence of CM teeth. Despite the rarity of these anomalies, early detection is important to enable practitioners to plan and start treatment at the best time for optimal results.
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Affiliation(s)
- Alexandru-Titus Farcașiu
- Department of Removable Prosthodontics, Faculty of Dental Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, Bucharest 032799, Romania
| | - Rodica Luca
- Department of Pedodontics, Faculty of Dental Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, Bucharest 032799, Romania
| | - Andreea Didilescu
- Department of Embryology, Faculty of Dental Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, Bucharest 032799, Romania
| | - Ioana-Andreea Stanciu
- Department of Pedodontics, Faculty of Dental Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, Bucharest 032799, Romania
| | - Catalina Farcasiu
- Department of Pedodontics, Faculty of Dental Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, Bucharest 032799, Romania
| | - Arina Vinereanu
- Department of Pedodontics, Faculty of Dental Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, Bucharest 032799, Romania
| | - Aneta Munteanu
- Department of Pedodontics, Faculty of Dental Medicine, ‘Carol Davila’ University of Medicine and Pharmacy, Bucharest 032799, Romania
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Chan GXL, Tan ELY, Chew MT, Wong HC, Foong KWC, Yow M. Prevalence of Class I, II and III skeletal relationships and its association with dental anomalies in an ethnic Chinese orthodontic population. PROCEEDINGS OF SINGAPORE HEALTHCARE 2021. [DOI: 10.1177/20101058211000779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objectives: To investigate the prevalence of skeletal Classes I, II and III in a Chinese orthodontic population, and determine its association with the prevalence of dental anomalies. Methods: This retrospective cross-sectional study was conducted on 2508 ethnic Chinese orthodontic patients aged 14 to 25 years who attended the Department of Orthodontics at the National Dental Centre Singapore. Radiographs, photographs and clinical records of the study sample were examined for the prevalence of dental anomalies in the permanent dentition, excluding third molars. The anteroposterior skeletal relationship was determined based on the A point–Nasion–B point angle measured from the lateral cephalogram, whereby Class I: A point–Nasion–B point = 3.6° ± 2.5° (1 standard deviation) that is 1.1° to 6.1°; Class II: A point–Nasion–B point greater than 6.1°; Class III: A point–Nasion–B point less than 1.1°. Logistic regression was used to determine the association between the anteroposterior skeletal relationship and the occurrence of various dental anomalies. Results: The prevalence of the anteroposterior skeletal relationship was: 49.5% Class I; 23.1% Class II; and 27.4% Class III. Class III patients had significantly lower odds of impacted teeth compared to Class I patients (odds ratio 0.608, 95% confidence interval 0.463–0.798; P=0.00009). There was no significant difference in the occurrence of the anomalies among the various anteroposterior skeletal types. Conclusions: The occurrence of impacted teeth was lower in Class III than Class I, while no significant differences were noted for hyperdontia, hypodontia, peg-shaped upper lateral incisors, transposition and double teeth. The occurrence of all investigated dental anomalies had no significant difference between Class II and Class I.
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Affiliation(s)
| | - Elaine Li Yen Tan
- Department of Orthodontics, National Dental Centre Singapore, Singapore
| | - Ming Tak Chew
- Department of Orthodontics, National Dental Centre Singapore, Singapore
| | - Hung Chew Wong
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Kelvin Weng Chiong Foong
- Discipline of Orthodontics and Paediatric Dentistry, National University of Singapore, Singapore
| | - Mimi Yow
- Department of Orthodontics, National Dental Centre Singapore, Singapore
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20
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Lacy SA. Evidence of dental agenesis in late pleistocene Homo. INTERNATIONAL JOURNAL OF PALEOPATHOLOGY 2021; 32:103-110. [PMID: 33524842 DOI: 10.1016/j.ijpp.2021.01.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 01/16/2021] [Accepted: 01/16/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Differential diagnosis and tabulation of cases of dental agenesis in Middle and Upper Paleolithic Western Eurasian humans to synthesize this data and to test previous hypotheses about when recent human patterns of third molar agenesis were established. MATERIALS 139 Late Pleistocene human remains and 149 individuals from three Epi-Paleolithic/ Holocene non-agricultural comparative collections. METHODS All remains were visually and radiographically recorded by the author. RESULTS In addition to establishing that third molar agenesis was common during the Late Upper Paleolithic (22,500-10,000 years BP), this study suggests a pattern of increasing prevalence through time. CONCLUSIONS An increase in the prevalence of third molar agenesis in the Late Upper Paleolithic could indicate selection for dental size reduction and orthognathy, but also bio-cultural changes from more intensive food preparation techniques. SIGNIFICANCE Third molar agenesis, a well-known developmental defect, is often reported for recent human skeletal collections, but the prevalence of the condition for Pleistocene hominins had not been previously quantified in order to consider patterns through time. Hypotheses posited for the high prevalence of third molar agenesis, or hypodontia in general, in some recent human groups require an understanding of the prevalence of these traits in the past. LIMITATIONS Paleolithic skeletal remains are incomplete, so these values are under-estimations. Individuals are also separated diachronically and geographically and should not be assumed to represent a single population sample. SUGGESTIONS FOR FURTHER RESEARCH Hypotheses on some of the potential selective forces acting on dental size reduction and subsequent agenesis could be tested in recent humans.
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Affiliation(s)
- Sarah A Lacy
- California State University Dominguez Hills, Department of Anthropology, 1000 E Victoria St, Carson, CA, 90747, United States.
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Sivarajan S, Mani SA, John J, Fayed MMS, Kook YA, Wey MC. The global distribution of permanent canine hypodontia: A systematic review. Korean J Orthod 2021; 51:55-74. [PMID: 33446621 PMCID: PMC7837799 DOI: 10.4041/kjod.2021.51.1.55] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 09/13/2020] [Accepted: 09/16/2020] [Indexed: 11/10/2022] Open
Abstract
Objective To systematically review studies on canine agenesis prevalence in different populations and continents, based on the jaw, sex, location, and associated dental anomalies. Methods Electronic and hand searches of English literature in PubMed, Web of Science, Scopus, OpenGrey, and Science Direct were conducted, and the authors were contacted when necessary. Observational studies (population-based, hospital/clinic-based, and cross-sectional) were included. For study appraisal and synthesis, duplicate selection was performed independently by two reviewers. Study quality was assessed using a modified Strengthening the Reporting of Observational Studies in Epidemiology checklist, with main outcome of prevalence of canine agenesis. Results The global population prevalence of canine agenesis was 0.30% (0.0-4.7%), highest in Asia (0.54%), followed by Africa (0.33%), and the least in Europe and South America (0.19% in both continents). Canine agenesis was more common in the maxilla (88.57%), followed by both maxilla and mandible (8.57%), and the least common was mandible-only presentation (2.86%). The condition was more common in females (female:male ratio = 1.23), except in Asia (female:male ratio = 0.88) and Africa (female:male ratio = 1). In Asia, unilateral agenesis was almost twice as prevalent as bilateral, but in Europe, the bilateral form was more common. Conclusions The overall prevalence of canine agenesis is 0.30%, with the highest prevalence in Asia, followed by Africa, Europe, and South America. The condition is more common in the maxilla than the mandible, and in females than males (except in Asia and Africa), with unilateral agenesis being more common in Asia and the bilateral form showing a greater prevalence in Europe.
