Abstract
Background
Hypodontia and hyperdontia are considered to be at opposite ends of the dental development spectrum. Nevertheless, these anomalies may occur concomitantly (hypohyperdontia).
Case report
This clinical report describes two case of hypohyperdontia occurring exclusively in the premaxillary region, and the difficulties associated with its diagnosis and management. Following 24 months of follow-up examinations, Case 1 developed a sequential supernumerary tooth in the tooth 35 region.
Conclusion
Cases of hypohyperdontia can occur exclusively in the premaxillary region and may be difficult to diagnose. Multidisciplinary treatment planning is essential to facilitate appropriate management, and long-term follow-up is necessary as sequential supernumerary teeth may develop.
Similar content being viewed by others
References
Acerbi AG, de Freitas C, de Magalhaes MH. Prevalence of numeric anomalies in the permanent dentition of patients with Down syndrome. Spec Care Dent. 2001;21(2):75–8.
Acharya S. Non-syndromic hypo-hyperdontia in the mandibular anterior region with absence of all four-third molars—a rarity. Saint Int Dent J. 2015;1(1):44–6.
Anthonappa RP, Lee CK, Yiu CK, King NM. Hypohyperdontia: literature review and report of seven cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106(5):e24–30.
Baccetti T. A controlled study of associated dental anomalies. Angle Orthod. 1998;68(3):267–74.
Bodin I, Julin P, Thomsson M. Hyperodontia. I. Frequency and distribution of supernumerary teeth among 21,609 patients. Dentomaxillofac Radiol. 1978;7(1):15–7.
Brook AH. Dental anomalies of number, form and size: their prevalence in British school children. J Int Assoc Dent Child. 1974;5(2):37–53.
Camilleri GE. Concomitant hypodontia and hyperodontia. Case report. Br Dent J. 1967;123(7):338–9.
Chow KM, O’Donnell D. Concomitant occurrence of hypodontia and supernumerary teeth in a patient with Down syndrome. Spec Care Dent. 1997;17(2):54–7.
Das G, Sarkar S, Bhattacharya B, Saha N. Coexistent partial anodontia and supernumerary tooth in the mandibular arch: a rare case. J Indian Soc Pedod Prev Dent. 2006;24(Suppl 1):S33–4.
Davis PJ. Hypodontia and hyperdontia of permanent teeth in Hong Kong school children. Community Dent Oral Epidemiol. 1987;15(4):218–20.
de Oliveira Gomes C, Jham BC, Souki BQ, Pereira TJ, Mesquita RA. Sequential supernumerary teeth in nonsyndromic patients: report of 3 cases. Pediatr Dent. 2008;30(1):66–9.
Di Biase DD. Midline supernumeraries and eruption of the maxillary central incisor. Dent Pract Dent Rec. 1969;20(1):35–40.
Dupare AP, Mandlik RY, Wankhede LB. Concomitant hypodontia and hyperdontia in some region and its management: case report. J Indian Dent Assoc. 1983;55(9):359–61.
Ferguson JW. An unusual lateral incisor. Br J Orthod. 1984;11(3):163–6.
Garib DG, Alencar BM, Lauris JR, Baccetti T. Agenesis of maxillary lateral incisors and associated dental anomalies. Am J Orthod Dentofacial Orthop. 2010;137(6):732–3.
Garib DG, Peck S, Gomes SC. Increased occurrence of dental anomalies associated with second-premolar agenesis. Angle Orthod. 2009;79(3):436–41.
Gibson AC. Concomitant hypo-hyperodontia. Br J Orthod. 1979;6(2):101–5.
Gokkaya B, Kargul B. Prevalence of concomitant hypo-hyperdontia in a group of Turkish orthodontic patients. Eur Arch Paediatr Dent. 2016;17(1):53–7.
Gunduz K, Celenk P, Zengin Z, Sumer P. Mesiodens: a radiographic study in children. J Oral Sci. 2008;50(3):287–91.
Gurgel CV, Costa AL, Kobayashi TY, et al. Cone beam computed tomography for diagnosis and treatment planning of supernumerary teeth. Gen Dent. 2012;60(3):e131–5.
Hattab FN, Yassin OM, Sasa IS. Oral manifestations of Ellis-van Creveld syndrome: report of two siblings with unusual dental anomalies. J Clin Pediatr Dent. 1998;22(2):159–65.
Horowitz JM. Aplasia and malocclusion: a survey and appraisal. Am J Orthod. 1966;52(6):440–53.
Katheria BC, Kau CH, Tate R, et al. Effectiveness of impacted and supernumerary tooth diagnosis from traditional radiography versus cone beam computed tomography. Pediatr Dent. 2010;32(4):304–9.
Keur JJ. Radiographic localization techniques. Aust Dent J. 1986;31(2):86–90.
Levine N. The clinical management of supernumerary teeth. J Can Dent Assoc. 1962;28(5):297–303.
Low T. Hypodontia and supernumerary tooth: report of a case and its management. Br J Orthod. 1977;4(4):187–90.
Macpherson DW. Dental anomalies in fucosidosis. Br Dent J. 1991;170(11):408–10.
Mallineni SK, Jayaraman J, Yiu CKY, King NM. Concomitant occurrence of hypohyperdontia in a patient with Marfan syndrome: a review of the literature and report of a case. J Investig Clin Dent. 2012;3(4):253–7.
