Supernumerary Teeth in Nonsyndromic Patients: A Case Series and Literature Review
Article Sidebar
Main Article Content
Abstract
Supernumerary teeth are defined as teeth exceeding the normal dental count. Their etiology remains unclear. Although more frequently associated with genetic or syndromic conditions, they can also occur in the general population. The condition tends to be more common in males than females, in the maxilla than the mandible, and most are impacted within the jawbone. This article presents three nonsyndromic cases with different clinical characteristics: an impacted supernumerary tooth between teeth 45 and 46 in the right mandible, an impacted supernumerary tooth distal to tooth 28 in the left maxilla, and an erupted supernumerary tooth on the lingual aspect of tooth 44 in the right mandible. All patients underwent surgical removal under local anesthesia without short-term complications. At 3-month follow-up, healing was uneventful and all patients proceeded with orthodontic treatment. These cases highlight the importance of systematic radiographic evaluation and individualized treatment planning to prevent complications to adjacent teeth and to facilitate other dental procedures. The article also includes a literature review on the etiology, prevalence, diagnosis, and treatment options of supernumerary teeth.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
References
Kumar DK, Gopal KS. An epidemiological study on supernumerary teeth: a survey on 5,000 people. J Clin Diagn Res. 2013;7(7):1504−7.
Hajmohammadi E, Najirad S, Mikaeili H, Kamran A. Epidemiology of supernumerary teeth in 5000 radiography films: investigation of patients referring to the clinics of Ardabil in 2015−2020. Int J Dent. 2021;2021:6669436.
Hadziabdic N, Haskic A, Mujkic A, Hasic-Brankovic L, Dzankovic A, Korac S, et al. Epidemiological, clinical and radiographic features of supernumerary teeth in nonsyndromic Bosnian and Herzegovinian population: a monocentric study. Med Arch. 2022;76(5):348−53.
Lubinsky M, Kantaputra PN. Syndromes with supernumerary teeth. Am J Med Genet A. 2016;170(10):2611−6.
Lu X, Yu F, Liu J, Cai W, Zhao Y, Zhao S, et al. The epidemiology of supernumerary teeth and associated molecular mechanism. Organogenesis. 2017;13 (3):71−82.
Bereket C, Cakir-Ozkan N, Sener I, Bulut E, Bastan AI. Analyses of 1100 supernumerary teeth in a nonsyndromic Turkish population: a retrospective multicenter study. Niger J Clin Pract. 2015;18(6):731−8.
Chou ST, Chang HP, Yang YH, Lung CY, Tseng YC, Pan CY, et al. Characteristics of supernumerary teeth among nonsyndromic dental patients. J Dent Sci. 2015;10:133−8.
Ata-Ali F, Ata-Ali J, Penarrocha-Oltra D, Penarrocha-Diago M. Prevalence, etiology, diagnosis, treatment and complications of supernumerary teeth. J Clin Exp Dent. 2014;6(4):414−8.
Sawai MA, Faisal M, Mansoob S. Multiple supernumerary teeth in a nonsyndromic association: rare presentation
in three siblings. J Oral Maxillofac Pathol. 2019;23(1):163.
Aparna PV, Namachivayam N, Leena S, Soundarya B. Peridens – case series of nonsyndromic patients with varied clinical presentations. Int J Health Allied Sci. 2020;9(1):80−3.
Parolia A, Kundabala M, Dahal M, Mohan M, Thomas MS. Management of supernumerary teeth. J Conserv Dent. 2011;14(3):221−4.
Thumati P, David CM, Tiwari R. Non-syndromic multiple supernumerary teeth: a case report and review of literature. IJSS Case Rep Rev. 2014;1(5):1−5.
Tanwar R, Jaitly V, Sharma L, Heralgi R, Ghangas P, Bhagat A. Non-syndromic multiple supernumerary premolars: clinicoradiographic report of five cases. J Dent Res Dent Clin Dent Prospects. 2017;11(1):48−52.
Sato S, Takahashi M. Five impacted supernumerary teeth in the bilateral maxillary third-molar regions: a case report. J Oral Maxillofac Surg Med Pathol. 2025;37:112−5.
Takahashi K, Togo Y, Saito K, Kiso H, Hunag B, Tsukamoto H, et al. Two non-syndromic cases of multiple supernumerary teeth with different characteristics and a review of the literature. J Oral Maxillofac Surg Med Pathol. 2016;28(3):250−4.
Pu P, Hou Y, Zhang Q, Hu X, Ding Y, Jia P, et al. Treatment and genetic analysis of multiple supernumerary and impacted teeth in an adolescent patient. BMC Oral Health. 2024 ;24:790.
Glickman GN. AAE consensus conference on diagnostic terminology: background and perspectives. J Endod. 2009;35(12):1619–20.
Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, et al. A new classification scheme for periodontal and peri-implant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontal. 2018;45(Suppl 20):S1−8.
Rokn AR, Geramy A, Zare H. Non-syndromic multiple supernumerary teeth: a case report. Iran J Orthod. 2010;5(1):57−61.
Bamgbose BO, Okada S, Hisatomi M, Yanagi Y, Takeshita Y, Abdu ZS, et al. Fourth molar: a retrospective study and literature review of a rare clinical entity. Imaging Sci Dent. 2019;49(1):27−34.
Shahzad KM, Roth LE. Prevalence and management of fourth molars: a retrospective study and literature review.
J Oral Maxillofac Surg. 2012;70(2):272−5.
Mossaz J, Kloukos D, Pandis N, Suter VG, Katsaros C, Bornstein MM. Morphologic characteristics, location, and associated complications of maxillary and mandibular supernumerary teeth as evaluated using cone beam computed tomography. Eur J Orthod. 2014;36(6):708−18.
Sarica I, Derindag G, Kurtuldu E, Naralan ME, Caglayan F. A retrospective study: do all impacted teeth cause pathology? Niger J Clin Pract. 2019;22(4):527−33.