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Affiliation(s)
- Saritha Sivarajan
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Shani Ann Mani
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Jacob John
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
| | - Mona M Salah Fayed
- Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - Yoon-Ah Kook
- Department of Dentistry, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Mang Chek Wey
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
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Fernandez CCA, Pereira CVCA, Ferreira FFCF, Maciel JVB, Modesto A, Costa MC, Vieira AR. IRF6, MSX1, TGFA, dental anomalies, and skeletal malocclusion. Eur J Orthod 2020; 43:478-485. [PMID: 33200192 DOI: 10.1093/ejo/cjaa064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
OBJECTIVE Verify the presence of association between four variables-transforming growth factor α (TGFA; C/T rs1523305), interferon regulatory factor 6 (IRF6; A/C rs2013162), muscle segment homeobox 1 (MSX1; A/G rs12532), and dental anomalies-with skeletal malocclusion by comparing these four variables with Angle Classes I, II, and III, and normal, hyperdivergent, and hypodivergent growth patterns. METHODS A total of 505 orthodontic records of patients older than 8 years were evaluated. The sample consisted of 285 (56.4 per cent) females, 220 (43.6 per cent) males, 304 (60.2 per cent) Whites (the rest were mixed Blacks with Whites), with a mean age of 20.28 (±10.35) years (ranging from 8 to 25 years). Eight cephalometric points, which served as the anatomical framework for obtaining angles and cephalometric measurements, were used for skeletal characterization using the Dolphin Software. Samples of saliva were collected and the DNA was extracted, diluted and quantified. Markers in TGFA, IRF6, and MSX1 were used and genotypes were obtained using TaqMan chemistry. Odds ratio (OR) and 95 per cent confidence interval (CI) calculations, chi-square, Fisher's Exact, Mann-Whitney, and correlation coefficient tests (significance level: 95 per cent) were performed. Bonferroni correction was applied and an alpha of 0.0006 was considered statistically significant. RESULTS There was no statistically significant associations between markers in TGFA or IRF6 with skeletal malocclusions. Tooth agenesis was associated with facial convexity (P < 0.001). MSX1 was associated with Class II skeletal malocclusion (P = 0.0001, OR = 0.6, CI = 0.46-0.78). CONCLUSION Individuals with tooth agenesis were more likely to have a convex face. MSX1 was associated with Class II skeletal malocclusion.
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Affiliation(s)
- Clarissa C A Fernandez
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Brazil
| | - Christiane V C A Pereira
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Brazil
| | - Fernanda F C F Ferreira
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Brazil
| | - José V B Maciel
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Brazil
| | - Adriana Modesto
- Department of Pediatric Dentistry, University of Pittsburgh, PA, USA
| | - Marcelo C Costa
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Brazil
| | - Alexandre R Vieira
- Oral Biology, School of Dental Medicine, University of Pittsburgh, PA, USA
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Rodrigues AS, Antunes LS, Pinheiro LHM, Guimarães LS, Calansans-Maia JDA, Küchler EC, Antunes LAA. Is dental agenesis associated with craniofacial morphology pattern? A systematic review and meta-analysis. Eur J Orthod 2020; 42:534-543. [PMID: 31783403 DOI: 10.1093/ejo/cjz087] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND/OBJECTIVE Craniofacial discrepancies have been associated with congenital dental anomalies. The aim of this study was to determine if there is any scientific evidence in the literature regarding the association between dental agenesis and craniofacial morphology. MATERIALS AND METHODS A systematic review and meta-analysis following the PRISMA Statement were conducted and registered in PROSPERO database. A broad search was conducted on databases (PubMed, Virtual Health Library, Web of Science, and Scopus) and grey literature. Articles that were selected based on predetermined eligibility criteria were assessed for quality and risk of bias according to the guidelines described by Folkes and Fulton. Those articles with similarities were submitted to meta-analysis using the RevMan 5.3 program. The certainty of the evidence was tested using the GRADE (Grading of Recommendations, Assessment, Development and Evaluation). RESULTS An electronic search of 975 articles resulted in 12 articles. These and four articles identified through manual search were eligible to be assessed for methodological quality and the risk of bias. Eleven articles presented moderate to high methodological quality. The included articles observed a reduced mandibular plane, a smaller maxilla and more differences with the increase in the severity of dental agenesis. Seven articles were included in the meta-analyses. Dental agenesis presented smaller SNA angle (P < 0.0001/CI -1.74 [-2.55, -0.92]) with moderate certainty of the evidence; and smaller ANB angle (P = 0.01/CI -0.80 [-1.44, -0.17]), with low certainty of the evidence. CONCLUSIONS This systematic review and meta-analysis demonstrated that dental agenesis may be associated with specific craniofacial morphology. Further studies are necessary due to the variation of the certainty of the evidence. CONFLICT OF INTEREST none declared. REGISTRATION PROSPERO (CRD42017055882).
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Affiliation(s)
- Amanda Silva Rodrigues
- Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil
| | - Leonardo Santos Antunes
- Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil
| | - Liz Helena Moraes Pinheiro
- Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University, Health Institute of Nova Friburgo, RJ, Brazil
| | - Ludmila Silva Guimarães
- Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil
| | | | - Erika Calvano Küchler
- Postgraduate Program in Dentistry, School of Dentistry, Positivo University, Curitiba, PR, Brazil
| | - Lívia Azeredo Alves Antunes
- Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil.,Postgraduate Program in Dentistry, School of Dentistry, Fluminense Federal University, Health Institute of Nova Friburgo, RJ, Brazil
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Atay MT, Ozveren N, Serindere G. Evaluation of third molar agenesis associated with hypodontia and oligodontia in turkish pediatric patients. Eur Oral Res 2020; 54:136-141. [PMID: 33543119 PMCID: PMC7837709 DOI: 10.26650/eor.20200134] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Purpose To evaluate the association between third molar (M3) agenesis and hypodontia and oligodontia in pediatric patients by using panoramic radiography. Materials and methods Panoramic radiographs of 1,471 patients (899 females; 572 males) and 5,884 teeth were retrospectively evaluated. The age and gender of the patients were recorded. Patients ages 9-15 years old were included in the study. The mean age was 12.76. The agenesis of M3 teeth and the relationship between M3 agenesis and hypodontia and oligodontia were recorded according to findings from the upper and lower jaw, in both the right and left locations, along with the number of M3 with agenesis. Data were analyzed using chi-square and McNemar tests (p<0.05). Results A total of 1,319 (89.7%) patients had all M3 teeth present in the mouth, while the other 152 (10.3%) had congenital agenesis in one or more teeth. The number of teeth in which M3 agenesis was seen, in order of the number of missing M3 teeth, the percentages were 2.6% for one, 2.4% for two, 1.0% for three and 4.3% for four missing teeth.Hypodontia was detected in 37 patients and oligodontia was detected in 3 patients. Conclusion The prevalence of M3 agenesis varies from one population to another. Two of the dental anomalies associated with M3 agenesis are hypodontia and oligodontia. In this study, M3 agenesis varied in terms of region and gender; hypodontia was also significantly higher in patients with missing mandibular M3.
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Affiliation(s)
- Meltem Tekbas Atay
- Trakya University, Faculty of Dentistry, Department of Restorative Dentistry, Edirne, Turkey
| | - Neslihan Ozveren
- Trakya University, Faculty of Dentistry, Department of Paediatrics Dentistry, Edirne,Turkey
| | - Gozde Serindere
- Hatay Mustafa Kemal University, Faculty of Dentistry, Department of Dentomaxillofacial Radiology, Hatay,Turkey
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Nikolov Borić D, Radalj Miličić Z, Kranjčević Bubica A, Meštrović S. Prevalence and Pattern of Hypodontia among Croatian Orthodontic Patients. Acta Stomatol Croat 2020; 54:155-160. [PMID: 32801374 PMCID: PMC7362730 DOI: 10.15644/asc54/2/5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Objective The objective of this retrospective study was to assess the prevalence of hypodontia in the permanent dentition among Croatian orthodontic patients. The occurrence was evaluated concerning gender, specific missing teeth, the location, pattern of distribution in the maxillary and mandibular arches and sagittal and vertical skeletal pattern. Material and Methods The sample consisted of 194 patients (75 males and 119 females) from the Department of Orthodontics, Dental Clinic, Clinical Hospital Center Zagreb. Based on the severity of hypodontia the sample was divided into mild (1-2 missing teeth), moderate (3-5 missing teeth) and severe groups (6 or more missing teeth). The location of missing teeth was used to further divide the sample into anterior (intercanine region), posterior (premolars and molars) and anteroposterior groups. In addition, jaw localization of hypodontia was also considered. Results Permanent dentition hypodontia among Croatian orthodontic patients was found to be generally mild (80%), and a distribution was similar in the maxilla (39%) and the mandible (41%), as well as in the anterior and posterior segments of dental arch (44%). The number of missing teeth per person ranged from 1 to 12, with no significant difference between genders. The severity and location of hypodontia did not differ significantly between the genders, as well as in between the categories of sagittal and vertical skeletal patterns. Conclusion Present results suggest that the treatment plan for patients with hypodontia in permanent dentition should be individualized and adjusted for each case.
