Endoscopic Removal of a Supernumerary Premolar in the Mandible during a Dental Implant Placement

Víctor Beltrán,Wilfried Engelke,Mario Cantín,Ramón Fuentes,Eduardo Borie

doi:10.1155/2014/975470

Abstract

The surgical removal of supernumerary teeth is necessary in some cases, especially before the commencement of any orthodontic or implant treatment procedure. In the mandibular supernumerary premolar, a more conservative approach is required because of the presence of complications associated with conventional surgery due to the close proximity of the said premolar to the alveolar inferior and mental nerves, and the need for bone conservation for implant placement. The endoscopic surgical approach has been used for the removal of the maxillary supernumerary tooth, impacted third molar, and implants. In this case report, we present an endoscopically assisted surgical technique for the removal of an unerupted supernumerary premolar in the mandible associated with a dental implant placement procedure.

Highlights

A supernumerary tooth is defined as any tooth or odontogenic structure formed from a tooth germ in excess of the usual number in any region of the dental arc [1]
We present an endoscopically assisted surgical technique for the removal of an unerupted supernumerary premolar in the mandible associated with a dental implant placement procedure
Some of the most accepted theories suggest the dichotomy of the tooth germ, other overgrowth, or hyperactivity of the dental lamina, where the proliferations of epithelial rests of dental lamina induced by pressure from the rest of the dentition are outbreaks of supplemental supernumerary teeth [2]

Summary

Introduction

A supernumerary tooth is defined as any tooth or odontogenic structure formed from a tooth germ in excess of the usual number in any region of the dental arc [1]. Some authors have reported and recommended its use for the removal of ectopic teeth located on sites such as the nasolacrimal duct, maxillary sinus, nasal fossa, and condyle; for the removal of implants displaced into the maxillary sinus [6, 7] and for the removal of ectopic third molar [8] and lesions such as ameloblastic fibroodontoma [9] or schwannoma. In this case report, we present an endoscopically assisted surgical approach for the removal of. An unerupted supernumerary premolar during endosseous implant placement in the posterior left mandible

Case Description

Discussion

Conclusion

Findings

Conflict of Interests