DEFINITION/OVERVIEW
- Increased number of teeth from normal anticipated dentition
- Supernumerary: increased tooth number, often from separate tooth buds
- Twinning: a complete mirror image duplication of a tooth resulting from the cleavage of a single tooth bud
- Gemination: incomplete splitting of a tooth bud resulting in a connected, partial duplication
ETIOLOGY/PATHOPHYSIOLOGY
- Dogs/cats
- During tooth development (where the dental lamina forms the tooth bud), stimulation, possibly trauma at times, can cause additional bud formation or duplication of an existing bud (twinning)
- If extra buds fail to split from the initial structure, a gemination tooth may result (see Chapter 18)
- During tooth development (where the dental lamina forms the tooth bud), stimulation, possibly trauma at times, can cause additional bud formation or duplication of an existing bud (twinning)
SIGNALMENT/HISTORY
- Can occur in any breed, size, or gender
- Breed prevalence: boxers, bulldogs
- Apparent at time of permanent tooth eruption; the presence of supernumerary deciduous teeth requires radiographs since additional supernumerary permanent teeth may have delayed eruption
CLINICAL FEATURES
- Increased number of teeth, frequently involving crowding and/or rotation, or displacement of the supernumerary teeth (Fig. 17-1)
Dogs
- Not uncommon
Cats
- Uncommon for actual supernumerary teeth; gemination of mandibular fourth premolar slightly more common (Fig. 17-2)