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Affiliation(s)
- Daša Nikolov Borić
- Postgraduate student, School of Dental Medicine, University of Zagreb, Croatia
| | | | | | - Senka Meštrović
- Department of Orthodontics, School of Dental Medicine, University of Zagreb, Croatia
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Ei Hsu Hlaing E, Ishihara Y, Fujisawa A, Yamashiro T, Kamioka H. Orthodontic management of a non-syndromic patient with concomitant bimaxillary hypohyperdontia: a case report. Dental Press J Orthod 2020; 25:36-46. [PMID: 32215476 PMCID: PMC7077940 DOI: 10.1590/2177-6709.25.1.036-046.oar] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Accepted: 04/13/2019] [Indexed: 11/22/2022] Open
Abstract
Introduction: Tooth agenesis is one of the most common dental anomalies; however, the concomitant occurrence of opposite dental numerical variation of hypohyperdontia is extremely rare. Objective: To report the successful orthodontic management of a patient with non-syndromic concomitant bilateral agenesis of mandibular canines and two midline inverted supernumerary maxillary teeth. Case report: 21-year-old female patient with a chief complaint of protrusive right maxillary central incisor. The patient was diagnosed with a mild Class II skeletal base, Angle Class III molar relationship and increased overjet associated with hypohyperdontia. Anterior open bite accompanied with tongue-thrusting habit were also observed. Two temporary anchorage devices (TADs) were implanted at the buccal side of the maxillary molar region to control vertical height. Anterior teeth retraction was done after extraction of the maxillary first premolars, to improve the excessive overjet. The treatment mechanics involved lingual brackets system for the maxillary arch and transpalatal arch for anchorage control. Results: The total active treatment period was 35 months. Acceptable occlusion with increased bite force and contact area as well as functional excursion were established without interference, following complex orthodontic treatment with premolar substitution. The resultant occlusion and a satisfactory facial profile were maintained after 29 months of retention. Conclusion: The present case report provides implications regarding the orthodontic treatment of hypohyperdontia-associated substitution for missing teeth as an effective option for improving aesthetic and functional aspects.
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Affiliation(s)
- Ei Ei Hsu Hlaing
- Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Orthodontics (Okayama, Japan)
| | - Yoshihito Ishihara
- Okayama University Hospital, Department of Orthodontics (Okayama, Japan)
| | - Atsuro Fujisawa
- Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Orthodontics (Okayama, Japan)
| | - Takashi Yamashiro
- Osaka University, Graduate School of Dentistry, Department of Orthodontics and Dentofacial Orthopedics (Suita, Japan)
| | - Hiroshi Kamioka
- Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Orthodontics (Okayama, Japan)
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Şatır S, Büyükçavuş MH. Comparison of the Angulation of the Unerupted Mandibular Second Premolar in Turkish Population with Tooth Agenesis. Turk J Orthod 2020; 32:195-199. [PMID: 32110463 DOI: 10.5152/turkjorthod.2019.18011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Accepted: 02/07/2019] [Indexed: 11/22/2022]
Abstract
Objective This study aimed to evaluate the unerupted mandibular second premolar (MnP2) angulation in individuals with different tooth agenesis in Turkish population. Methods We retrospectively reviewed panoramic radiographs of patients treated at Akdeniz University. According to the agenesis, the subjects were categorized into three groups: 22 patients with unilateral MnP2 agenesis (Group 1), 22 patients with bilateral mandibular incisor agenesis (MnI, Group 2), and 22 patients with no agenesis excluding third molars (Group 3). The angle between the first mandibular molar and unerupted MnP2 (ɣ angle) and the angle between the mandibular basis and unerupted MnP2 (Ɵ angle) were measured on both the right and left sides in Groups 2 and 3 using the method determined by Shalish et al. Results Groups 1 and 2 were compared with the control group with respect to (ɣ) and (Ɵ). No significant difference was found between Groups 2 and 3 on both the right and left sides (p>0.05). The comparison between Groups 1 and 3 revealed significant differences in the ɣ and Ɵ angle only on the left side (p>0.05). Conclusion Posterior rotation of the mandibular condyle during the growth-development period may be one of the factors responsible for the difference in the Ɵ angle between the MnI agenesis and control groups. A difference in the total number of teeth on the dental arch may be a reason for the differences in the ɣ angle between the MnI agenesis and control groups.
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Affiliation(s)
- Samed Şatır
- Department of Oral and Maxillofacial Radiology, Akdeniz University School of Dentistry, Antalya, Turkey
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Song JS, Shin TJ, Kim YJ, Kim JW, Jang KT, Lee SH, Hyun HK. Prediction of agenesis of the maxillary second premolar based on the developmental stages of the maxillary canine, first premolar, and second molar. Arch Oral Biol 2019; 111:104629. [PMID: 31865033 DOI: 10.1016/j.archoralbio.2019.104629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2019] [Revised: 11/08/2019] [Accepted: 12/03/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE This study aimed to suggest criteria for the early diagnosis of agenesis of the maxillary second premolars (U5) based on the developmental stages of the maxillary canines (U3), first premolars (U4), and second molars (U7). DESIGN Overall, 303 control patients and 72 patients with agenesis who met the inclusion criteria were analyzed among 5136 patients aged 5-11 years for whom panoramic radiographs were obtained at Seoul National University Dental Hospital from June 2008 to December 2009. All developmental stages of U3, U4, U5, and U7 in both groups were evaluated and categorized into the stages proposed by Demirjian et al. To confirm the delayed dental development in the agenesis group, the Wilcoxon rank sum test was used. For verifying the tooth with the most similar developmental pattern to U5, the Kendall tau Rank Correlation and Bootstrap methods were used. Moreover, survival analysis and leave-one-out-cross-validation were performed to identify the earliest developmental stages of U3, U4, and U7 at which agenesis of U5 can be confirmed. RESULTS The developmental stage of U4 in the agenesis group was significantly delayed compared with that in the control group at ages 5-10. All of the stages of U3, U4, and U7 showed high correlation coefficients with U5. CONCLUSION U5 agenesis can be confirmed with high prediction accuracy when at least two of the three conditions are satisfied: U3, U4, and U7 in Demirjian stages E, D, and C, respectively.
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Affiliation(s)
- Ji-Soo Song
- Department of Pediatric Dentistry, Seoul National University Dental Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
| | - Teo Jeon Shin
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
| | - Young-Jae Kim
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
| | - Jung-Wook Kim
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
| | - Ki-Taeg Jang
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
| | - Sang-Hoon Lee
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
| | - Hong-Keun Hyun
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
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Ota S, Hirakata C, Endo T. Prevalence and patterns of tooth agenesis among malocclusion classes in a Japanese orthodontic population. J Oral Sci 2019; 61:504-507. [PMID: 31548453 DOI: 10.2334/josnusd.18-0319] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
The purpose of the present study was to assess, in detail, the association between tooth agenesis (TA) and various sagittal skeletal malocclusion groups in a Japanese orthodontic population. One thousand and twenty patients were divided into skeletal Class I, II, or III malocclusion groups using the A point, nasion, and B point angle. TA was identified in each group using panoramic radiographs. Patients with class III malocclusion exhibited a significantly higher prevalence of third molar (M3) agenesis, bilateral and overall agenesis of the maxillary M3s than those patients with a class II malocclusion. Those with a Class II malocclusion demonstrated a significantly lower prevalence of overall agenesis of the mandibular M3s than those with class I or III malocclusions. There were no significant differences in the prevalence of agenesis of teeth other than the M3s between the skeletal malocclusion groups. In each group, there was significantly more M3 agenesis present in the maxilla than in the mandible, and agenesis of the incisors and second premolars was found more often in the mandible than in the maxilla. Sagittal jaw relationships were significantly associated with M3 agenesis but were not associated with agenesis of the maxillary and mandibular incisors and second premolars.