Mallineni SK, Mohiuddin A, Patil AK, Kodali RP. A unique presentation of concomitant hypo-hyperdontia in seven year old child: A rare report. J Dent Indones. 2015;22(3):58–88.
Marya CM, Sharma G, Parashar VP, Dahiya V, Gupta A. Mandibular midline supernumerary tooth associated with agenesis of permanent central incisors: a diagnostic conundrum. Stomatologija. 2012;14(2):65–8.
Mossaz J, Kloukos D, Pandis N, et al. Morphologic characteristics, location, and associated complications of maxillary and mandibular supernumerary teeth as evaluated using cone beam computed tomography. Eur J Orthod. 2014;36(6):708–18.
Nagaveni NB, Bajaj M, Muthusamy K, et al. Concomitant mandibular hypo-hyperdontia: report of two rarest cases with the literature review. Int J Contemp Dent Med Rev. 2014;6:1–6.
Nathanail P. Letter to the editor. Br Dent J. 1970;129:309.
Nayak AG, Chhaparwal Y, Pai KM, Lele AS. Non-syndromic hypo-hyperdontia of the permanent dentition with involvement of the mandibular anterior region: a rare occurrence. Rev Clín Pesq Odontol. 2010;6(3):281–4.
Nirmala SV, Mallineni SK, Nuvvula S. Pre-maxillary hypo-hyperdontia: report of a rare case. Rom J Morphol Embryol. 2013a;54(2):443–5.
Nirmala SVSG, Sandeep C, Nuvvula S, Kumar Mallineni S. Mandibular hypo-hyperdontia: a report of three cases. J Int Soc Prevent Community Dent. 2013b;3(2):92–6.
Niswander JD, Sujaku C. Congenital anomalies of teeth in Japanese children. Am J Phys Anthropol. 1963;21(4):569–74.
Nuvvula S. Ectopia or concomitant hypohyperdontia? J Orthod. 2010;37:316–7.
O’Dowling IB. Hypo-hyperdontia in an Irish population. J Ir Dent Assoc. 1989;35(3):114–7.
Passi S. Non-syndromic concomitant hypohyperdontia in a family—a rare case report. Pak Oral Dent J. 2010;30(1):162–4.
Pinho T, Maciel P, Pollmann C. Developmental disturbances associated with agenesis of the permanent maxillary lateral incisor. Br Dent J. 2009;207(E25):1–5.
Poyton GH, Morgan GA, Crouch SA. Recurring supernumerary mandibular premolars. Report of a case of postmature development. Oral Surg Oral Med Oral Pathol. 1960;13(8):964–6.
Prabhu SR, Daftary DK, Dholakia HM. Chondroectodermal dysplasia (Ellis-van Creveld syndrome): report of two cases. J Oral Surg. 1978;36(8):631–7.
Ranta R. Premature mineralization of permanent canines associated with aplasia of their primary predecessors: report of four cases. J Dent Child. 1983;50(4):274–7.
Ranta R. The Dubowitz syndrome: development of the teeth and jaws. Med Sci Res. 1987;15(14):851–2.
Rose JS. A thousand consecutive treated orthodontic cases—a survey. Br J Orthod. 1974;1(2):45–54.
Ruprecht A, Batniji S, el-Neweihi E. Incidence of supernumerary teeth. Ann Dent. 1984;43(2):18–21.
Stafne EC. Supernumerary teeth. Dent Cosm. 1932;74(7):653–9.
Symons AL. Ectopic eruption of a maxillary canine following trauma. Dent Traumatol. 1992;8(6):255–8.
Tamrakar AK, Rathee M. A rare occurrence of non-syndromic hypo-hyperdontia in the mandibular anterior region. J Clin Diagn Res. 2014;8(8):01.
Trotman C-A, McNamara T. Four maxillary incisors: a case report. Spec Care Dent. 1994;14(3):112–5.
Tyrologou S, Koch G, Kurol J. Location, complications and treatment of mesiodentes—a retrospective study in children. Swed Dent J. 2005;29(1):1–9.
Varela M, Arrieta P, Ventureira C. Non-syndromic concomitant hypodontia and supernumerary teeth in an orthodontic population. Eur J Orthod. 2009;31(6):632–7.
Venkataraghavan K. Mandibular mesiodens with agenesis of central incisors (hypohyperdontia): a case report & review. Int J Contemp Dent. 2011;2(4):26–30.
Verma KG, Verma P, Rishi S. Case report: a rare occurrence of non-syndromic hypo-hyperdontia in the mandibular anterior region. Eur J Paediatr Dent. 2012;13(1):47–9.
Werther R, Rothenberg F. Anodontia: a review of its etiology with presentation of a case. Am J Orthod Oral Surg. 1939;25(1):61–81.
Yanagida I, Mori S. Statistical studies on numerical anomalies of teeth in children using orthopantomograms—congenital hypodontia. Osaka Daigaku Shigaku Zasshi. 1990;35(2):580–93.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Informed consent
Informed consent was obtained from the parents or guardians of the children participants in this case report.
Rights and permissions
About this article
Cite this article
Bowdin, L.M., Wong, S., Anthonappa, R.P. et al. Pre-maxillary hypohyperdontia: a report of two cases. Eur Arch Paediatr Dent 19, 117–123 (2018). https://doi.org/10.1007/s40368-018-0329-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40368-018-0329-9