Premium
C6
A case of facial cellulitis associated with a supplemental tooth
Author(s) -
MITCHELL J. C.,
AHLUWALIA* M.
Publication year - 2006
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/j.1365-263x.2006.00773_6.x
Subject(s) - medicine , dentistry , supernumerary , dentition , cellulitis , incisor , crossbite , periapical abscess , orthodontics , malocclusion , surgery
Presenting problem: An 8‐year‐old boy presented with a facial cellulitis. This appeared to be associated with the right maxillary lateral incisor. Clinical management: There was no history of dental trauma. It was reported that a primary supplemental tooth had been present in the right premaxilla. On examination the right maxillary lateral incisor had a deep palatal pit and was grade 3 mobile. There was evidence of a tooth erupting palatal to this tooth. The radiographic examination suggested the right lateral incisor tooth was supplemental, invaginated and had an apical radiolucent area. The acute infection was managed by extirpating the pulp and dressing the supplemental tooth with non‐setting calcium hydroxide. It was later removed under inhalation sedation and local anaesthetic. The ectopic tooth was monitored and subsequently erupted palatally. This may require orthodontic interception in the future for the correction of a crossbite. Discussion: The prevalence of supernumerary teeth in the permanent dentition has been reported as 0.1–3.8%. They are less frequently seen in the primary dentition. However, it is not uncommon for a child to present with dental anomalies in both dentitions. In this case study, the subject had a supplemental lateral incisor in both the primary and permanent dentition. The permanent supplemental tooth was invaginated, confirmed by histological examination. The cellulitis was therefore caused by the invaginated odontome.