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Affiliation(s)
- Shin Ota
- Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Life Dentistry at Niigata, The Nippon Dental University
| | - Chika Hirakata
- Orthodontic Dentistry, The Nippon Dental University Niigata Hospital
| | - Toshiya Endo
- Department of Orthodontics and Dentofacial Orthopedics, Graduate School of Life Dentistry at Niigata, The Nippon Dental University
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Alqahtani H. Association between sella turcica bridging and congenitally missing maxillary lateral incisors. J Dent Sci 2019; 15:59-64. [PMID: 32257001 PMCID: PMC7109490 DOI: 10.1016/j.jds.2019.07.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 07/17/2019] [Indexed: 11/23/2022] Open
Abstract
Background/purpose Sella turcica bridging (STB) and its association with dental anomalies has been investigated and reported in literature. This is the first study that exclusively compared STB among the orthodontic patients with congenital missing maxillary lateral incisors (CMMLI) and individuals with complete dentition. Materials and methods The retrospective study has recruited 49 patients with CMMLI (13 males and 36 females aged between 12 and 43 years) and 49 patients with complete dentition. Sella dimensions and association of STB with CMMLI were evaluated and the results were analysed using descriptive and inferential statistics. Results The comparison of mean diameter, length, and depth of sella between groups showed reduction in length among the CMMLI (p = 0.04). CMMLI group has shown a significant higher (p < 0.05) number of subjects (69.4%) with calcification when compared to control group (46.9%). The odds of having sella's bridging in patients with CMMLI were 2.5 times greater than patients with full set of teeth. Age showed a significant (p < 0.001) positive correlation with sella's width only in CMMLI. Conclusion Patients with CMMLI tend to have an increased frequency of STB, and decreased sella turcica length.
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Elsten EECM, Caron CJJM, Dunaway DJ, Padwa BL, Forrest C, Koudstaal MJ. Dental anomalies in craniofacial microsomia: A systematic review. Orthod Craniofac Res 2019; 23:16-26. [PMID: 31608577 PMCID: PMC7003932 DOI: 10.1111/ocr.12351] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Revised: 10/08/2019] [Accepted: 10/08/2019] [Indexed: 12/12/2022]
Abstract
Objective: To provide an overview on the prevalence and types of dental anomalies in patients with craniofacial microsomia (CFM). Eligibility criteria: Inclusion criteria were CFM and dental anomalies. The following data were extracted: number of patients, methodology, mean age, sex, affected side, severity of mandibular hypoplasia, dentition stage and dental anomalies. Information sources: Cochrane, EMBASE, PubMed, MEDLINE Ovid, Web of Science, CINAHL EBSCOhost and Google Scholar, searched until the 30 August 2019. Risk of bias: The quality was examined with the OCEBM Levels of Evidence. Included studies: In total, 13 papers were included: four retrospective cohort studies, four prospective cohort studies, four case‐control studies and one case series. Synthesis of results: The studies reported information on dental agenesis, delayed dental development, tooth size anomalies, tooth morphology and other dental anomalies. Description of the effect: Dental anomalies are more often diagnosed in patients with CFM than in healthy controls and occur more often on the affected than on the non‐affected side. Strengths and limitations of evidence: This is the first systematic review study on dental anomalies in CFM. However, most articles were of low quality. Interpretation: Dental anomalies are common in CFM, which might be linked to the development of CFM. The pathophysiology of CFM is not entirely clear, and further research is needed.
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Affiliation(s)
- Eline E C M Elsten
- Department of Oral and Maxillofacial Surgery, The Dutch Craniofacial Centre, Erasmus University Medical Center, Sophia's Children's Hospital Rotterdam, Rotterdam, The Netherlands
| | - Cornelia J J M Caron
- Department of Oral and Maxillofacial Surgery, The Dutch Craniofacial Centre, Erasmus University Medical Center, Sophia's Children's Hospital Rotterdam, Rotterdam, The Netherlands
| | - David J Dunaway
- The Craniofacial Unit, Great Ormond Street Hospital, London, UK
| | - Bonnie L Padwa
- The Craniofacial Centre, Boston Children's Hospital, Boston, MA, USA
| | - Chris Forrest
- The Center for Craniofacial Care and Research, SickKids Hospital, Toronto, Ontario, Canada
| | - Maarten J Koudstaal
- Department of Oral and Maxillofacial Surgery, The Dutch Craniofacial Centre, Erasmus University Medical Center, Sophia's Children's Hospital Rotterdam, Rotterdam, The Netherlands.,The Craniofacial Unit, Great Ormond Street Hospital, London, UK.,The Craniofacial Centre, Boston Children's Hospital, Boston, MA, USA
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Maxillary sinus size and posterior tooth inclination in Japanese orthodontic patients with agenesis of maxillary second premolars. Odontology 2019; 108:312-320. [PMID: 31583484 DOI: 10.1007/s10266-019-00462-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 09/08/2019] [Indexed: 10/25/2022]
Abstract
The purpose of this study was to investigate the expansion of the maxillary sinus and the inclinations of posterior teeth in orthodontic patients with maxillary second premolar agenesis. A total of 30 subjects with one or two congenitally missing maxillary second premolars and retained maxillary deciduous second molars (a agenesis group) were selected and divided into a unilateral agenesis group (20 subjects with one maxillary second premolar missing) and a bilateral agenesis group (10 subjects with two maxillary second premolars missing). As controls, 30 sex- and age-matched subjects without agenesis of the maxillary second premolars were selected. Oblique cephalograms were used to investigate the association of maxillary second premolar agenesis and lower maxillary sinus size and posterior tooth inclinations. Agenesis of the maxillary second premolars induced significantly large lower maxillary sinus length, depth, area and mesial inclination of the maxillary first premolar, a significantly small anterior maxillary length, and a significantly more distal position for root apex of the maxillary first premolar. There were no significant differences in any measurements of the lower maxillary sinus and posterior teeth between the non-agenesis side in the unilateral agenesis group and the control group. Maxillary second premolar agenesis caused inferior and anterior expansion of the lower maxillary sinus and the mesial inclination of the maxillary first premolars with a distal position of root apex. Unilateral agenesis of the maxillary second premolar did not affect on the lower maxillary sinus size or posterior tooth inclinations of the unaffected antimere.
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Raziee L, Judd P, Carmichael R, Chen S, Sidhu N, Suri S. Impacts of oligodontia on oral health-related quality of life reported by affected children and their parents. Eur J Orthod 2019; 42:250-256. [DOI: 10.1093/ejo/cjz047] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Summary
Background
Oligodontia (agenesis of six or more permanent teeth) affects functional, emotional, and social aspects of an individual’s life. Few published studies have evaluated oral health-related quality of life (OHRQoL) in children with oligodontia and very limited have compared the child and parental perceptions.
Methods
Thirty-five 8- to 18-year-old patients with oligodontia (10 M, 25 F; mean age: 12.4 ± 2.9 years; mean number of permanent teeth missing due to agenesis: 8.9 ± 3.2) recruited from The Hospital for Sick Children, Toronto, and Holland Bloorview Kids Rehabilitation Hospital, Toronto, and their parents completed the short format of Child Perception Questionnaire (CPQ11–14) and the Parent Child Perception Questionnaire, respectively.
Results
Children reported significantly worse overall CPQ score than their parents. Correlations between children’s and parents’ overall CPQ score, oral symptoms and functional limitations, and social well-being were not statistically significant. However, as children’s emotional well-being score increased, parents’ score also increased. There was no association between child CPQ score and age, gender, number, and location of permanent tooth agenesis in this sample. There was a significant correlation between overall CPQ score and Site-Specific Tooth Absences.
Conclusion
Children’s overall CPQ score and domain scores were significantly worse than their parents indicating that children with oligodontia had poorer OHRQoL compared to what was perceived by their parents.
