I have a big tooth, which is a bit decayed, but it is not serious. I went to the dentist for treatment, and I didn't feel any pain before treatment.

The bosses who answered it clearly, he is not a wisdom tooth. When you say you have more teeth, you mean you have one more tooth on top of your teeth. You'd better go to the hospital (to see its relationship with the front teeth, or take a picture). If she squeezes the front teeth, she must pull them out. If it doesn't matter, you can choose to keep them, but it won't help much. Think about it.

Let me tell you about the etiology, superficiality and treatment of supernumerary teeth.

1. Etiology: unclear, there are several hypotheses.

(1) atavism. Embryologists put it forward. It is believed that there are 3-4 premolars in the dentition of apes, so the supernumerary teeth in this area may be a phenomenon of returning to help.

(2) When the dental plate breaks, the exfoliated epithelial cells proliferate excessively, or the dental plate is too active, resulting in multiple bifurcations.

(3) Genetic and developmental defects. For example, patients with cleft palate or cranial clavicle hypoplasia have a higher incidence of supernumerary teeth.

2. Clinical manifestations:

The occurrence of supernumerary teeth is rare in deciduous dentition, but it is more common in mixed dentition and permanent dentition. The most common location of supernumerary teeth is in the maxillary anterior teeth area. According to the literature, it is between 1-3%. In different dentition stages, the order of supernumerary teeth is mixed dentition >: permanent dentition >: deciduous dentition is more male than female. According to the literature, the ratio of male to female is 5.4: 1.

Most of the supernumerary teeth erupted into the mouth, but some of them remained in the jaw, and about 1/4 remained in the jaw without eruption. The existence of supernumerary teeth mainly causes various pathological obstacles in the development of permanent dentition: delayed eruption of permanent teeth, interdental space, tooth dislocation, torsion of adjacent teeth, occasional fusion with normal teeth or odontogenic cysts, and even adjacent root absorption; Some inverted supernumerary teeth enter the nasal cavity, etc. Some supernumerary teeth do not have the above related complications. However, their ugly appearance inside or outside the dentition has attracted the attention of parents and doctors.

3. Treatment: The supernumerary teeth erupted in clinic were pulled out in time.

For example, if the gap between the upper teeth is too large or there is hard tissue protruding from the lip and palate, the supernumerary teeth should be removed as soon as possible if they are found by X-ray examination. This has little effect on permanent dentition.

For example, when the supernumerary teeth are buried in the jaw and do not produce any lesions, they can be left untreated.

For example, supernumerary teeth are embedded in the tips of young permanent teeth. Pulling out supernumerary teeth may hurt supernumerary teeth. The supernumerary teeth can be temporarily extracted, and the supernumerary teeth can be extracted after the roots of young permanent teeth are formed.

For example, supernumerary teeth cause root resorption, root bending deformity or normal tooth displacement. The supernumerary teeth are similar in shape to normal teeth, and the root has enough length. We can consider retaining supernumerary teeth and extracting normal teeth.

References:

experience