Journals / Sağlık Bilimleri Dergisi / 2026 / Cilt: 33 Sayı: 2

PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH

GÖMÜLÜ MEZİODENSLERİN KOMŞU DİŞLERİN GELİŞİMİ ÜZERİNDEKİ FİZYOLOJİK ETKİLERİ

Merve Yar(BOLU ABANT İZZET BAYSAL ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0001-8604-8029
Nurşat Türker(BOLU ABANT İZZET BAYSAL ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0003-4546-846X
Duygu Göller Bulut(BOLU ABANT İZZET BAYSAL ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0003-4260-2520
Deniz Yaman(BAŞKENT ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ)0000-0002-1492-6897
Pages
217–223
Publication Date
2024-07-25
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This situation should be taken into account in terms of forensic dentistry.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In the present retrospective study, it was aimed to analyze the physiological effects of impacted mesiodens on adjacent teeth with dental and chronological age determination in cone beam computed tomography (CBCT).
📊
Key Findings & Data:In the study, 68 CBCT images were examined.
💡
Conclusion & Impact:This situation should be taken into account in terms of forensic dentistry.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:KIBT · Demirjian · diş yaşı tayini

Abstract

In the present retrospective study, it was aimed to analyze the physiological effects of impacted mesiodens on adjacent teeth with dental and chronological age determination in cone beam computed tomography (CBCT). In the study, 68 CBCT images were examined. Two groups were formed, including 34 individuals with mesiodens (mesiodens group) and 34 without mesiodens (control group).Dental age and chronological age were compared in both groups. Demirjian's method was utilized to determine the dental age. The position and location of mesiodens were categorized. Statistical analysis was performed withSPSS software version 18.0(Chicago, IL, USA). Median diastema was seen in 16 cases (47.10%) in the mesiodens group. The mesiodens was most commonly impacted in the palatal (76.50%, n=26) and vertical (n= 19, 55.90%) position. There were significant differences between the incisor tooth development scores of the groups (p= 0.047 and p= 0.030, respectively). While the prevalence of H score of bilateral incisors in the control group (88.20% for both incisors) was higher than that of the mesiodens group (58.20% for both incisors), the G score was higher in the mesiodens group (20.60% and 23.50%) than in the control group (2.90% for both teeth). Mesiodens can delay root development of adjacent teeth.For this reason, extraction of these teeth may be considered in the early period to avoid affecting adjacent teeth and anatomical structures. It may also cause erroneous calculations in dental age determination. This situation should be taken into account in terms of forensic dentistry.

Özet

Bu retrospektif çalışmada, Konik Işınlı Bilgisayarlı Tomografide (KIBT) gömülü meziodenslerin komşu dişler üzerindeki fizyolojik etkilerinin dental vekronolojik yaştayini ile analiz edilmesi amaçlanmıştır. Çalışmada 68 KIBT görüntüsü incelendi. 34 meziodensi olan (meziodens grubu) ve 34 meziodensi olmayan birey (control grubu) olmak üzere iki grup oluşturuldu. Diş yaşı ve kronolojik yaş her iki grupta karşılaştırıldı. Diş yaşını belirlemek için Demirjian yöntemi kullanıldı. Meziodenslerin pozisyonu ve konumu categorize edildi. İstatistiksel analiz SPSS yazılımı sürüm 18.0 (Chicago, IL, ABD) ile yapıldı. Meziodens grubunda 16 (%47.10) olguda orta hatta diastema görüldü. Meziodens en sık palatinal konumda (%76.50, n=26) ve vertikal (n= 19, %55.90) pozisyonda görüldü. Grupların kesici diş gelişim skorları arasında anlamlı fark vardı (sırasıyla p= 0.047 ve p= 0.030). Kontrol grubunda bilateral kesici dişlerin H skoru prevelansı (her iki kesici dişi çin %88.20) meziodens grubundan (her iki kesici diş için %58.20) daha yüksek iken, G skoru meziodens grubunda control grubuna göre (%20.60 ve %23.50) daha yüksekti (Her iki diş için %2.90). Meziodens komşu dişlerin kök gelişimini geciktirebilir. Bu nedenle komşu dişlerin ve anatomic yapıların etkilenmemesi için erken dönemde bu dişlerin çekimi düşünülebilir. Diş yaşı tespitinde de hatalı hesaplamalara neden olabilir. Bu durum adli diş hekimliği açısından dikkate alınmalıdır.

