Surgical removal of supernumerary tooth included in the mandible region: clinical case report
DOI:
https://doi.org/10.21270/archi.v10i9.5344Keywords:
Tooth, Supernumerary, Cone-Beam Computed Tomography, Surgery, OralAbstract
Introduction. Supernumerary teeth are defined as teeth or any odontogenic structure that are in excess in a certain region of the dental arch. Depending on the anatomical location, supernumerary teeth can cause flaws in the eruption, diastema, root resorption, displacement of adjacent teeth, laceration and the formation of odontogenic lesions. In these cases, the treatment of choice is extraction. Objective. To report a case of extraction of supernumerary tooth even asymptomatic in the posterior region of the mandible. Case report. A 28-year-old male patient was referred by an orthodontist to perform supernumerary tooth extraction in the region of teeth 33 to 35, identified by means of panoramic radiography. Cone beam computed tomography (CBCT) revealed distal inclination and transverse position of the supernumerary tooth, whose crown was located between teeth 34 and 35, with a root close to the root apex of tooth 33 and proximity to the mental foramen and the tooth root 34. In view of the need for orthodontic treatment, tooth extraction was performed. The patient returned after eight days to remove the sutures, without reporting any complaints. After 60 days after surgery, the patient did not report any symptoms in the region where the supernumerary tooth had been extracted. Conclusion. Supernumerary tooth is one of the most common developmental anomalies in humans. The importance of imaging tests for the identification and precise location of this type of anomaly is emphasized, being essential in the case now reported, in which these tests were essential for the diagnosis and correct surgical planning.
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