Surgical and Orthodontic Management of Multiple Supernumerary Teeth Associated with Impacted Permanent Teeth: A Case Report

Clinical problems are frequently detected when there are various irregularities in the number, structure, quantity, size, and eruption of the teeth. Supernumerary teeth can be found in almost any part of the dental arch, and because they are typically asymptomatic, they are frequently found by radiographic screening.

The existence of the supernumerary teeth is the most frequent reason for impacted permanent teeth. This article describes the surgical and orthodontic treatment of a 20-year-old female with many supernumerary teeth and an impacted permanent tooth. All supernumerary teeth in the maxillary arch were extracted as part of the patient's treatment, and then the maxillary teeth were aligned using fixed appliances. The mandibular arch is left untreated, as the surgical removal of mandibular supernumerary teeth could damage the inferior alveolar nerve and result in numbness in the lower lip.

In this case, we removed the extra teeth and used orthodontic traction to bring the remaining teeth into the proper position. After the procedure, the cosmetic outcome was greatly improved, and the patient's confidence increased.