🔖

Cite This Article

Yar, M., Türker, N., Bulut, D. G., Yaman, D. (2024). PHYSIOLOGICAL EFFECTS OF IMPACTED MESIODENS ON THE DEVELOPMENT OF ADJACENT TEETH. Sağlık Bilimleri Dergisi, Cilt: 33 Sayı: 2, 217–223. https://doi.org/10.34108/eujhs.1394029

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (37)

  1. Roychoudhury A, Gupta Y, Parkash H. Mesiodens: a retrospective study of fifty teeth. J Indian Soc Pedod Prev Dent. 2001;18:144-146.
  2. Ferrés-Padró E, Prats-Armengol J, Ferrés-Amat E. A descriptive study of 113 unerupted supernumerary teeth in 79 pediatric patients in Barcelona. Med Oral Patol Oral Cir Bucal. 2009;14(3):E146-E152.
  3. Dash JK, Sahoo PK, Das S, Mohanty UK. Prevalence of supernumerary teeth in deciduous and mixed dentition. J Indian Soc Pedod Prev Dent. 2003;21(1):37-41.
  4. Gallas MM, García A. Retention of permanent incisors by mesiodens: a family affair. Britishdental journal. 2000;188(2):63-64.doi:10.1038/sj.bdj.4800390
  5. Fernández Montenegro P, Valmaseda Castellón E, Berini Aytés L, Gay Escoda C. Retrospective study of 145 supernumerary teeth. Med Oral Patol Oral Cir Bucal. 2006;11(4):E339-344.
  6. Tuna EB, Kurklu E, Gencay K, Ak G. Clinical and radiological evaluation of inverse impaction of supernumerary teeth. Med Oral Patol Oral Cir Bucal. 2013;18(4):e613-e618. doi:10.4317/medoral.18877
  7. Ahammed H, Seema T, Deepak C, Ashish J. Surgical Management of Impacted Supernumerary Tooth: A Case Series. Int J Clin Pediatr Dent. 2021;14(5):726-729. doi:10.5005/jp-journals-10005-2008
  8. Sharma A. Familial occurence of mesiodens--a case report. J Indian Soc Pedod Prev Dent. 2003;21(2):84-85.
  9. Gregg TA, Kinirons MJ. The effect of the position and orientation of unerupted premaxillary supernumerary teeth on eruption and displacement of permanent incisors. Int J Paediatr Dent. 1991;1(1):3-7.doi:10.1111/j.1365-263x.1991.tb00314.x
  10. Seehra J, Mortaja K, Wazwaz F, Papageorgiou SN, Newton JT, Cobourne MT. Interventions to facilitate the successful eruption of impacted maxillary incisor teeth due to the presence of a supernumerary: A systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2023;163(5):594-608. doi:10.1016/j.ajodo.2023.01.004
  11. Khdairi N, Halilah T, Khandakji MN, Jost-Brinkmann PG, Bartzela T. The adaptation of Demirjian's dental age estimation method on North German children. Forensic Sci Int. 2019;303:109927. doi:10.1016/j.forsciint.2019.109927
  12. Savita JK, Kumar BNY, Mamatha N. Teeth as age estimation tool in children and adolescents. 2017.doi:10.15713/ins.jmrps.101
  13. Singh N, Grover N, Puri N, Singh S, Arora S. Age estimation from physiological changes of teeth: A reliable age marker? J Forensic Dent Sci. 2014;6(2):113-121.doi:10.4103/0975-1475.132541
  14. Barham M, Okada S, Hisatomi M, et al. Influence of mesiodens on adjacent teeth and the timing of its safe removal. Imaging Sci Dent.2022;52(1):67-74.doi:10.5624/isd.20210218
  15. Maber M, Liversidge H, Hector M. Accuracy of age estimation of radiographic methods using developing teeth. Forensic Sci Int.2006;159:S68-S73.doi: 10.1016/j.forsciint.2006.02.019
  16. Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973;45(2):211-227.
  17. Liversidge HM. The assessment and interpretation of Demirjian, Goldstein and Tanner's dental maturity. Ann Hum Biol. 2012;39(5):412-431. doi:10.3109/03014460.2012.716080
  18. Hegde S, Patodia A, Dixit U. The applicability of the original and revised Demirjian standards to age estimations of 5-15 year old Indian children. J Forensic Odontostomatol. 2018;36(1):1-13.
