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Nishina S, Oda M, Nishida I, Habu M, Wakasugi-Sato N, Takahashi O, Tsurushima H, Otani T, Yoshiga D, Matsumoto-Takeda S, Nishimura S, Yoshii S, Sasaguri M, Yoshioka I, Morimoto Y. Imaging characteristics of gubernaculum tracts in patients with cleidocranial dysplasia: a computed tomography study. Oral Surg Oral Med Oral Pathol Oral Radiol 2024; 138:556-564. [PMID: 38839481 DOI: 10.1016/j.oooo.2024.04.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 04/17/2024] [Accepted: 04/27/2024] [Indexed: 06/07/2024]
Abstract
OBJECTIVES To elucidate the imaging characteristics of the gubernaculum tract (GT) in patients with cleidocranial dysplasia (CCD) as visualized with computed tomography (CT). STUDY DESIGN This was a retrospective analysis of the presence and shape of GTs of unerupted permanent teeth and supernumerary teeth on CT in 9 patients with CCD. RESULTS The overall GT detection rate for unerupted permanent teeth was 83.5% (81/97), with no significant difference between permanent teeth without and with adjacent supernumerary teeth (P = .414). The overall GT detection rate for unerupted supernumerary teeth was 83.1% (49/59). Of the 156 total unerupted teeth analyzed, 83.3% (130/156) were judged to have GTs. No significant difference in detection rate of GTs was found between permanent and supernumerary teeth (P > 0.999). A composite morphology consisted of a single GT for a permanent unerupted tooth with 1 or 2 supernumerary teeth in which the dental follicles of the permanent and supernumerary teeth were confluent. In total, 44 groups consisted of 1 permanent and 1 or 2 supernumerary teeth; 79.5% (35/44) had GTs. CONCLUSIONS A specific composite structure of GTs and dental follicles may signify that 2 or 3 teeth are derived from a single dental lamina in patients with CCD. In such cases, tooth eruption may fail due to the presence of only 1 GT for multiple teeth.
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Affiliation(s)
- Susumu Nishina
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Masafumi Oda
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Ikuko Nishida
- Division of Developmental Stomatognathic Function Science, Kyushu Dental University, Kitakyushu, Japan
| | - Manabu Habu
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Nao Wakasugi-Sato
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Osamu Takahashi
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Hiroki Tsurushima
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Taishi Otani
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Daigo Yoshiga
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | | | - Shun Nishimura
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Shinji Yoshii
- Division of Promoting Learning Design Education, Kyushu Dental University, Kitakyushu, Japan
| | - Masaaki Sasaguri
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Izumi Yoshioka
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Yasuhiro Morimoto
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan.
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AlHadidi A, Lam PPY, Hassona Y. Developmental and Acquired Abnormalities of the Teeth. Dent Clin North Am 2024; 68:227-245. [PMID: 38417988 DOI: 10.1016/j.cden.2023.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2024]
Abstract
This review aims to present a detailed analysis of the most common developmental and acquired dental abnormalities, including caries, resorptive lesions, and congenital anomalies of teeth number, size, form, and structure. This review highlights how diagnostic imaging can aid in the accurate identification and management of these conditions.
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Affiliation(s)
- Abeer AlHadidi
- Oral and Maxillofacial Pathology, Radiology, and Medicine, NYU College of Dentistry, 345 East 24th Street, New York, NY 10010, USA; School of Dentistry, The University of Jordan, Queen Rania Street, Amman, Jordan 11942.
| | - Phoebe Pui Ying Lam
- The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong
| | - Yazan Hassona
- School of Dentistry, The University of Jordan, Queen Rania Street, Amman, Jordan 11942; School of Dentistry, Al Ahliyya University
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Oda M, Nishida I, Saeki K, Tanaka T, Matsumoto-Takeda S, Wakasugi-Sato N, Habu M, Nagasaki Y, Yoshiga D, Sasaguri M, Morimoto Y. Imaging characteristics of the gubernaculum tracts in successional teeth related to deciduous fused teeth on computed tomography. Congenit Anom (Kyoto) 2022; 62:241-247. [PMID: 36116034 PMCID: PMC9828054 DOI: 10.1111/cga.12493] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 06/23/2022] [Accepted: 08/29/2022] [Indexed: 01/12/2023]
Abstract
The purpose of this study was to elucidate the imaging characteristics of the gubernaculum tracts in successional teeth related to fused deciduous teeth on computed tomography. The imaging findings of 15 gubernaculum tracts in successional teeth related to fused deciduous teeth were retrospectively analyzed using cone-beam computed tomography or multidetector computed tomography. In cases without a congenitally defected successor, the two gubernaculum tracts of two successional teeth related to fused deciduous teeth were fused into one. Gubernaculum tracts (GTs) in mesial successors were vertical, but in distal successors they were inclined to mesial. The major abnormalities of the successional teeth related to fused deciduous teeth were delayed eruption and delayed formation. No inclined mesial successors were found, whereas most of the distal successors were inclined to mesial along with the inclined GT. The gubernaculum tracts of successors with a congenital defect of the other successors were vertical, and such successors had no abnormalities. The present study showed the imaging characteristics of gubernaculum tracts in successional teeth related to fused deciduous teeth. The abnormal eruption of successional teeth related to fused deciduous teeth may be associated with the characteristics of their gubernaculum tracts.
