Clinical complications associated with supernumerary teeth: report of two cases

Abstract

The presence of supernumerary teeth can interfere in normal occlusal development. The pediatric dentist should diagnose them as soon as possible, as most of the time they are asymptomatic. The objective of this paper is to show the presence of that dental anomaly in two pediatric patients, as well as the associated clinical complications with treatment.

Analyses of 1100 supernumerary teeth in a nonsyndromic Turkish population: A retrospective multicenter study

“…Four different morphological types of ST have been described: Conical, tuberculate, supplemental, and odontome. [10][11][12] Although these teeth can be found in any location, they appear have a predilection for distal third molars and the maxillary central incisors. Such ST are called mesiodens.…”

“…[11] Other than esthetic issues, the most frequent complications generated by the presence of ST are prolonged retention of deciduous teeth, delayed eruption of permanent teeth, ectopic eruption, malocclusion, spaces between incisors, cyst development, and root resorption of adjacent teeth. [12] The treatment depends on the type and position of the supernumerary tooth and its potential effect on adjacent teeth. The management of ST should form part of a comprehensive treatment plan and should not be considered in isolation.…”

Supernumerary Teeth-Review Ofaetiology, Sequelae, Diagnosis and Management. Part Ii.

“…5,98 However, whilst some authors advise immediate removal of supernumerary teeth following the diagnosis of their presence, 97,109 others advocate to delay their extraction until the root development of the central and lateral incisors has completely occurred, at about the age of eight to ten years. 5,6,74,97,110,111 Omer et al, 112 However, have reported theoptimal age for the surgical removal of the unerupted anterior supernumerary teethto be from 6.1 to7.0 years to avoid associated complications.The risks of early removal of unerupted supernumerary teeth must be considered. These mainly include damage to the adjacent teeth (e.g.…”

Supernumerarios múltiples no sindrómicos en dentición permanente. Reporte de caso

“…Las alteraciones que ocasionan los DS se manifiestan en diversos trastornos como retención prolongada de los dientes temporales, modificación en la erupción de los dientes permanentes, ectopia, apiñamiento, diastemas, formación de quistes, reabsorción radicular de las piezas contiguas y estética (20). Por lo general el tratamiento de los DS es la exodoncia, sin embargo, sus características, posición, así como su relación con la oclusión y piezas dentarias proximales amerita un tratamiento Supernumerarios múltiples no sindrómicos en dentición permanente.…”