Mandibular bilateral unerupted non-obstructing supernumerary premolars as a rare paradental anomaly

Abstract

AbstractNon-syndromal multiple supernumerary teeth are most commonly seen in mandibular premolars region, followed by the molar and the anterior regions respectively. Dental literature rarely reports symmetrical supernumerary teeth in all four quadrants. However, supernumerary premolars may not become radiographically visible until the patient′s normal premolars have erupted. This article presents a case of a 45-year-old male with bilateral unerupted fully formed, buccally angulated, supernumerary premolars in the mandibular region without any obstruction to the eruption of mandibular first and second premolars. There was no syndrome associated. The delayed development of the supernumerary teeth in the premolar region supports the hypothesis that these teeth were part of a post-permanent dentition.