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Affiliation(s)
- Masafumi Oda
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Ikuko Nishida
- Division of Developmental Stomatognathic Function Science, Kyushu Dental University, Kitakyushu, Japan
| | - Katsura Saeki
- Division of Developmental Stomatognathic Function Science, Kyushu Dental University, Kitakyushu, Japan
| | - Tatsurou Tanaka
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | | | - Nao Wakasugi-Sato
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Manabu Habu
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Yutaro Nagasaki
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Daigo Yoshiga
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Masaaki Sasaguri
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Yasuhiro Morimoto
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
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Mabrouk R, Chouchene F, Maatouk F, Masmoudi F, Baaziz A, Ghedira H. Cone‐beam computed tomography in the diagnosis of regional odontodysplasia. Clin Case Rep 2022; 10:e05890. [PMID: 35600036 PMCID: PMC9122801 DOI: 10.1002/ccr3.5890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Revised: 04/12/2022] [Accepted: 04/23/2022] [Indexed: 11/08/2022] Open
Affiliation(s)
- Rihab Mabrouk
- Pediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir Tunisia
- Laboratory of Biological Clinical and Dento‐Facial Approach University of Monastir Monastir Tunisia
| | - Farah Chouchene
- Pediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir Tunisia
- Laboratory of Biological Clinical and Dento‐Facial Approach University of Monastir Monastir Tunisia
| | - Fethi Maatouk
- Pediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir Tunisia
- Laboratory of Biological Clinical and Dento‐Facial Approach University of Monastir Monastir Tunisia
| | - Fatma Masmoudi
- Pediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir Tunisia
- Laboratory of Biological Clinical and Dento‐Facial Approach University of Monastir Monastir Tunisia
| | - Ahlem Baaziz
- Pediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir Tunisia
- Laboratory of Biological Clinical and Dento‐Facial Approach University of Monastir Monastir Tunisia
| | - Hichem Ghedira
- Pediatric and Preventive Dentistry Department Faculty of Dental Medicine of Monastir Monastir Tunisia
- Laboratory of Biological Clinical and Dento‐Facial Approach University of Monastir Monastir Tunisia
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Oda M, Nishida I, Habu M, Takahashi O, Tsurushima H, Otani T, Yoshiga D, Saeki K, Tanaka T, Wakasugi-Sato N, Matsumoto-Takeda S, Nagasaki Y, Miyamoto I, Kito S, Sasaguri M, Morimoto Y. Overview of Radiological Studies on Visualization of Gubernaculum Tracts of Permanent Teeth. J Clin Med 2021; 10:jcm10143051. [PMID: 34300216 PMCID: PMC8304544 DOI: 10.3390/jcm10143051] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 07/02/2021] [Accepted: 07/07/2021] [Indexed: 11/29/2022] Open
Abstract
The eruption pathway from the dental follicle to the gingiva for permanent teeth is known as the gubernaculum tract (GT), a physiologic structure thought to play a role in tooth eruption. Cone beam computed tomography and multi-detector computed tomography have recently been used to visualize the GT, with the results indicating that this structure might be related to the normal eruption of teeth. By contrast, curved and/or constricted GTs may lead to abnormal tooth eruption. In addition, complex odontomas have been reported from within the GT or dental sac of unerupted permanent teeth. If an odontoma occurs within the GT, the tooth will not erupt normally. Moreover, the imaging characteristics of the GT from the top of the odontogenic mass to the alveolar crest are extremely useful for making a differential pathological diagnosis and for differentiating between odontogenic and non-odontogenic masses. Therefore, radiological studies on the GT have been attracting increasing attention. Given this background, the present review aims to clarify the imaging characteristics and review recent studies on the GT considering the importance of the research.
