Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Assessment of Dental Development in Children with Supernumerary Teeth: Case-Control Study
Sürnümerer Diş Gözlenen Çocuklarda Diş Gelişiminin Değerlendirilmesi: Olgu Kontrol Araştırması
Ebru HAZAR BODRUMLUa, Sadık TOPRAKb, Levent DEMİRİZc
aDepartment of Pediatric Dentistry, Zonguldak Bülent Ecevit University Faculty of Dentistry, Zonguldak, Türkiye
bDepartment of Forensic Medicine, İstanbul University Faculty of Medicine, İstanbul, Türkiye c Private, Zonguldak, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(1):66-72
doi: 10.5336/dentalsci.2022-90860
Article Language: EN
Full Text
ABSTRACT
Objective: The term supernumerary tooth is one of the important dental anomalies affecting children and is used to describe excess teeth in the dental arch. Knowledge of changes in tooth development accompanying supernumerary teeth provides information about both orthodontic problems and changes in bone and teeth. This study aims to evaluate the relationship between the presence of supernumerary teeth and dental development in children and to raise awareness about the conditions associated with the presence of supernumerary teeth. Material and Methods: 175 (114 males and 61 females) children with supernumerary teeth were examined and compared to 175 normal control subjects matched for sex and age. Dental development was evaluated from panoramic radiographs using the dental age estimation method of Demirjian et al. Data were statistically analyzed using the Shapiro-Wilk test. Results: Significant differences were found in the mean of dental age and chronological age difference between case controls and children with supernumerary teeth (0.4±0.7 and 0.8±0.7 years, respectively). The mean differences between dental age and chronological age in hyperdontic males and females were 0.77±0.7 years and 0.96±0.7 years, respectively, and the results of the controls were 0.39±0.7 for males and 0.47±0.8 years for females. The differences between the hyperdontic and control groups were significant for both genders (p<0.001). Conclusion: Children with supernumerary teeth appear to have advanced dental development compared to children with normal dentition. The presence of supernumerary teeth in children is a condition that affects dental development.

Keywords: Demirjian method; tooth; developmental biology; supernumerary
ÖZET
Amaç: Sürnümerer diş terimi, her iki dental arkta fazla dişleri tanımlamak için kullanılır ve çocukları etkileyen en önemli diş gelişim anomalilerinden biri olarak kabul edilir. Sürnümerer dişlere eşlik eden birçok değişiklik söz konusudur ve bu dişlere eşlik eden dental gelişimdeki değişikliklerin bilinmesi, hem ortodontik problemler hem de kemik ve dişlerdeki değişiklikler hakkında bilgi verir. Bu nedenle çalışmanın amacı, sürnümerer diş varlığının çocuklarda dental gelişim ile ilişkisini değerlendirmek ve sürnümerer diş varlığının ilişkili olabileceği durumlar konusunda farkındalık sağlamaktır. Gereç ve Yöntemler: Sürnümerer dişleri olan 175 (114 erkek ve 61 kız) çocuktan oluşan bir grup incelendi. Bu çocuklar cinsiyet ve yaş açısından eşleştirilmiş 175 normal dentisyona sahip çocuklardan oluşan kontrol grubu ile karşılaştırıldı. Diş gelişimi, Demirjian ve ark.nın diş yaşı tahmin yöntemi kullanılarak, panoramik radyografilerden elde edilen verilerin gruplar arası karşılaştırılması ile değerlendirildi. Veriler, Shapiro-Wilk testi kullanılarak istatistiksel olarak analiz edildi. Bulgular: Vaka kontrolleri ve sürnümerer diş gözlenen çocuklar arasında diş yaşı ve kronolojik yaş farkının ortalamasında önemli farklılıklar bulundu (sırasıyla 0,4±0,7 ve 0,8±0,7 yıl). Hiperdontik kızlarda ve erkeklerde diş yaşı ve kronolojik yaş arasındaki ortalama farkı sırasıyla 0,96±0,7 yıl ve 0,77±0,7 yıl olarak bulundu. Vaka kontrollerinin sonuçları kızlarda 0,47±0,8 ve erkeklerde 0,39±0,7 idi. Hiperdontik ve vaka kontrol grupları arasındaki farklar, her iki cinsiyet için de anlamlı bulundu (p<0,001). Sonuç: Sürnümerer dişleri olan çocukların, normal çocuklara göre daha yüksek diş gelişimi oranlarına sahip olduğu gözlenmiştir. Çocuklarda sürnümerer diş varlığı dental gelişimi etkileyen bir durumdur.

