• Sofijanka Gerasimova Pisevska
  • Mirjana Markovska Arsovska
  • Maja Popovska Gorovska
  • Elizabeta Chadikovska


Supernumerary teeth are infrequent developmental anomaly that can appear in any area of the dental arch and can affect any dental organ.Hyperdontia is rare in population except if it is associated with other diseases or syndromes. Treatment of hyperdontia depends on the area where supernumerary teeth appear, their number and the presence of pathologic processes around the teeth.Mesiodens are the most common supernumerary teeth and the reason for their appearance is still not elucidated. Proliferation of dental lamina and genetic factors have been implicated.Mesiodens can cause delayed or ectopic eruption of the permanent incisors.Early diagnosis allows minimal invasive treatment, which may include surgical extraction.If permanent teeth do not erupt in a reasonable period after extraction, surgical exposure and orthodontic treatment may be required to ensure eruption and to create sufficient arch space before eruption and alignment of the incisor(s).

Key words: Supernumerary teeth, developmental anomaly, orthodontic treatment


1. Pathology of the Hard Dental Tissues.
2. Zhu JF, Marcushamer M, King DL, Henry RJ. Supernumerary and congenitally absent teeth: a literature review. J Clin Pediatr Dent. 1996;20:87-95.
3. Rajab LD, Hamdan MA. Suprnumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent. 2002;12:244-54.
4. Leko Berrocal MI, Martin Morales JF, Martinez Gonzalez JM. An observational study of the frequency of supernumerary teeth in population of 2000 patients. Med Oral Patol Oral Cir Bucal.2007;12: 134-8.
5.Liu DG,Zhang WL,Zhang ZY,Wu YT,Ma XC.Three-dimensional evaluations of supernumerary teeth using cone-beam computed tomography for 487 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2007;103:403-11.
6. R.S. Omer RS, R.P. Anthonappa, N.M. King. Determination of the optimum time for surgical removal of unerupted anterior supernumerary teeth,” Pediatric Dentistry.2010,vol.32,(1),pp.14-20.
7. Ziberman Y,Malron M,Shteyer R.Assessement of 100 children in Jerusalem with supernumerary teeth in the premaxillary region.J Dent Child. 1992;59:44-7.
8. Dehdashti M, Gugny P. A propos des polyodonties,proposition d’ une approche therapeutique.Rev Orthop Dento Faciale. 1990:24:465-71.
9. Neville B, Damm D, Allen C, Bouquot J. Oral and maxillofacial pathology ;Philadelphia: Saunders; 2002.pp.69-73.
10. Harris EF,Clark LL. An epidemiological study of hyperodontia in American black and whites. Angle Orthod.2008;78 (3):460-5 .
11. Gabris K, Fabian G, Kaan M, Rozca N, Tarjan I. Prevalence of hypodontia and hyperdontia in paedodontic and orthodontic patient in Budapest.Community Dent Healt.2006;23:80-2.
12. Fernandez Montenegro P, Valmaseda Castellon E, Berini Aytes L,Gay Escoda C. Retrospective study of 145 supernumerary teeth.Med Oral Patoi Oral Cir Bucal.2006;11:339.
13. Menardia-Pejuan V,Berini-aytes L,Gay-Escoda C. Supernumerary molars.A of 53 causes.Bull Group Int Rech Sci Stomatol Odontol. 2000;42:101-5.
14. Barrett AP,Waters BE,Griffiths CJ. A critical evaluation of panoramic radiography as a screening procedure in dental practice. Oral Surg Oral Med Oral Pathol. 1984;57:673-6.
15. Yusof WZ. Non-syndrome multiple supernumerary teeth: literature review.J Can Dent Assoc.1990;56:147-9.
16. Acikgoz A,Acikgoz G,Tunga U,Otan F.Characteristics and prevalence of non-syndrome multiple supernumerary teeth: a retrospective study. Dentomaxillofac Radiol.2006;35:185-90.
17. R Rajendran, B Sivapathasundharam editors,Shafer’s textbook of Oral Pathology.6th edition, Elsevier publications.1975;p 46.
