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Most children are born with 20 primary and 32 permanent teeth. But sometimes they are born with teeth that are additional to the normal series we all should have. These teeth are referred to as supernumerary teeth and the condition is known as hyperdontia

Supernumerary teeth can be the result of problems such as cleidocranial dysostosis and labial palatal cleft. They also can be caused by Ehlers-Danlos syndrome, Gardner's syndrome and Fabry-Anderson syndrome, according to a case report about the condition. It is unusual for patients to have multiple supernumerary teeth without also having some sort of syndrome.

Some orthodontists say that hyperdontia has been known to cause adverse effects for the normal dentition. The most frequent supernumerary tooth is a mesiodens. This tooth is poorly formed and peg-like in appearance, and often appears between the two upper front teeth.

In some cases, children may have fourth or fifth molars that develop behind the third molars as another type of supernumerary teeth.

A study that an article in the Journal of the Canadian Dental Association cited stated that in a survey of 2,000 children, 0.8 percent had supernumerary teeth present in their primary dentition, while 2.1 percent had them in their secondary dentition.

The Importance of Hyperdontia Early Detection

Some orthodontists believe that there are many reasons why the American Association of Orthodontists recommends that children be evaluated by an orthodontist by the time they reach age 7. Detecting hyperdontia is just one of them.

Early detection can sometimes prevent and more often diminish the severity of future orthodontic problems that require treatment.

Studies show that a panoramic X-ray can determine if supernumerary teeth are present and once we know what problems we are dealing with, we can devise a plan for treatment. Detecting hyperdontia early also means the supernumerary teeth can be removed at an age-appropriate time.

Furthermore, removing these teeth too soon can be difficult for the child and the developing dentition, and removing them too late can result in damage to the crowns or roots of erupting teeth that we want to preserve, it must be timed well.

Treating Hyperdontia

Because there are cases in which a patient's adult teeth are unable to erupt properly, in those situations, orthodontists frequently find that removing the supernumerary tooth allows the permanent tooth to come in without any problems, she said. In other cases, it may take orthodontic treatment to create enough room for the permanent tooth to erupt properly.

Treatment also could involve extraction, followed by orthodontic treatment to create ideal alignment.

There are cases in which supernumerary teeth and permanent teeth have fused. Correcting this problem requires endodontic treatment- treatment of tooth pulp and tissues surrounding the root of a tooth- according to a case report published by the Journal of Oral Science. Removing the fused teeth surgically is necessary because of the tooth's abnormal width and structure, which can lead to crowding, alignment and occlusal function issues.

About Us

Many people think that their teeth are too dark, too crooked, overcrowded, chipped, have too many silver fillings or too misshapen and it affects how willing they are to smile, yawn or even talk in public. Everyone wants that picture perfect smile that they see on the front cover of magazines.

There are many ways a dentist can help you to get a brilliant smile. Although getting a great smile is only skin deep and for aesthetic purposes only, the effects can go much deeper and can bring you pleasure and maybe even a little boost in self-confidence. Here is a little introduction of some of the techniques used by dentists to enhance a smile.

Teeth whitening: Many stains on the teeth can be removed during cleaning. However, everyone's teeth also have intrinsic stains, which are stains within the tooth itself and must be removed through bleaching. Bleaching is a process that is accomplished either at home using over the counter bleaching solutions or in the dental office with a carbamide-peroxide or hydrogen-peroxide solution. Bleaching is not a permanent solution no matter where you have it done, but it is usually two to three years before it is necessary to repeat the process.

In-home supervised whitening: Your dentist will construct a mold of your mouth, making what is known as a bleaching tray. These mouth guards are custom fit to every individual mouth as to prevent the bleaching gel to sit on your gums rather than your teeth. You will be instructed to wear the mouth guard for several hours every day for several weeks or overnight

In-office whitening: Many people choose to have their whitening performed in a dentist office both for convenience and for quicker results. During this process, an external light source (laser, halogen or gas plasma) is used to activate a bleaching gel solution. Sometimes it may be necessary to use a combination of in-office and at-home bleaching in order to achieve the patient's desired results.

Whitening toothpastes: Whitening toothpastes don't remove many stains but are great for maintaining a previously performed bleaching.

Be sure to get advice from your dentist before doing any whitening process to ensure that you will not be sensitive to the procedure. Additionally, it may be necessary to replace some older fillings with new fillings prior to the process to avoid sensitivity. Porcelain and tooth-colored fillings tend not to bleach so you may want to replace them after bleaching in order to improve aesthetics.

Bonding:
Bonding is a process by which a tooth-colored material is bonded to teeth in order to change tooth color, re-shape, resize or to repair fractured teeth. This procedure can also be done to give the appearance of straight teeth. A bonded restoration can be polished to look the same as your natural teeth and may also stain in a similar manner as your own teeth. Stains are removed during the patient's regular cleaning appointments by polishing these restorations.

Porcelain veneers:
Porcelain veneers are thin porcelain shells that are fabricated in a dental laboratory and cemented to the front of your teeth. Like bonding, porcelain veneers are also used to change tooth color, shape, and size and can be used to give teeth a straighter appearance and to close spaces. However, compared to bonding, porcelain veneers are stronger and more stain-resistant. Although porcelain veneers are more expensive than bonding, they are often the better choice when more than one tooth is involved because you can achieve a more consistent cosmetic result.

Tooth-colored fillings:
a tooth-colored inlay or onlay, is a custom-made filling made in a laboratory to fit the tooth and is permanently cemented in place. This is a good option over silver fillings, especially if the space is large.

Porcelain crowns (caps):
All-porcelain crowns and porcelain-fused-to-gold crowns (a gold crown that is covered by porcelain) are two types of crowns that are easily matched to the shade of a natural tooth. Crowns are custom-made in a laboratory and are cemented in place. These are a good option when a large portion of a tooth is missing.

Orthodontics:
Orthodontics are used to straighten teeth, reduce crowding, and close spaces in order to achieve the best possible smiles. Orthodontics may take at least two to three years to achieve the desired results and are often used along with bonding or veneers to achieve the best results.

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