Anahtar Kelimeler: Demirjian metodu; diş; gelişim biyolojisi; süpernümerer
REFERENCES:
  1. Lu X, Yu F, Liu J, Cai W, Zhao Y, Zhao S, et al. The epidemiology of supernumerary teeth and the associated molecular mechanism. Organogenesis. 2017;13(3):71-82. [Crossref]  [PubMed]  [PMC] 
  2. Fonseca-Souza G, de Oliveira LB, Wambier LM, Scariot R, Feltrin-Souza J. Tooth abnormalities associated with non-syndromic cleft lip and palate: systematic review and meta-analysis. Clin Oral Investig. 2022;26(8):5089-103. [Crossref]  [PubMed] 
  3. Jiang Y, Ma X, Wu Y, Li J, Li Z, Wang Y, et al. Epidemiological, clinical, and 3-dimentional CBCT radiographic characterizations of supernumerary teeth in a non-syndromic adult population: a single-institutional study from 60,104 Chinese subjects. Clin Oral Investig. 2020;24(12):4271-81. [Crossref]  [PubMed] 
  4. Kan WY, Seow WK, Holcombe T. A case-control study of dental development in Hypodontic and Hyperdontic children. Pediatr Dent. 2010;32(2):127-33. [PubMed] 
  5. Demirjian A, Goldstein H. New systems for dental maturity based on seven and four teeth. Ann Hum Biol. 1976;3(5):411-21. [Crossref]  [PubMed] 
  6. Anthonappa RP, King NM, Rabie AB, Mallineni SK. Reliability of panoramic radiographs for identifying supernumerary teeth in children. Int J Paediatr Dent. 2012;22(1):37-43. [Crossref]  [PubMed] 
  7. Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973;45(2):211-27. [PubMed] 
  8. Sperandei S. Understanding logistic regression analysis. Biochem Med (Zagreb). 2014;24(1):12-8. [Crossref]  [PubMed]  [PMC] 
  9. Anthonappa RP, King NM, Rabie AB. Prevalence of supernumerary teeth based on panoramic radiographs revisited. Pediatr Dent. 2013;35(3):257-61. [PubMed] 
  10. Ledesma-Montes C, Garcés-Ortíz M, Salcido-García JF, Hernández-Flores F. Study on frequency of dental developmental alterations in a Mexican school-based population. Med Oral Patol Oral Cir Bucal. 2016;21(3):e316-20. [Crossref]  [PubMed]  [PMC] 
  11. Khalaf K, Al Shehadat S, Murray CA. A review of supernumerary teeth in the premolar region. Int J Dent. 2018;2018:6289047. [Crossref]  [PubMed]  [PMC] 
  12. Diz P, Limeres J, Salgado AF, Tomás I, Delgado LF, Vázquez E, et al. Correlation between dental maturation and chronological age in patients with cerebral palsy, mental retardation, and Down syndrome. Res Dev Disabil. 2011;32(2):808-17. [Crossref]  [PubMed] 
  13. Avsar A, Topaloglu B, Hazar-Bodrumlu E. Association of passive smoking with dental development in young children. Eur J Paediatr Dent. 2013;14(3):215-8. [PubMed] 
  14. Haavikko K. The formation and the alveolar and clinical eruption of the permanent teeth. An orthopantomographic study. Suom Hammaslaak Toim. 1970;66(3):103-70. [PubMed] 
  15. Eid RM, Simi R, Friggi MN, Fisberg M. Assessment of dental maturity of Brazilian children aged 6 to 14 years using Demirjian's method. Int J Paediatr Dent. 2002;12(6):423-8. [Crossref]  [PubMed] 
