Mesiodistal angulation and developmental stages of unerupted mandibular second premolars in nonsyndromic oligodontia

Am J Orthod Dentofacial Orthop. 2023 Dec;164(6):805-812. doi: 10.1016/j.ajodo.2023.05.029. Epub 2023 Jul 22.


Introduction: Oligodontia is a serious developmental dental anomaly that requires long-term multidisciplinary treatment, but its clinical characteristics are not well understood because it is rare. This study evaluated the mesiodistal angulation and developmental stages of unerupted mandibular second premolars (MnP2s) in orthodontic patients with nonsyndromic oligodontia.

Methods: Thirty-seven patients with oligodontia with at least 1 unerupted MnP2 in Demirjian's developmental stages between D and G were selected. Age- and sex-matched patients without tooth agenesis, excluding third molars, were selected as the control group. Mesiodistal angulation between the long axis of the available MnP2 and the mandibular plane was measured on panoramic radiographs.

Results: The MnP2 was significantly more distally angulated in the oligodontia group than in the control group. The developmental stage of the MnP2 in the oligodontia group was significantly delayed (1.04 ± 0.26 years; 95% confidence interval, 0.53-1.55 years). No correlation between the mesiodistal angulation and the developmental stage of the MnP2 was found in both groups.

Conclusions: Significant distal angulation and delayed developmental stages of MnP2s were found in patients with nonsyndromic oligodontia compared with age- and sex-matched patients without agenesis of permanent teeth, excluding third molars. However, no significant correlation was found between them. Regardless of the severity of the distal angulation of MnP2, observing delayed dental development in each patient is important.

MeSH terms

  • Anodontia* / diagnostic imaging
  • Bicuspid / abnormalities
  • Bicuspid / diagnostic imaging
  • Humans
  • Mandible / diagnostic imaging
  • Molar, Third / diagnostic imaging
  • Radiography, Panoramic