DOI: 10.36347/sjmcr.2014.v02i03.034

Pages: 217-219

A supernumerary tooth is one that is additional to the normal series and can be found in almost any region of the dental arch. Here we are presenting a case report of a 9 year old male patient reported to the department with the chief complain of unerupted upper central incisors. On clinical examination, maxillary central incisors were missing, an unusual bulge was felt in the maxillary anterior region and the permanent lateral incisors had already erupted into position suggesting a definite delay in the eruption of the central incisors. Radiographic examination revealed the presence of 5 impacted supernumerary teeth in the maxillary anterior region. The impacted supernumeraries in the anterior region were blocking the eruption of the permanent centrals. Surgical extraction of all the supernumeraries were planned as it was anticipated that the extraction of the supernumeraries would promote the eruption of the central incisors in the normal path. The extraction of supernumeraries was planned in two appointments under local anesthesia. In the first visit the labially placed 4 supernumeraries were extracted and in the next visit the palatally placed tooth was extracted. After administration of local anesthesia the flap was raised and the extraction of supernumeraries was carried out with atmost care ensuring minimum trauma to the central incisors. OPG examination was carried out after 6 months revealed that both the centrals had moved tremendously from its original position taking the normal path of eruption. A proper diagnosis, treatment plan and early intervention will prevent the occurrence of malocclusion or other associated pathologies at a later stage and will promote the normal eruption of the permanent teeth thus eliminating the need for various comprehensive and elaborate procedures.