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
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
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