  19. Altunsoy M, Nur BG, Akkemik O, Ok E, Evcil MS. Applicability of the Demirjian method for dental age estimation in western Turkish children. Acta Odontol Scand. 2015;73(2):121-125. doi:10.3109/00016357.2014.956333
  20. Bittencourt MV, Cericato G, Franco A, Girão R, Lima APB, Paranhos L. Accuracy of dental development for estimating the pubertal growth spurt in comparison to skeletal development: a systematic review and meta-analysis. Dentomaxillofac Radiol. 2018;47(4):20170362. doi:10.1259/dmfr.20170362
  21. Celik S, Zeren C, Celikel A, Yengil E, Altan A. Applicability of the Demirjian method for dental assessment of southern Turkish children.J Forensic Leg Med. 2014;25:1-5.doi:10.1016/j.jflm.2014.04.006
  22. Rinaldi MRL, de Lima EM, de Menezes LM, Rizzatto SMD, Matje PRB, Ribeiro RVP. Eruption rates of lower second premolars at different development stages evaluated with cone-beam computed tomography. Angle Orthod. 2017;87(4):570-575.doi:10.2319/071116-548.1
  23. Tay F, Pang A, Yuen S. Unerupted maxillary anterior supernumerary teeth: report of 204 cases. ASDC J Dent Child.1984;51(4):289-294.
  24. Nik-Hussein NN. Supernumerary teeth in the premaxillary region: its effects on the eruption and occlusion of the permanent incisors. Aust Orthod J.1990;11(4):247-250.
  25. Bodin I, Julin P, Thomsson M. Hyperodontia. III. Supernumerary anterior teeth. Dentomaxillofac Radiol. 1981;10(1):35-42.doi:10.1259/dmfr.1981.0006
  26. Lustmann J, Bodner L. Dentigerous cysts associated with supernumerary teeth. Int J Oral Maxillofac Surg.1988;17(2):100-102.doi:10.1016/s0901-5027(88)80159-0
  27. von Arx T. Anterior maxillary supernumerary teeth: a clinical and radiographic study. Aust Dent J.1992;37(3):189-195.doi:10.1111/j.1834-7819.1992.tb00741.x
  28. Kim Y, Jeong T, Kim J, Shin J, Kim S. Effects of mesiodens on adjacent permanent teeth: a retrospective study in Korean children based on cone-beam computed tomography. Int J Paediatr Dent. 2018;28(2):161-169.doi:10.1111/ipd.12317
  29. Mason C, Azam N, Holt RD, Rule DC. A retrospective study of unerupted maxillary incisors associated with supernumerary teeth. Br J Oral Maxillofac Surg.2000;38(1):62-65.doi:10.1054/bjom.1999.0210
  30. Ersin NK, Candan U, Alpoz AR, Akay C. Mesiodens in primary, mixed and permanent dentitions: a clinical and radiographic study. J Clin Pediatr Dent.2004;28(4):295-298.doi:10.17796/jcpd.28.4.0k2w2734hp76x541
  31. Smailiene D, Sidlauskas A, Bucinskiene J. Impaction of the central maxillary incisor associated with supernumerary teeth: initial position and spontaneous eruption timing. Stomatologija. 2006;8(4):103-107.
  32. Liu JF. Characteristics of premaxillary supernumerary teeth: a survey of 112 cases.ASDC J Dent Child. 1995;62(4):262-265.
  33. Rajab LD, Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases.Int J Paediatr Dent.2002;12(4):244-254.doi:10.1046/j.1365-263x.2002.00366.x
  34. Jung YH, Kim JY, Cho BH. The effects of impacted premaxillary supernumerary teeth on permanent incisors. Imaging Sci Dent.2016;46(4):251-258.doi:10.5624/isd.2016.46.4.251
  35. Rubenstein LK, Lindauer SJ, Isaacson RJ, Germane N. Development of supernumerary premolars in an orthodontic population. Oral Surg Oral Med Oral Pathol. 1991;71(3):392-395.doi:10.1016/0030-4220(91)90324-6
  36. Saini T, Keene JJ, Jr., Whetten J. Radiographic diagnosis of supernumerary premolars: case reviews. ASDC J Dent Child. 2002;69(2):184-190, 125.
  37. Mallineni SK, Jayaraman J, Wong HM, King NM. Dental development in children with supernumerary teethin the anterior region of maxilla.Clin Oral Investig.2019;23:2987-2994.doi:10.1007/s00784-018-2709-2