A similar condition is described by Albrecht[57] as occurring in an adult
human skull in the museum of the University of Kiel. In this a cleft
palate exists, with the fissure extending through the alveolus of the
right side, _i. e._ a right-sided alveolar harelip with cleft palate. The
mesognathion is plainly seen on the outer side of the cleft, bearing an
incisor tooth. On the inner side of the cleft (_i. e._ on the left side)
are the alveoli for five incisors before reaching the canine socket of
the left side, so that here is a skull with six incisor teeth, and with a
cleft between the alveoli of the right middle and outer precanines. And
not a few similar preparations are indicated by Biondi[58] as occurring
in the Berlin and Breslau collections. The condition of parts is
represented diagrammatically in Fig. 38. Albrecht’s explanation is that
the middle of the three precanines, _i. e._ the outer tooth in the os
incisivum, is an accessory development; whilst that on the outer side of
the cleft is the normal lateral incisor springing from the mesognathion.
With such facts one necessarily collates the accredited teaching
respecting the number and character of the incisor teeth in man.
Normally one finds two incisors on each side, occupying the space between
the canines, but it is a fact perfectly well recognised by dentists that
occasionally an extra precanine or incisor is present (Fig. 27); and very
rarely are there more than three incisors on either side. My colleague,
Professor Underwood, tells me that once he has seen the cast of a jaw
with at least five precanine teeth on one side only, but that was an
absolute exception, and only to be explained as a vagary of nature. The
more common existence of three incisors can scarcely be placed in the
same category, especially when one considers that although not constant
by any means throughout the series, yet amongst the mammalia one does
find three incisors as an oft-repeated formula; and certainly the typical
mammalian dental formula would indicate the occurrence of three incisors
on each side. Hence it is possible that the occasional occurrence of
three incisors in man is an illustration of the so-called “recurrence
to type,” and that, under ordinary circumstances, one incisor has been
suppressed; and the majority of anatomists fully concur in the belief
that it is the middle one of the three which has disappeared. The
occasional failure of the wisdom teeth to erupt, an occurrence which
dentists tell us is increasing in frequency, is additional evidence as to
the possibility of the disappearance of an incisor.
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