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Affiliation(s)
- Leila Raziee
- Faculty of Dentistry, University of Toronto, Canada
| | - Peter Judd
- Department of Dentistry, The Hospital for Sick Children, Toronto, Canada
| | - Robert Carmichael
- Department of Dentistry, The Hospital for Sick Children, Toronto, Canada
- Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada
| | - Shiyi Chen
- Princess Margaret Hospital, Toronto, Canada
| | - Nicole Sidhu
- Department of Dentistry, The Hospital for Sick Children, Toronto, Canada
| | - Sunjay Suri
- Faculty of Dentistry, University of Toronto, Canada
- Department of Dentistry, The Hospital for Sick Children, Toronto, Canada
- Burlington Growth Centre, Faculty of Dentistry, University of Toronto, Canada
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Chan GXL, Tan ELY, Chew MT, Wong HC, Foong KWC, Yow M. Secondary dentition characteristics in an ethnic Chinese orthodontic population: A retrospective cross-sectional study. JOURNAL OF INVESTIGATIVE AND CLINICAL DENTISTRY 2019; 10:e12421. [PMID: 31091018 DOI: 10.1111/jicd.12421] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 03/05/2019] [Accepted: 03/28/2019] [Indexed: 12/16/2022]
Abstract
AIM To determine the prevalence of dental anomalies and its association with gender. METHODS This retrospective cross-sectional study was conducted using radiographs, photographs and clinical records of patients who attended the Department of Orthodontics at the National Dental Centre Singapore. Records of 2508 ethnic Chinese orthodontic patients aged 14-25 years were examined for the prevalence of dental anomalies in the permanent dentition, excluding third molars. Statistical analyses were performed using SAS version 9.4 (SAS Institute Inc.). Logistic regression was used to determine the association between gender and the occurrence of various dental anomalies. Kappa coefficients were calculated to test for intra-examiner reproducibility. Statistical significance was set at P < 0.05. RESULTS Prevalence of dental anomalies was 5.7% hyperdontia, 11.1% hypodontia, 5.5% peg-shaped upper lateral incisors, 21.9% impacted teeth, 1.3% transposition and 0.4% double teeth. There was no significant gender difference in the occurrence of the anomalies except hyperdontia, with males having significantly higher odds of hyperdontia compared with females (odds ratio, 1.488; 95% confidence interval, 1.062-2.085; P = 0.021). CONCLUSION Occurrence of hyperdontia is greater in males than females, while no significant gender differences were noted for hypodontia, peg-shaped upper lateral incisors, impacted teeth, transposition and double teeth.
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Affiliation(s)
- Grace X L Chan
- Department of Orthodontics, National Dental Centre Singapore, Singapore
| | - Elaine L Y Tan
- Department of Orthodontics, National Dental Centre Singapore, Singapore
| | - Ming T Chew
- Department of Orthodontics, National Dental Centre Singapore, Singapore
| | - Hung C Wong
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Kelvin W C Foong
- Discipline of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, National University of Singapore, Singapore
| | - Mimi Yow
- Department of Orthodontics, National Dental Centre Singapore, Singapore
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Gupta S, Rauniyar S. Prevalence and distribution of dental agenesis among orthodontic patients of Kathmandu, Nepal. ARCHIVES OF MEDICINE AND HEALTH SCIENCES 2019. [DOI: 10.4103/amhs.amhs_103_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Sola RA, Sola PA, Pérez JDLC, Sánchez IN, Renovales ID. Prevalence of Hypodontia in a Sample of Spanish Dental Patients. Acta Stomatol Croat 2018; 52:18-23. [PMID: 30034000 PMCID: PMC6050744 DOI: 10.15644/asc52/1/3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Objectives The aim of this retrospective study was to evaluate the prevalence of hypodontia in a sample of dental patients, aged between seven and eleven years at University Alfonso X in Madrid (Spain). Materials and Methods The number of hypodontia cases and the most affected teeth were evaluated in 2500 panoramic radiographs in a random sample of dental patients consisting of 1235 females and 1265 males. We divided them according to age, number of hypodontia present in each patient (multiple or single), each side, each quadrant either in the upper jaw or in the mandible. The chi-square test (P <0.05) was used to compare the differences in agenesis among males and females. Results The sample of 2500 patients who were studied consisted of 1235 women, out of which 41 presented hypodontia (3.31%) and 1265 men, out of which 46 had at least a dental absence (3.63%). There was no significant difference in the proportion of hypodontia between men and women (p> 0.05). Conclusion The percentage of total agenesis of 2500 patients studied was 3.48%.
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Affiliation(s)
- Rebeca Ayala Sola
- Master's Student, Department of Orthodontics, University Alfonso X El Sabio, Madrid, Spain
| | - Pablo Ayala Sola
- Oral and Maxillofacial Trainee Surgeon, Complejo Hospitalario De Navarra, Pamplona, Spain
| | | | - Iván Nieto Sánchez
- Department of Orthodontics, University Alfonso X El Sabio, Madrid, Spain
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Kang CM, Hahn SM, Kim HS, Lyu CJ, Lee JH, Lee J, Han JW. Clinical Risk Factors Influencing Dental Developmental Disturbances in Childhood Cancer Survivors. Cancer Res Treat 2018; 50:926-935. [PMID: 29020731 PMCID: PMC6056986 DOI: 10.4143/crt.2017.296] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Accepted: 09/30/2017] [Indexed: 11/21/2022] Open
Abstract
PURPOSE Although studies regarding dental developmental disturbances after childhood cancer treatment have increased, they have many limitations. Studies analyzing the significance of independent clinical risk factors with regard to the dental health status are also rare. We aimed to investigate the risk factors for dental developmental disturbances, particularly severe disturbances, in childhood cancer survivors (CCS). MATERIALS AND METHODS Oral examinations and retrospective reviews of medical and panoramic radiographs were performed for 196 CCS (mean age, 15.6 years). Cancer type, age at diagnosis, treatment modality, type and accumulated dose of administered drugs, and dose and site of radiation were recorded. Dental developmental disturbances were diagnosed using panoramic radiographs and graded for severity according to the Modified Dental Defect Index (MDDI). Descriptive statistics and multivariate analyseswere performed to determine the association between dental abnormalities and clinical factors. RESULTS In total, 109 CCS (55.6%) exhibited at least one dental anomaly, and the median value of MDDI was 2.5. Microdontia (30.6%) was the most prevalent anomaly, followed by tooth agenesis (20.4%), V-shaped roots (14.8%), and taurodontism (10.2%). Multivariate analysis revealed that a young age at diagnosis (≤ 3 years), a history of hematopoietic stem cell transplantation, the use of multiple classes of chemotherapeutic agents (≥ 4 classes), and the use of heavy metal agents were significant risk factors for severe dental disturbances. CONCLUSION CCS with any of the above risk factors for severe developmental disturbances should be comprehensively followed up to minimize adverse consequences to their dental development and preserve their future dental health.
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Affiliation(s)
- Chung-Min Kang
- Department of Pediatric Dentistry, Yonsei University College of Dentistry, Seoul, Korea
- Department of Pharmacology, Yonsei University College of Medicine, Seoul, Korea
| | - Seung Min Hahn
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
- Department of Pediatric Hematology-Oncology, Yonsei Cancer Center, Yonsei University Health System, Seoul, Korea
| | - Hyo Sun Kim
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
- Department of Pediatric Hematology-Oncology, Yonsei Cancer Center, Yonsei University Health System, Seoul, Korea
| | - Chuhl Joo Lyu
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
- Department of Pediatric Hematology-Oncology, Yonsei Cancer Center, Yonsei University Health System, Seoul, Korea
| | - Jae-Ho Lee
- Department of Pediatric Dentistry, Yonsei University College of Dentistry, Seoul, Korea
| | - Jinae Lee
- Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Korea
| | - Jung Woo Han
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea
- Department of Pediatric Hematology-Oncology, Yonsei Cancer Center, Yonsei University Health System, Seoul, Korea
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Dallel I, Marwen W, Ben Abdallah S, Tobji S, Ben Amor A, Canal P. L’agénésie des incisives latérales supérieures : étude d’une population orthodontique et illustration clinique. Int Orthod 2018; 16:384-407. [DOI: 10.1016/j.ortho.2018.03.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Trakinienė G, Šidlauskas A, Andriuškevičiūtė I, Šalomskienė L, Švalkauskienė V, Smailienė D, Trakinis T. Impact of genetics on third molar agenesis. Sci Rep 2018; 8:8307. [PMID: 29844528 PMCID: PMC5974231 DOI: 10.1038/s41598-018-26740-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 05/18/2018] [Indexed: 11/17/2022] Open
Abstract
The purpose of this investigation was to determine the impact of heritability on third molar agenesis in twins. The study sample consisted of 284 same sex twins (172 monozygotic and 112 dizygotic), whose mean ages were 19.7 ± 4.3 and 18.9 ± 4.8 years, respectively. The monozygotic group consisted of 36.3% males and 63.7% females, while the dizygotic group consisted of 50.1% males and 49.9% females. The zygosity of the twins was established using 15 specific DNA markers. The prevalence of third molar agenesis in monozygotic twins was 19.6%, which was higher than in the dizygotic twins group (15.50%) (p = 0.004). In both groups, third molar agenesis was more frequent in the maxilla than in the mandible (p = 0.000). Agenesis of the maxillary third molars was mostly affected by additive genetic factors (62–63%), with the common environment and the specific environment accounting for up to 25% and 13%, respectively. In contrast, agenesis of the lower third molars was associated with a higher additive genetic determination (81–83%), with the specific environment accounting for 17% to 19%. The study’s conclusion is that the formation of the third molars follicle is strongly controlled by additive genetic factors.
