Diagnosis and treatment of supernumerary teeth in non-syndromic children: case series

Abstract

Aims: Supernumerary teeth represent teeth or structures similar to dental elements, erupted or not, that manifest beyond the quantity commonly found in both dentitions. In this article, a series of cases of children who presented with supernumerary teeth and were treated at a public pediatric dentistry service will be reported. Materials and Methods: The children and guardians presented themselves spontaneously to the emergency service reporting discomfort arising from the emergence of the tooth or were referred from primary care units. Patients were followed from diagnosis of the condition, complementary exams, treatment and control. During consultations, information was recorded in clinical records and photographs. Results: Four children were followed for this series of cases: two boys, six years old, presence of a supernumerary tooth in the anterior region of the maxilla, compatible with the diagnosis of mesiodent; a girl, 7 years old, presence of a supernumerary tooth in the anterior region of the maxilla between teeth 22 and 63; and a boy, 7 years old, diagnosed with autism spectrum disorder, presence of two supernumerary teeth, one mesiodens and the other located in the region of the lower lateral incisor. The treatment chosen for all cases was the extraction of supernumerary teeth. Conclusions: Supernumerary teeth present themselves as relatively recurrent conditions in the pediatric dentistry clinic and their management requires diagnosis, treatment plan, effective treatment and longitudinal monitoring.