Hyperdontia

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Supernumerary teeth at premaxillary area
Supernumerary teeth at premaxillary area

Hyperdontia is the condition of having supernumerary teeth, or teeth which appear in addition to the regular number of teeth. The most common supernumerary tooth is a mesiodens, which is a mal-formed, peg-like tooth that occurs between the maxillary central incisors.

The occurrence of hyperdontia ranges from 10.1% to 37.8% in Chinese and South American populations. The condition occurs less often in the Northern parts of the Western hemisphere around .01% to .09%. There is evidence of hereditary factors along with some evidence of environmental factors leading to this condition. Many supernumerary teeth never erupt, but they may delay eruption of nearby teeth or cause other dental problems. Molar-type extra teeth are the rarest form. Dental X-rays are often used to diagnose hyperdontia.

A similar condition is hypodontia, in which there are fewer than the usual number of teeth.

Hyperdontia is seen in a number of disorders, including Gardner's syndrome and cleidocranial dysostosis.

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