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Affiliation(s)
- Giedrė Trakinienė
- Lithuanian University of Health Sciences, Medical Academy, Department of Orthodontics, Kaunas, Lithuania.
| | - Antanas Šidlauskas
- Lithuanian University of Health Sciences, Medical Academy, Department of Orthodontics, Kaunas, Lithuania
| | - Irena Andriuškevičiūtė
- Department of Genetics, Lithuanian University of Health Sciences, Institute of Biology Systems and Genetic Research, Kaunas, Lithuania
| | - Loreta Šalomskienė
- Department of Genetics, Lithuanian University of Health Sciences, Institute of Biology Systems and Genetic Research, Kaunas, Lithuania
| | - Vilma Švalkauskienė
- Lithuanian University of Health Sciences, Medical Academy, Department of Orthodontics, Kaunas, Lithuania
| | - Dalia Smailienė
- Lithuanian University of Health Sciences, Medical Academy, Department of Orthodontics, Kaunas, Lithuania
| | - Tomas Trakinis
- Department of Orthopedic Surgery, Republican Hospital of Kaunas, Kaunas, Lithuania
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Sejdini M, Çerkezi S. Dental Number Anomalies and Their Prevalence According To Gender and Jaw in School Children 7 To 14 Years. Open Access Maced J Med Sci 2018; 6:867-873. [PMID: 29875863 PMCID: PMC5985881 DOI: 10.3889/oamjms.2018.174] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 03/23/2018] [Accepted: 03/24/2018] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES This study aimed to find the prevalence of Hypodontia and Hyperdontia in different ethnicities in patients from 7 to 14 years old. MATERIAL AND METHODS A group of 520 children were included aged 7 to 14 years, only the children who went to primary schools. Controls were performed by professional people to preserve the criteria of orthodontic abnormalities evaluation. The data were recorded in the individual card specially formulated for this research and all the patients suspected for hypodontia and hyperdontia the orthopantomography for confirmation was made. The data were analysed using descriptive statistical analysis using χ2 test for the significant difference for p ˂ 0.05 and Fisher test for p < 0.05. RESULTS Hypodontia, not counting the patients with missing third molars was found in 18 patients researched or 3.46%. The most commonly missing teeth were the second lower premolars, the second upper premolars, second upper lateral incisors followed by the lower incisors. Hyperdontia not including the third molars was found in 4 cases of the participants or 0.76% from which the most frequent atypical tooth mesiodens and one case of bilateral hypodontia of a lateral upper incisor with typical shape and size. But there were no significant differences when tested between genders and jaws. CONCLUSION The prevalence we found is similar to the prevalence in the region. Our findings indicate that there is a difference between the genders in the prevalence of hypodontia, but without statistical significance, while for hyperdontia we can't see such a difference between the sexes.
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Affiliation(s)
- Milaim Sejdini
- Clinic of Orthodontics, University Clinic of Dentistry, Medical Faculty, University of Prishtina, Prishtina, Kosovo
| | - Sabetim Çerkezi
- Faculty of Medical Sciences, State University of Tetovo, Tetovo, Republic of Macedonia
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Dallel I, Marwen W, Ben Abdallah S, Tobji S, Ben Amor A, Canal P. Agenesis of the upper lateral incisors: Study of an orthodontic population and clinical illustration. Int Orthod 2018; 16:384-407. [PMID: 29650346 DOI: 10.1016/j.ortho.2018.03.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In his daily practice, the orthodontist is regularly asked to treat patients with one or more missing teeth. Considering their functional and esthetic specificities, and the relatively high frequency of agenesia, our interest was to focus on the permanent lateral upper incisors. Our study, based on an orthodontic population including 1000 patients, shows that about 7.8% of these patients present agenesis of at least one permanent tooth (out of which 3.6% are agenesis of the upper lateral incisor). Treatment options for these cases are multiple with several decisional factors to consider: the solutions often lead to compromises, and require a multidisciplinary coordination. Therefore, the purpose of this article, was to describe the prevalence of these agenesia based on a retrospective study, and to present two clinical cases: the first case is a bilateral agenesis of the maxillary lateral incisors treated with space opening in order to place two implant-supported restorations. The second case is an agenesis of tooth 12 treated with space reopening and the placement of a cantilever bridge. These clinical cases are presented to illustrate the multidisciplinary approach involving orthodontics, prosthodontics, and periodontology, in order to achieve the most esthetic and functional results possible.
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Affiliation(s)
- Inès Dallel
- Laboratory of Research in Oral Health and Orofacial Rehabilitation, LR12, ES11, University of Monastir, Faculty of Dental Medicine, Vicenne Avenue, 5000 Monastir, Tunisia.
| | - Wiem Marwen
- Laboratory of Research in Oral Health and Orofacial Rehabilitation, LR12, ES11, University of Monastir, Faculty of Dental Medicine, Vicenne Avenue, 5000 Monastir, Tunisia
| | - Sofiene Ben Abdallah
- Laboratory of Research in Oral Health and Orofacial Rehabilitation, LR12, ES11, University of Monastir, Faculty of Dental Medicine, Vicenne Avenue, 5000 Monastir, Tunisia
| | - Samir Tobji
- Laboratory of Research in Oral Health and Orofacial Rehabilitation, LR12, ES11, University of Monastir, Faculty of Dental Medicine, Vicenne Avenue, 5000 Monastir, Tunisia
| | - Adel Ben Amor
- Laboratory of Research in Oral Health and Orofacial Rehabilitation, LR12, ES11, University of Monastir, Faculty of Dental Medicine, Vicenne Avenue, 5000 Monastir, Tunisia
| | - Pierre Canal
- Department of Orthodontics, Dental Faculty, University of Montpellier, 545, avenue Jean-Louis-Viala, 34080 Montpellier, France
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Vidaković A, Anić-Milošević S, Borić DN, Meštrović S. Mesiodistal and Buccolingual Dimensions in Croatian Orthodontic Hypodontia Patients' Teeth. Acta Stomatol Croat 2018; 52:12-17. [PMID: 30033999 PMCID: PMC6050749 DOI: 10.15644/asc52/1/2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Accepted: 02/21/2018] [Indexed: 12/04/2022] Open
Abstract
OBJECTIVE This study compared mesiodistal (MD) and buccolingual (BL) tooth dimensions of hypodontia patients with a control group with complete dentition. The null hypothesis was that there was no difference in tooth sizes between hypodontia patients and the controls. METHODS The sample comprised 76 patients with hypodontia (50 female and 26 male) aged between 11 and 18 years. The control group comprised 50 females and 26 males with the same age range as the study group. Mesiodistal (MD) and buccolingual (BL) dimensions were measured on pretreatment dental casts with a digital caliper to the nearest 0.01 mm. The data were analyzed using Statistica 7.1 (StatSoft Inc.) statistical package (descriptive statistics, test of distribution normality, parametric statistics). RESULTS The most common congenitally missing teeth were the lower second premolars (left 13.45% and right 13.90%) and upper lateral incisors (both left and right 12.56%), followed by upper second premolars (right 9.4o% and left 10.31%). The greatest differences between the study and control group were found in upper lateral incisors, 8.08% in MD and 6.40% in BL dimension. The smallest difference was found in BL dimension of lower lateral incisor (2.37%), MD dimension of lower second premolars and upper first molar (2.61%) and MD dimension of lower central incisor (2.26%). CONCLUSION The teeth are smaller in subjects with hypodontia than those of the controls on average 4.02% in MD dimension and 3.85% in BL dimension. The tooth that showed the greatest difference in tooth dimension was maxillary lateral incisor.
