Supernumerary Teeth: Cases Series

Background: Supernumerary teeth can appear anywhere in the oral cavity and are found in addition to standard primary and permanent teeth, both clinical and radiographic examinations usually lead to the diagnosis. Their definite etiology has not yet been completely understood. These teeth either erupt normally or remain impacted which may lead to many clinical complications. This study aimed to present clinical cases with supernumerary teeth including their management strategies. Methods: Three clinical cases were considered in this study. Case 1: 20 years aged healthy female complained of a hard mass in the nose with a rough texture clinical examination and radio-graphical examination showed a hard mass resembling a tooth was detected on the floor of the nose. The treatment was endoscopic removal of the ectopic tooth which was completely developed, under trans-oral general anesthesia. Case 2: A male child with 9 years old complaining of missing multiple permanent teeth. The specialist observed that the patient had impacted upper laterals on both sides otherwise they weren't visible in the oral cavity. Cone beam computed tomography (CBCT) image showed un-erupted upper lateral incisors, The treatment consisted of surgical removal of supernumeraries under local anesthesia. Case 3: A healthy 9-year-old male child with a new tooth erupted in the roof of his mouth. A computerized tomography CT scan with clinical examination showed a mesioden between upper centrals. Extraction of mesiodens with nearly 2 cm in length was done under local anesthesia. Conclusion Supernumerary teeth may present as single or multiple teeth on one side or both sides of the maxilla and mandible; the favorite site is the premaxilla. When they are identified and diagnosed, they should be managed to prevent future complications, either aesthetic and/or functional problems.