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(Fig. 4) Cross sectional slices showing position of
supernumerary tooth between 14-15.
(Fig. 5) Cross sectional slices showing palatal position of
supernumerary tooth between 24-25.
(Fig. 6) Axial slice – Two supernumerary teeth in the lower
right side.
(Fig. 7) Cross sectional slices showing position of
supernumerary tooth between 45-46.
(Fig. 8) Cross sectional slices showing position of
supernumerary tooth lingual to 44.
(Fig. 9) Cross sectional slices showing lingual position of
supernumerary teeth between 34-35.
(Fig. 10) Cross sectional slices showing position of
supernumerary teeth between 35-36, presenting coronal
radiolucency.
Because displacements, rotation, ectopic eruption,
and malocclusion can be the result of maintaining
supernumerary teeth in the mouth, a clinical and
radiographic examination is essential for a good
orthodontic treatment planning. 15
Treatment may be difficult and may vary from just
extraction of supernumerary teeth or extraction
followed by orthodontic correction to establish a good
occlusion. 16,17
In this case, it was decided to extract all the erupted and
unerupted supernumerary teeth besides the orthodontic
treatment.
Based upon the supernumerary teeth classification, this
reported case presented the parapremolars position type
along with both supplemental and tuberculate shape.
Conclusion
Non syndromatic multiple supernumerary teeth is a very
rare anomaly that appears usually in the lower premolar
region.
In this case report, the patient presented supplementary
and tuberculate teeth in four quadrants of his mouth.
The use of a cone beam imaging technique is essential
during any pre-orthodontic assessment in order to
evaluate the situation and number of the supernumerary
teeth with all possible details, in three planes (axial,
coronal and sagittal views), irrespective of whether the
patient has any syndrome or not.
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