  16. Baghdadi ZD, Pani SC. Accuracy of population-specific Demirjian curves in the estimation of dental age of Saudi children. Int J Paediatr Dent. 2012;22(2):125-31. [Crossref]  [PubMed] 
  17. Victora CG, Huttly SR, Fuchs SC, Olinto MT. The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol. 1997;26(1):224-7. [Crossref]  [PubMed] 
  18. Liversidge HM, Speechly T, Hector MP. Dental maturation in British children: are Demirjian's standards applicable? Int J Paediatr Dent. 1999;9(4):263-9. [Crossref]  [PubMed] 
  19. Vasconcelos NP, Caran EM, Lee ML, Lopes NN, Weiler RM. Dental maturity assessment in children with acute lymphoblastic leukemia after cancer therapy. Forensic Sci Int. 2009;184(1-3):10-4. [Crossref]  [PubMed] 
  20. Seow WK. A study of the development of the permanent dentition in very low birthweight children. Pediatr Dent. 1996;18(5):379-84. [PubMed] 
  21. Seow WK. Dental development in amelogenesis imperfecta: a controlled study. Pediatr Dent. 1995;17(1):26-30. [PubMed] 
  22. Seow WK, Hertzberg J. Dental development and molar root length in children with cleidocranial dysplasia. Pediatr Dent. 1995;17(2):101-5. [PubMed] 
  23. Seow WK, Needleman HL, Holm IA. Effect of familial hypophosphatemic rickets on dental development: a controlled, longitudinal study. Pediatr Dent. 1995;17(5):346-50. [PubMed] 
  24. Ruiz-Mealin EV, Parekh S, Jones SP, Moles DR, Gill DS. Radiographic study of delayed tooth development in patients with dental agenesis. Am J Orthod Dentofacial Orthop. 2012;141(3):307-14. [Crossref]  [PubMed] 
  25. Reitsma JH, Balk-Leurs IH, Ongkosuwito EM, Wattel E, Prahl-Andersen B. Dental maturation in children with the syndrome of crouzon and apert. Cleft Palate Craniofac J. 2014;51(6):639-44. [Crossref]  [PubMed] 
  26. Omer RS, Anthonappa RP, King NM. Determination of the optimum time for surgical removal of unerupted anterior supernumerary teeth. Pediatr Dent. 2010;32(1):14-20. [PubMed] 
  27. Kazancı F, Çelikoğlu M, Ceylan İ. Süpernümerer diş sebebiyle gömülü kalmış bir maksiller santral dişin ortodontik tedavisi [Orthodontic treatment of an impacted maxillary central incisor caused by a supernumerary tooth]. Atatürk Üniv Diş Hek Fak Derg. 2009;19(3):187-91. [Link] 
  28. Koch H, Schwartz O, Klausen B. Indications for surgical removal of supernumerary teeth in the premaxilla. Int J Oral Maxillofac Surg. 1986;15(3):273-81. [Crossref]  [PubMed] 
  29. Coutinho S, Buschang PH, Miranda F. Relationships between mandibular canine calcification stages and skeletal maturity. Am J Orthod Dentofacial Orthop. 1993;104(3):262-8. [Crossref]  [PubMed] 
  30. Vucic S, Dhamo B, Jaddoe VWV, Wolvius EB, Ongkosuwito EM. Dental development and craniofacial morphology in school-age children. Am J Orthod Dentofacial Orthop. 2019;156(2):229-37.e4. [Crossref]  [PubMed] 

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