Generally, people have two sets of teeth throughout their lives, with most of us having 20 baby teeth as children and 32 permanent teeth as adults. However, this number will be higher for a certain percentage of people. This condition is what experts refer to as hyperdontia, or when extra teeth are growing in your gums.
In this article, we’ll talk about the causes of hyperdontia, the problems that can arise from the condition, and how it is diagnosed. Furthermore, we’ll also talk about the issues associated with mesiodens. Lastly, we’ll discuss available treatment options, all of which you can count on at our restorative dentistry in Coral Gables.
This condition is relatively rare, with only an estimated 3.8% of adults having at least one or more supernumerary teeth. These extra whites can be either impacted, meaning they are under the gum line, or visible (also called erupted extra teeth).
The condition may be challenging to diagnose in children, as the extra baby teeth will often look normal and grow like the others, aligned with the rest of them.
The extra teeth growing in the gums and mouth may be located anywhere:
Furthermore, these supernumerary teeth can also come in a wide range of different shapes, such as:
The scientific community isn’t exactly sure about the leading causes of hyperdontia. Still, research suggests that patients who have several extra teeth are more likely to have other disorders as well, like:
Extra teeth behind your teeth, mesiodens, and other extra teeth usually don’t cause any pain. However, their awkward location may be a cosmetic issue. In other cases, when they don’t erupt through the gum line, they can affect the functionality of the rest of the patient’s teeth.
As a matter of fact, supernumerary teeth may:
Furthermore, cysts may also develop around the teeth behind other teeth. There’s evidence that suggests that around 11% of all patients with hyperdontia also have cysts.
Lastly, the teeth may also start growing in the nasal cavity in rare and extreme cases.
For the most part, diagnosing the condition isn’t challenging because the extra teeth are often visible. Still, in some cases, the extra teeth may only be discovered after dental X-rays or when a tooth simply doesn’t come in.
CT scans may also be utilized to diagnose the condition.
Usually, the treatment for this condition depends on the type of hyperdontia patients are experiencing and the teeth’ position. Furthermore, the treatment will also depend on how the extra teeth affect normal nearby teeth.
That said, there are cases when the condition won’t require any treatment. In these instances, dental experts will often just monitor the extra teeth and take X-rays if necessary.
In other cases, the dentists may advise taking out the extra teeth:
Some experts will disagree on when supernumerary teeth should be removed. Some dentists state that the extra teeth should be removed immediately after establishing a diagnosis. Others say that the surgery should be performed later in the case of children when they are around eight to ten years old. Waiting a bit will allow the roots of the regal teeth to form correctly, minimizing damage when the extra teeth are removed.
When the extras are visible, they are usually easy to remove, just like in the case of regular teeth. However, if the gums or a bone layer covers them, surgery becomes more intricate, as the gums should be lifted or the bone layer should be removed first.
Removing the extra tooth may also be more challenging when it fuses with the nearby tooth, either at the root level or at the top.
As you can see, hyperdontia isn’t always a concern. In other cases, it can be a cosmetic issue, or it may lead to other dental problems. At Gables Sedation, our expert team of dentists and helpful staff can address every dental issue and help patients find the most appropriate option for removing their extra teeth. So, if you are looking for an experienced and compassionate team of experts, feel free to reach out to us and schedule an appointment. We’re here to help with all of your dental needs.