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Affiliation(s)
| | - Sandra Anić-Milošević
- Department of Orthodontics, School of Dental Medicine, University of Zagreb, Gundulićeva 5, 10 000 Zagreb, Croatia
| | - Daša Nikolov Borić
- Postgraduate student, School of Dental Medicine, University of Zagreb, Croatia
| | - Senka Meštrović
- Department of Orthodontics, School of Dental Medicine, University of Zagreb, Gundulićeva 5, 10 000 Zagreb, Croatia
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Third molar agenesis as a potential marker for craniofacial deformities. Arch Oral Biol 2018; 88:19-23. [PMID: 29358133 DOI: 10.1016/j.archoralbio.2018.01.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Revised: 01/05/2018] [Accepted: 01/16/2018] [Indexed: 11/23/2022]
Abstract
The identification of clinical patterns of tooth agenesis in individuals born with craniofacial deformities may be a useful tool for risk determination of these defects. We hypothesize that specific craniofacial deformities are associated with third molar agenesis. OBJECTIVE The aim of this study was to identify if third molar agenesis could have a relation with other craniofacial structure alterations, such as cleft lip and palate, skeletal malocclusion, or specific growth patterns in humans. DESIGN Data were obtained from 550 individuals ascertained as part of studies aiming to identify genetic contributions to oral clefts. 831 dental records of patients aged over eight years seeking orthodontic treatment were also included. SN-GoGn angle were used to classify the growth pattern (hypo-divergent, normal and hyper-divergent), and the ANB angle was used to verify the skeletal malocclusion pattern (Class I, II and III). Panoramic radiographs were used to determine third molar agenesis. RESULTS A high frequency of third molar agenesis among individuals born with cleft lip with or without cleft palate (55%), as well as among their relatives (93.5%) was found. Third molar agenesis was not associated to skeletal malocclusion or growth pattern. CONCLUSION It appears that third molar agenesis is associated with the disturbances that lead to cleft lip and palate.
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Sugiki Y, Kobayashi Y, Uozu M, Endo T. Association between skeletal morphology and agenesis of all four third molars in Japanese orthodontic patients. Odontology 2018; 106:282-288. [PMID: 29330705 PMCID: PMC5995980 DOI: 10.1007/s10266-017-0336-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 12/15/2017] [Indexed: 11/26/2022]
Abstract
The purpose of this study was to clarify differences in skeletal morphologies between male and female orthodontic patients with and without agenesis of all four third molars. A total of 64 patients (32 males and 32 females) with agenesis of all four third molars without agenesis of other teeth were selected as the third molars agenesis group (group 1). In addition, 64 patients (32 males and 32 females) with all these teeth were selected as controls (group 2). Lateral cephalograms taken between the ages of 14 and 30 years were used to compare skeletal morphology between groups 1 and 2 and between sexes. Maxillary length (P < 0.001), lower facial height (P < 0.05), gonial angle (P < 0.001) and mandibular plane angle (P < 0.001) were significantly smaller in group 1 than in group 2. Irrespective of the presence or absence of all four third molars, males had significantly smaller lower facial height (P < 0.01) and mandibular plane angle (P < 0.001) and significantly greater total mandibular length (P < 0.001), mandibular body length (P < 0.001) and mandibular ramus height (P < 0.001) than females. Japanese orthodontic patients with agenesis of all four third molars had significantly small maxillary length, lower facial height, gonial angle and mandibular plane angle.
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Affiliation(s)
- Yoshiko Sugiki
- Orthodontic Dentistry, The Nippon Dental University Niigata Hospital, 1-8 Hamaura-cho, Chuo-ku, Niigata, 951-8580, Japan.
| | - Yoshiki Kobayashi
- Orthodontic Dentistry, The Nippon Dental University Niigata Hospital, 1-8 Hamaura-cho, Chuo-ku, Niigata, 951-8580, Japan
| | - Miwa Uozu
- Orthodontics and Dentofacial Orthopedics, Field of Oral and Maxillofacial Growth and Development, Course of Clinical Science, The Nippon Dental University Graduate School of Life Dentistry at Niigata, 1-8 Hamaura-cho, Chuo-ku, Niigata, 951-8580, Japan
| | - Toshiya Endo
- Orthodontics and Dentofacial Orthopedics, Field of Oral and Maxillofacial Growth and Development, Course of Clinical Science, The Nippon Dental University Graduate School of Life Dentistry at Niigata, 1-8 Hamaura-cho, Chuo-ku, Niigata, 951-8580, Japan
- Department of Orthodontics, The Nippon Dental University School of Life Dentistry at Niigata, 1-8 Hamaura-cho, Chuo-ku, Niigata, 951-8580, Japan
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Arandi NZ, Mustafa S. Maxillary lateral incisor agenesis; a retrospective cross-sectional study. Saudi Dent J 2018; 30:155-160. [PMID: 29628739 PMCID: PMC5884225 DOI: 10.1016/j.sdentj.2017.12.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Revised: 11/18/2017] [Accepted: 12/28/2017] [Indexed: 11/12/2022] Open
Abstract
Objective This study aims to estimate the prevalence of congenitally missing lateral incisors in a sample of 2662 dental patients in Palestine. Methods A total of 2662 digital panoramic radiographs were retrospectively examined for the presence of congenitally missing permanent lateral incisors. The radiographs were obtained from the archival records of patients attending a local dental center at the city of Nablus in Palestine. Results The prevalence of missing lateral incisors among the examined population (n = 2662) was found to be 1.91%. Unilateral agenesis accounted for 66.6% of the total cases that showed at least one missing lateral incisor. Around 79% of the unilateral cases were on the left side while 21% were on the right side. Bilateral agenesis accounted for 33.3% of 34 cases that had at least one congenitally missing permanent maxillary lateral incisor. Conclusion The prevalence of missing maxillary lateral incisors in this study population was 1.91%) which was within the range reported in different populations.
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Affiliation(s)
- Naji Ziad Arandi
- P.O. Box 240 Jenin, 13 Zababdeh, Jenin, West Bank 970, Palestine
| | - Shockry Mustafa
- P.O. Box 240 Jenin, 13 Zababdeh, Jenin, West Bank 970, Palestine
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Song JS, Shin TJ, Kim YJ, Kim JW, Jang KT, Lee SH, Hyun HK. Prediction of agenesis of the mandibular second premolar using the developmental stages of the mandibular canine, first premolar, and second molar. Arch Oral Biol 2017; 87:110-114. [PMID: 29277045 DOI: 10.1016/j.archoralbio.2017.12.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2017] [Revised: 12/08/2017] [Accepted: 12/17/2017] [Indexed: 12/29/2022]
Abstract
OBJECTIVE The aim in this study was to suggest a standard for early diagnosis of agenesis of the mandibular second premolars (L5) by estimating the developmental stages of the mandibular canines (L3), first premolars (L4), and second molars (L7). DESIGN Among all 5136 pediatric patients aged 5-11 years who received panoramic radiographs between June 2008 and December 2009 at Seoul National University Dental Hospital, 215 control patients and 74 agenesis patients who met inclusion criteria were analyzed. The developmental stages of all L3, L4, L5, and L7 of control and agenesis patients were estimated using the method proposed by Demirjian. To identify the tooth (L3, L4, L7) with the developmental pattern most similar to that of L5, Kendall rank correlation coefficients and Bootstrap method were used. To verify that patients with agenesis of L5 show delayed development, Wilcoxon rank sum test was used. To identify the stages in which to diagnose agenesis of L5, we performed survival analysis. RESULTS There was a significant correlation between the developmental stages of L3, L4, L7 and L5. The developmental stages of those three teeth in the agenesis group were delayed compared with those in the control group at certain ages. If the developmental stages of at least two of those three teeth reach Demirjian stage D without the calcification of L5, agenesis of L5 can be confirmed. CONCLUSIONS Agenesis of L5 can be confirmed when two of the three teeth (L3, L4, L7) reach Demirjian stage D.
