First report of bilateral supernumerary teeth associated with both primary and permanent maxillary canines

Abstract

A very rare case of bilateral supernumerary teeth in the maxillary canine region and its management through a 3-step-conservative approach and 5-year-follow up is presented in this report. A 7-year-old Caucasian boy presented with 2 erupted supernumerary primary maxillary canines (53s and 63s) and two unerupted supernumerary permanent maxillary canines (13s and 23s). The treatment was carried out in three steps. In the first step, we removed teeth 53s and 63s. As the second step, early removal of teeth 53 and 63 and cementation of a space maintenance appliance (Nance's arch) were performed. In the third step, teeth 13s and 23s were removed, and the Nance's arch was maintained until the complete eruption of teeth 13 and 23. The management of this case with a proper treatment plan enabled us to solve the problem without complex procedures.

Aesthetic and functional rehabilitation of a supernumerary peg-shaped tooth in the primary dentition

“…Additionally, children's occlusion, aesthetics, phonetics, and psychological and emotional wellbeing are closely related to the integrity of their teeth 1 . Supernumerary teeth are common changes in human dentition that may affect the congruence of the dental and facial growth and development 3 , and early diagnosis is critical to minimize the risk of associated complications 6 . Treatment of these anomalies may or may not involve surgical extraction 10 , and this choice will depend on the position of the supernumerary tooth on the dental arch and the presence or absence of associated disease processes 5 .…”

“…Although its prevalence in the primary dentition also differs by sex, this anomaly is more prevalent in the permanent dentition of males 7 . Supernumerary teeth occur more frequently in the anterior maxillary region 3 . Imaging tests are considered the best way to detect the presence of this anomaly 7 since there is a high percentage of unerupted and asymptomatic supernumerary teeth 8 .…”

“…Supernumerary teeth are among these factors. This is a common anomaly in human dentition that may compromise congruous dental and facial growth and development 3 . The origin of supernumerary teeth is Given the child's craniofacial growth and development phase, the treatment attempted to reestablish symmetry and maintain dental arch congruence.…”

“…Moreover, supernumerary teeth in the primary dentition may erupt and exfoliate naturally 8 . Nevertheless, this anomaly may be accompanied by aesthetic 11 and occlusal 5 changes, eruption failures and delays 12 , and even tumors 3 . Considering that early diagnosis and appropriate treatment of development changes are essential for occlusal, aesthetic, and functional congruence, the objective of this article was to report a clinical case involving the functional and aesthetic rehabilitation of a supernumerary peg-shaped tooth in the anterior maxillary region of a preschooler.…”

Supranumerários bilaterais em mandíbula: relato de caso

“…Pacientes portadores de Displasia Cleidocraniana e Síndrome de Gardner apresentam comumente hiperdontia [3][4][5][6][7] . Quanto a sua morfologia podem ser classificados em suplementares e rudimentares.…”