Multiple supernumerary teeth in a non-syndromic patient: A case report and review of literature

OBJECTIVE: Supernumerary teeth (ST) are associated with many complications that include tooth impaction, ectopic eruption, and abnormal development of root. The usual treatment is the extraction, although repositioning in the dental arch may sometimes be an alternative. The present study reports the treatment of a case of multiple supernumerary teeth in a non-syndromic patient.CASE DESCRIPTION: A 16-year-old male patient presented two ST in each side of the jaw, detected by panoramic radiography. Syndromes or systemic diseases were not revealed by the anamnesis/ general health history. Cone Beam Computed Tomography (CBCT) showed that the teeth were positioned in the lingual region between the inferior premolars at both right and left sides. Surgical therapy was the treatment of choice, in order to avoid possible eruption.CONCLUSION: An early and accurate diagnosis is extremely important for treatment decision and success, thus avoiding future complications often related to ST. OBJECTIVE: Supernumerary teeth (ST) are associated with many complications that include tooth impaction, ectopic eruption, and abnormal development of root. The usual treatment is the extraction, although repositioning in the dental arch may sometimes be an alternative. The present study reports the treatment of a case of multiple supernumerary teeth in a non-syndromic patient.CASE DESCRIPTION: A 16-year-old male patient presented two ST in each side of the jaw, detected by panoramic radiography. Syndromes or systemic diseases were not revealed by the anamnesis/ general health history. Cone Beam Computed Tomography (CBCT) showed that the teeth were positioned in the lingual region between the inferior premolars at both right and left sides. Surgical therapy was the treatment of choice, in order to avoid possible eruption.CONCLUSION: An early and accurate diagnosis is extremely important for treatment decision and success, thus avoiding future complications often related to ST. *** Dentes supranumerários múltiplos em paciente não sindrômico: caso clínico e revisão de literatura ***OBJETIVO: Os dentes supranumerários estão associados com muitas complicações que inclui a impactação de dentes, erupção ectópica, e desenvolvimento anormal da raiz. Normalmente, o tratamento escolhido é a extração dental, embora o reposicionamento na arcada dentária pode ser uma alternativa. O presente estudo reporta o tratamento de um caso de dentes supranumerários múltiplos em um paciente não sindrômico. RELATO DO CASO: Paciente do sexo masculino de 16 anos de idade apresentou 2 dentes extranumerários em cada lado da mandibular, detectado pela radiografia panorâmica. Doenças sistêmicas e síndromes não foram reveladas durante a anamnese do paciente. A tomografia computadorizada Cone Beam mostrou que os dentes estavam posicionados na região lingual entre os pré-molares de ambos os lados direto e esquerdo. A terapia cirúrgica foi o tratamento de escolha, a fim de evitar possível erupção.CONCLUSÃO: Um diagnóstico precoce e preciso é extremamente importante para a decisão e o sucesso do tratamento, evitando assim futuras complicações frequentemente relacionadas ao supranumerário.Palavras-chave: Dentes supranumerários, Anomalia dental, Mal oclusão, Hyperdontia.