Diagnosis and Surgical Management of Nonsyndromic Nine Supernumerary Teeth and Leong's Tubercle.

Christiane V Cruz,Marcelo C Costa,Andrea L Soares,David N Braga

doi:10.1155/2016/8641867

Abstract

Nonsyndromic multiple supernumerary teeth (ST) and Leong's tubercle are a condition with a very low prevalence and a multidisciplinary approach is required to restore function and aesthetics. So, this case report aimed at presenting a rare case of nonsyndromic nine supernumerary teeth and Leong's tubercle in a pediatric patient, without any evident familial history, showing its diagnosis and surgical management.

Highlights

Supernumerary teeth (ST) are a numeric dental anomaly characterized by the formation of teeth in excess of the normal dental formula, occurring in both the primary and permanent dentition [1, 2]
Case Reports in Dentistry patient and the presence of Leong’s tubercle in the premolars usual dental formula, highlighting the diagnosis and surgical management using a multidisciplinary approach. This case report was performed according to The CARE guideline [17]
The ST resulted in a wide anterior arch space because the unerupted mesiodens has caused a retardation or obstruction of eruption of the permanent central incisors which resulted in an aspect of dental absence in the anterior region, impacting the quality of life of the ST patient

Summary

Introduction

Supernumerary teeth (ST) are a numeric dental anomaly characterized by the formation of teeth in excess of the normal dental formula, occurring in both the primary and permanent dentition [1, 2]. The clinical aspects include a cusp like accessory structure varying in size from a prominent cingulum to a marked projection affecting the enamel surface of the teeth [15]. Regarding clinical disturbances, it may cause occlusal interferences, esthetic disturbances, accidental cusp fracture leading to loss of pulp vitality, irritation of tongue during speech and mastication, nursing difficulties, caries, and displacement of the affected tooth [16]. Patient and the presence of Leong’s tubercle in the premolars usual dental formula, highlighting the diagnosis and surgical management using a multidisciplinary approach. This case report was performed according to The CARE guideline [17]

Case Report

Discussion

Findings

Conclusion