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Affiliation(s)
- Ji-Soo Song
- Department of Pediatric Dentistry, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea
| | - Teo Jeon Shin
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea
| | - Young-Jae Kim
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea
| | - Jung-Wook Kim
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea
| | - Ki-Taeg Jang
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea
| | - Sang-Hoon Lee
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea
| | - Hong-Keun Hyun
- Department of Pediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul National University Dental Hospital, 101, Daehakno, Jongno-gu, Seoul, Korea.
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Fernandez CCA, Pereira CVCA, Luiz RR, Vieira AR, De Castro Costa M. Dental anomalies in different growth and skeletal malocclusion patterns. Angle Orthod 2017; 88:195-201. [PMID: 29215300 DOI: 10.2319/071917-482.1] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To evaluate prevalence, distribution, and sexual dimorphism of dental anomalies (DA) among different skeletal malocclusions (SM) and growth patterns (GP) under the hypothesis that specific clinical patterns exist and may indicate common etiological roots. MATERIALS AND METHODS A total of 1047 orthodontic records of patients older than 8 years were evaluated. The SN-GoGn angle was used to classify GP (hypodivergent, normal, and hyperdivergent), and the ANB angle was used to verify SM (Angle Classes I, II, and III). These assessments were done from lateral cephalometric radiographs. DA were diagnosed using panoramic radiographs by one calibrated investigator. Odds ratios, chi-square, and Student's t-tests were used. RESULTS Of the subjects, 56.7% were female, with mean age of 16.41 (±10.61) years. The prevalence of DA was 15.7%. Impaction and tooth agenesis were the most prevalent DA, with relative frequencies of 14.4% and 9.7%, respectively. DA were most prevalent in Class III SM (80.8%) and in hypodivergent GP (82.5%), although this was not statistically significant. Tooth agenesis ( P < .01) and microdontia ( P = .025) were significantly more common among hypodivergent GP and Class III SM, respectively. CONCLUSIONS The results of this study support the idea that DA are preferentially associated with certain patterns of malocclusion.
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MESH Headings
- Adolescent
- Adult
- Cephalometry
- Child
- Female
- Humans
- Male
- Malocclusion/diagnostic imaging
- Malocclusion/etiology
- Malocclusion/pathology
- Malocclusion, Angle Class I/etiology
- Malocclusion, Angle Class I/pathology
- Malocclusion, Angle Class II/etiology
- Malocclusion, Angle Class II/pathology
- Malocclusion, Angle Class III/etiology
- Malocclusion, Angle Class III/pathology
- Radiography, Dental
- Radiography, Panoramic
- Tooth Abnormalities/complications
- Tooth Abnormalities/diagnostic imaging
- Tooth Abnormalities/pathology
- Tooth, Impacted/complications
- Tooth, Impacted/pathology
- Young Adult
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Obeservations on association between third molar agenesis and craniofacial morphology. J Orofac Orthop 2017; 78:504-510. [PMID: 29080079 DOI: 10.1007/s00056-017-0109-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2016] [Accepted: 06/19/2017] [Indexed: 10/24/2022]
Abstract
OBJECTIVE This study was designed to examine the relationship between third molar agenesis and skeletal morphology in the Chinese population. MATERIALS AND METHODS A total of 1043 patients' records were analyzed with panoramic radiographs and cephalograms. Congenitally missing third molars were assessed with respect to gender, jaw, and side, and assessed in various types of facial morphology. Linear, angular, and proportional cephalometric measurements were analyzed and compared among the samples. For the evaluation of results, the following statistics were used: the Pearson χ 2 test, one-way ANOVA, and the Student-Newman-Keuls method. RESULTS The overall prevalence of third molar agenesis was 28.7%. Missing third molars were more common in the maxilla and on the right side, while the difference was not statistically significant (P > 0.05) between genders. Every hypodontia group had a smaller SN-GoGn angle, Y-axis-FH angle, and a larger S-Go/N-Me ratio. The group with third molar agenesis in both jaws had smaller SNA and Wits values. The frequency of third molar agenesis in subjects with a Class II malocclusion was significantly lower than in other types of malocclusion (P < 0.05), and the incidence of third molar agenesis in hypodivergent growth pattern was higher than in other patterns (P < 0.05). CONCLUSION The results demonstrate a possible association between third molar agenesis and both sagittal and vertical craniofacial morphology.
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Gracco ALT, Zanatta S, Forin Valvecchi F, Bignotti D, Perri A, Baciliero F. Prevalence of dental agenesis in a sample of Italian orthodontic patients: an epidemiological study. Prog Orthod 2017; 18:33. [PMID: 29034420 PMCID: PMC5641500 DOI: 10.1186/s40510-017-0186-9] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Accepted: 08/14/2017] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The congenital absence of one or more teeth is a dental anomaly that frequently occurs in the world's population with a wide variability of distribution. The aim of this study is to assess the current prevalence of dental agenesis in the permanent dentition (excluding third molars) using a sample of Italian orthodontic patients. METHODS Panoramic radiographs of 4006 Caucasian children between 9 and 16 years of age (1865 males and 2141 females) performed over a 5-year period (from 2010 to 2015) were carefully examined to identify congenital missing teeth. A chi-square test was used to determine the difference in the prevalence of hypodontia between genders and between arches. RESULTS The prevalence of dental agenesis was 9% (9.1% for females and 8.7% for males). The most common congenitally missing teeth were the mandibular second premolars (20.3 and 18.1%) followed by the upper lateral incisors (17.8 and 17.7%) and the maxillary second premolars (7.4 and 6.3%). The absence of one tooth to five teeth was observed in 344 patients (8.6%), while 15 patients showed from six to nine missing teeth (0.4%). The analysis showed 363 cases of agenesis in the upper arch (0.64%) and 339 in the lower arch (0.60%). Unilateral (4.6%) and bilateral (4.4%) agenesis demonstrated a similar frequency. The most common bilateral missing teeth were the mandibular second premolars (1.9%) and the maxillary lateral incisors (1.6%). CONCLUSIONS The results of this study observed a higher prevalence of hypodontia compared to previous studies conducted on the Italian population. Thus, a detailed and careful radiographic examination was important in diagnosing one or more missing teeth. This could help plan the best possible treatments, both esthetically and functionally, for these patients.
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Affiliation(s)
- Antonio L. T. Gracco
- Department of Neurosciences, Section of Dentistry, University of Padua, Via Giustiniani 2, Padua, Italy
| | - Serena Zanatta
- Department of Neurosciences, Section of Dentistry, University of Padua, Via Giustiniani 2, Padua, Italy
| | - Filippo Forin Valvecchi
- Department of Neurosciences, Section of Dentistry, University of Padua, Via Giustiniani 2, Padua, Italy
| | - Denis Bignotti
- Department of Neurosciences, Section of Dentistry, University of Padua, Via Giustiniani 2, Padua, Italy
| | - Alessandro Perri
- Department of Neurosciences, Section of Dentistry, University of Padua, Via Giustiniani 2, Padua, Italy
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Hwang S, Choi YJ, Chung CJ, Kim KH. Long-term survival of retained deciduous mandibular second molars and maxillary canine incorporated into final occlusion. Korean J Orthod 2017; 47:323-333. [PMID: 28861394 PMCID: PMC5548713 DOI: 10.4041/kjod.2017.47.5.323] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2017] [Accepted: 03/27/2017] [Indexed: 11/24/2022] Open
Abstract
Orthodontic treatment of a complex case that involves retained deciduous mandibular second molars with missing permanent successors is challenging. Usually, congenitally missing teeth are manifested with other dental anomalies that further complicate orthodontic treatment, such as retained deciduous teeth, impactions, transpositions and peg-shaped lateral incisors. Even though the long term prognosis of the retained deciduous tooth is not fully predictable, if the teeth are in good condition, the patient and clinician may incline towards a decision to preserve the deciduous teeth as long as possible. This case report demonstrates that deciduous teeth, in this case the mandibular second molars and maxillary canine, can be incorporated into final occlusion with clinically stable long-term results.
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Affiliation(s)
- Soonshin Hwang
- Department of Orthodontics, Gangnam Severance Dental Hospital, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Yoon Jeong Choi
- Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Chooryung J Chung
- Department of Orthodontics, Gangnam Severance Dental Hospital, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
| | - Kyung-Ho Kim
- Department of Orthodontics, Gangnam Severance Dental Hospital, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
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