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      Frequency of Developmental Dental Anomalies in the Indian Population

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          Abstract

          Objectives:

          To evaluate the frequency of developmental dental anomalies in the Indian population.

          Methods:

          This prospective study was conducted over a period of 1 year and comprised both clinical and radiographic examinations in oral medicine and radiology outpatient department. Adult patients were screened for the presence of dental anomalies with appropriate radiographs. A comprehensive clinical examination was performed to detect hyperdontia, talon cusp, fused teeth, gemination, concrescence, hypodontia, dens invaginatus, dens evaginatus, macro- and microdontia and taurodontism. Patients with syndromes were not included in the study.

          Results:

          Of the 20,182 patients screened, 350 had dental anomalies. Of these, 57.43% of anomalies occurred in male patients and 42.57% occurred in females. Hyperdontia, root dilaceration, peg-shaped laterals (microdontia), and hypodontia were more frequent compared to other dental anomalies of size and shape.

          Conclusions:

          Dental anomalies are clinically evident abnormalities. They may be the cause of various dental problems. Careful observation and appropriate investigations are required to diagnose the condition and institute treatment.

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          Most cited references15

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          The prevalence of developmental anomalies of teeth and their association with tooth size in the primary and permanent dentitions of 1650 Japanese children.

          The prevalence of microdontia, macrodontia, peg-shaped tooth, Carabelli's tubercle, protostylid, paramolar tubercle, central tubercle and palatal accessory cusp were examined in Japanese children. This study included 905 children with primary dentitions (mean age 4 years 7 months) and 745 high-school students with permanent dentitions (mean age 16 years 8 months). Microdontia, macrodontia, Carabelli's tubercle, protostylid and paramolar tubercle were more frequent in the primary dentition, whereas peg-shaped tooth, central tubercle and palatal accessory cusp were more frequent in the permanent dentition. The association between the presence of developmental anomalies and the size of the remaining teeth was significant in permanent dentitions. Both the literature and this study indicate that developmental anomalies of tooth number, size and morphology should be studied as a group rather than as isolates.
            • Record: found
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            Talon cusp associated with other dental anomalies: a case report.

            Talon cusp is an uncommon dental anomaly referring to an accessory cusp projecting from the cingulum area, or cemento-enamel junction of maxillary or mandibular anterior teeth, in both the primary and permanent dentition. This paper reports a rare case of talon cusp affecting the mandibular right central incisor and maxillary right lateral incisor, together with other dental abnormalities, viz. an inverted impacted migrating mandibular right second premolar; complete agenesis of the maxillary and mandibular third molars, the maxillary right second permanent molar, and the mandibular left permanent central incisor; severe crowding; deep bite; hypoplastic teeth; bilateral reverse cross-bite in the premolar region; and a retrognathic mandible. The presence of this number of dental anomalies in a single patient is rare.
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              Talon cusp affecting permanent maxillary lateral incisors in 2 family members.

              The term talon cusp refers to a relatively rare dental anomaly in which an accessory cusplike structure projects from the cingulum area or cement-enamel junction. The condition can occur in either maxillary or mandibular anterior teeth in both the primary and permanent dentitions. This article reports 2 cases of talon cusp affecting consanguineous first cousins: a case of bilateral talon cusps on the permanent maxillary lateral incisors of a 16-year-old girl, and a case of talon cusp on the maxillary permanent lateral incisor of an 11-year-old boy. The talon cusps caused clinical problems that were related to caries or occlusal interferences. The presence of the dental anomaly in 2 members of the same family suggests that genetic inheritance may be a causative (related) factor. Examination of relatives could facilitate early diagnosis of the talon cusp and aid in preventing carious and occlusal problems.

                Author and article information

                Journal
                Eur J Dent
                Eur J Dent
                European Journal of Dentistry
                Dental Investigations Society
                1305-7456
                1305-7464
                July 2010
                : 4
                : 3
                : 263-269
                Affiliations
                [a ]Assistant Professor, Department of Oral Medicine and Radiology, SDM Dental College and Hospital, Sattur, Dharwad, India.
                [b ]Professor and Head, Department of Oral medicine and Radiology, SDM Dental College and Hospital, Sattur, Dharwad, India.
                [c ]Former Postgraduate, Department of Oral medicine and Radiology, SDM Dental College and Hospital, Sattur, Dharwad, India.
                [d ]Former Professor, Department of Oral medicine and Radiology, SDM Dental College and Hospital, Sattur, Dharwad, India.
                Author notes
                Corresponding author: Kruthika S Guttal, Department of Oral Medicine and Radiology SDM Dental College and Hospital, Sattur, Dharwad, Karnataka, India. Phone: +91 836 2468142, Fax: +91 836 2467612, Email: drkruthika@ 123456yahoo.co.in
                Article
                dent04_p0263
                10.1055/s-0039-1697838
                2897859
                20613914
                d28b3e96-8785-413d-a8d0-032b3c09a7b8
                Copyright 2010 European Journal of Dentistry. All rights reserved.
                History
                Categories
                Original Articles

                Dentistry
                dental anomalies,hyperdontia,taurodontism,microdontia
                Dentistry
                dental anomalies, hyperdontia, taurodontism, microdontia

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