18. Salcido JF,Ledesma C,Hernandez F,Perez D,Garces M.Frecuencia de dientes supernumeraries en una poblacion Mexicana.Med Oral Patol Oral Cir Bucal 2004;9;403-9
19. Byrgess JO. Apanoramic radiographic.Analysis of Air Force basic trainees.Oral Surg Oral Med Oral Pathol 1985;60:113-21.
20. Langland OE,Langlais RP, Morris CR,Preece JW.Panoramic radiographic survey of dentist participating in ADA healt programs 1976,1977 and 1978. J Am Dennt J.1980;101:278-82.
21. Osborne GE,Hemminngs KW. Aservey of disease changes observed on dental panoramic tomographs taken of patients attending a periodontology clinic.Br Dent J .1992;173:166-8.
22. Primosch RE. Anterior supernumerary teeth-assessment and surgical intervention in children. Pediater Dent.1981;3(2):204-15.
23. Foster TD, Taylor GS, Characeristics of supernumerary teeth in the upper central incisor region Dent Pract Dent Rec. 1969;20(1):8-12.
24. Luter JR. The prevalence of supernumerary teeth in primary and mixed dentitions J Dent Child. 1967;34(5);346-53.
25. Ravn JJ. Aplasia, supernumerary teeth and fused teeth in the primary dentition. An epidemiologic study.Scand J Dent Res. 1971;79(1):1-6.
26. Hattab FN, Yassin OM, Rawachdeh MA. Supernumerary teeth:report of three causes and revive of the literature. ASDC J Dent Child. 1994;61(5-6):382-93.
27. Thawley KL, LaFerriere KA. Supernumerary nasal tooth,Larryngoscope 1977;87(10pt1):1770-3
28. Di Biase DD. The effect of variations in tooth morphology and position on eruption. Dent Pract Dent Rec.1971;22(3):95-108.
29. Atasu M, Orguneser A. Invented impaction of a mesiodens: a case report J Clin Pediatr.Dent. 1999;23(2):143-5.
30. Von Arx T. Anterior maxillary supernumerary teeth: a clinical and radiographic study. Aust Dent J. 1992;37(3):189-95.
31. Konchak PA, Lanigan DT. The menagment of impacted maxillary incisors secondary to supernumeraries. Oral Health. 1985;75(10):59-61.
32. Brook AH. A unifying aetiological explantation for anomalies of human tooth number and size. Arch Oral Biol. 1984;29(5):373-8.
33. Lustmann J, Bodner L. Dentigerous cysts associated with supernumerary teeth. Jnt J Oral Maxillofac Surg. 1988;17(2):100-2.
34. Tay F, Pang A,Yuen S.Unerupted maxillary anterior supernumerary teeth report of 204 cases. ASDC J Dent Child. 1984;51(4):289-94.
35. Kessler HP, Kraut RA.Dentigerous cyst associated with an impacted mesiodens. Gen Dent. 1989;37(1):47-9.
36. Nazif MM, Ruffalo RC,Zullo T. Impacted supernumerary teeth:a survey of 50 cases: J An Dent Assoc. 1983:106(2):201-4.
37. Humerfelt D, Hurlen B, Humerfelt S. Hyperdontia in children belowfour years of age: a radiographic study. ASDC J Dent Child 1985;52(2):121-4.
38. Solares R. The complications of late diagnosis of anterior supernumerary teeth: case report.ASDC J Dent Child. 1990;57(3):209-11.
39. Henry RJ, Post AC, A labially positioned mesiodens:case report.Pediatr Dent 1989:11(1):59-63.
40.Witsenburg B, Boerig G. Eruption of impacted permanent upper incisors after removal of supernumerary teeth. Jnt J Oral Surg.1981;10(6):423-31.
41. Gay C,Mateos M,Espana A,Gargallo j.Otras inclusions dentarias:Mesiodens y otros dientes supernumerarios.Dientes temporales incluidos.En:Gay C,Berini L,eds.Cirugia Bucal.Madrid:Editorial Ergon,Madrid;1999.p.511-50.
42. Dauder D,Penarrocha M, Sanchis JM. Estudio retrospectiivo de dientes supernumerarios de 1013 pacientes.Anales Odo.
How to Cite
PISEVSKA, Sofijanka Gerasimova et al. DIFFICULTES IN FIRST INCISORS ERUPTION CAUSED BY MESIODENS. Journal of Morphological Sciences, [S.l.], v. 2, n. 1, p. 29-36, june 2019. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/53>. Date accessed: 27 feb. 2024.