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Affiliation(s)
- Masafumi Oda
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Ikuko Nishida
- Division of Developmental Stomatognathic Function Science, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Manabu Habu
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Osamu Takahashi
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Hiroki Tsurushima
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Taishi Otani
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Daigo Yoshiga
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Katsura Saeki
- Division of Developmental Stomatognathic Function Science, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Tatsurou Tanaka
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Nao Wakasugi-Sato
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Shinobu Matsumoto-Takeda
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Yutaro Nagasaki
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Ikuya Miyamoto
- Division of Oral and Maxillofacial Surgery, Iwate Medical University, Iwate 028-3694, Japan
| | - Shinji Kito
- Division of Dental Radiology, Meikai University School of Dentistry, Saitama 350-0283, Japan
| | - Masaaki Sasaguri
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu 803-8580, Japan
| | - Yasuhiro Morimoto
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu 803-8580, Japan
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Oda M, Nishida I, Habu M, Takahashi O, Tabe S, Tsurushima H, Otani T, Yoshiga D, Sago T, Tanaka T, Wakasugi-Sato N, Matsumoto-Takeda S, Sasaguri M, Morimoto Y. Imaging peculiarities of gubernaculum tracts in molars as accessional teeth on CT. Clin Exp Dent Res 2021; 7:1205-1214. [PMID: 34137209 PMCID: PMC8638308 DOI: 10.1002/cre2.452] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 05/09/2021] [Accepted: 05/11/2021] [Indexed: 11/17/2022] Open
Abstract
Objectives The shapes of gubernaculum tracts (GTs) in molars as accessional teeth remain unidentified. To elucidate imaging peculiarities of GTs in molars with aging on multidetector‐row computed tomography (MDCT). Material and methods This retrospective study was conducted using CT images, including maxillary and mandibular molars, with no abnormal findings from 239 patients. Shapes of alveolar bone, GTs, and dental sacs of the maxillary and mandibular molars were analyzed multi‐sectionally. Correlations between 2‐ and 3‐dimensional imaging figures of GTs in molars and chronological age or stage of molar formation were analyzed. Results Some forms of GTs in maxillary and mandibular third molars were observed. In the early stage, GTs were visualized as bone defect lines on the dentition and grooves on the mesial alveolar crest continuous with the dental sac to mesial tooth bud. GTs of the third molar formed a J‐shape in maxillary teeth and Y‐shape in mandibular teeth in the middle stage, as alveolar bone around the GT developed. In the mature stage, the course of the GT changed to straight and perpendicular. Some GT forms were also identified in first and second molars. Significant correlations were found between GT alterations and chronological age or stage of molar formation. Moreover, tracts continuing from the distal side of mandibular third molars were detected. Conclusions This paper describes the peculiarities and process of progression for GTs in molars, and the existence of tracts continuing from the distal side of mandibular third molars, unlikely dentition with deciduous predecessors. These preliminary data should prove beneficial for studies focusing on GTs in molars.
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Affiliation(s)
- Masafumi Oda
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Ikuko Nishida
- Division of Developmental Stomatognathic Function Science, Kyushu Dental University, Kitakyushu, Japan
| | - Manabu Habu
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Osamu Takahashi
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Shirou Tabe
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Hiroki Tsurushima
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Taishi Otani
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Daigo Yoshiga
- Division of Oral Medicine, Kyushu Dental University, Kitakyushu, Japan
| | - Teppei Sago
- Division of Dental Anesthesiology, Kyushu Dental University, Kitakyushu, Japan
| | - Tatsurou Tanaka
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | - Nao Wakasugi-Sato
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
| | | | - Masaaki Sasaguri
- Division of Maxillofacial Surgery, Kyushu Dental University, Kitakyushu, Japan
| | - Yasuhiro Morimoto
- Division of Oral and Maxillofacial Radiology, Kyushu Dental University, Kitakyushu, Japan
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Regional odontodysplasia in maxillary right anterior region–First report: Clinical management in relation to 2 case reports. PEDIATRIC DENTAL JOURNAL 2020. [DOI: 10.1016/j.pdj.2020.01.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Silva Cunha JL, Barboza Santana AV, Alves da Mota Santana L, Meneses Santos D, de Souza Amorim K, Maciel de Almeida Souza L, Ferreira de Sousa S, de Albuquerque-Júnior RLC. Regional Odontodysplasia Affecting the Maxilla. Head Neck Pathol 2019; 14:224-229. [PMID: 30900210 PMCID: PMC7021893 DOI: 10.1007/s12105-019-01031-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Accepted: 03/14/2019] [Indexed: 12/13/2022]
Abstract
Regional odontodysplasia (RO) is a rare dental anomaly of unknown etiology that can affect both deciduous and permanent dentition. RO is characterized by severe hypoplasia of enamel and dentin, and teeth affected are friable and more susceptible to caries and fractures. Most of the lesions occur in the anterior maxilla and correlation with clinical and radiographic features is essential to provide a correct diagnosis. The major criteria for diagnosis are predominantly based on radiography, which shows presence of large pulp chambers and a marked reduction in the radiopacity of enamel and dentin, making the distinction between these mineralized structures difficult. Early diagnosis is important to minimize future sequels and allow preventive or conservative treatment. The therapeutic approach of the RO should be based on the degree of severity of the anomaly and in the individual functional and aesthetic needs of each case. A classic case of RO affecting the maxilla is exemplified in this Sine Qua Non Radiology-Pathology article.
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Affiliation(s)
- John Lennon Silva Cunha
- Laboratory of Morphology and Experimental Pathology, Institute of Technology and Research, Tiradentes University (UNIT), Avenida Murilo Dantas, 300, Aracaju, SE 49032-490 Brazil
| | | | | | | | - Klinger de Souza Amorim
- Department of Physiological Sciences, Piracicaba Dental School, University of Campinas (UNICAMP), Piracicaba, SP Brazil
| | | | - Sílvia Ferreira de Sousa
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG Brazil
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