An impacted central incisor due to supernumerary teeth: a multidisciplinary approach

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ABSTRACT

Results

BACKGROUND: Hyperdontia is a disorder of odontogenesis characterised by excess teeth. Many complications can be
associated with supernumerary teeth, such as crowding, tooth displacement, diastema, deep caries, retention or impaction, delayed
eruption or ectopic eruption of adjacent teeth, aesthetic problems, neuralgic manifestations, root resorption of adjacent teeth, and
dentigerous cyst formation with significant bone destruction. Treatment of hyperdontia depends on the area and number of
supernumerary teeth, and also on the presence of pathologic processes that can affect them and/or the teeth of the normal series that
could be erupted, retained or impacted. CASE REPORT: The present case report describes the clinical management of two impacted
supernumerary teeth, which impeded the eruption of the maxillary right central incisor in a paediatric patient. A multidisciplinary
treatment approach was planned, including the surgical removal of the supernumerary teeth and the orthodontic correction of the
unerupted permanent maxillary right central incisor. Combined surgical and orthodontic treatment resulted in an aesthetically pleasant
and balanced occlusion. Thus, early multidisciplinary treatment is required for greater hard and soft tissue preservation.

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