Diagnosis and Treatment of Supernumerary Teeth: A Case Report

Abstract

Introduction: The presence of supernumerary teeth can be observed across various racial groups; however, there are few reports in melanodermic patients. This motivated the present study, which aimed to report a clinical case, addressing the diagnosis and treatment of this dental developmental anomaly. Methodology: This report refers to a 13-year-old melanodermic patient presenting with five supernumerary teeth in the lower premolar region bilaterally, with a family history of the condition. The patient was diagnosed and surgically treated at the Radiology and Surgery Clinics of the School of Dentistry, Federal University of Alfenas (UNIFAL-MG). Results: Cone-beam computed tomography (CBCT) enabled precise identification of the location of the supernumerary teeth and their proximity to the mental foramen. Surgical treatment was chosen, with access via the lingual aspect of the respective regions, and the use of biomaterials for tissue regeneration in the affected areas. Five months after the surgical procedures, panoramic radiography showed bone neoformation in the respective regions. Conclusion: CBCT was essential for planning the surgical procedures, which, despite challenges related to surgical access and bone density, were completed without complications.