Lookup NU author(s): Claire Patchett,
Dr Ben Cole
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A 9-year-old boy was referred by his General Dental Practitioner for the management of supernumerary teeth in the anterior maxilla. The child had little experience of dental treatment but was concerned with the aesthetics of his teeth. He was medically fit and well. Clinical and radiographic examination revealed the presence of a supplemental megadont tooth in the position of 11, an erupted palatal tuberculate supernumerary tooth causing displacement on closure and hypodontia of 35 and 45 with infraocclusion of 75. Orthodontically, the patient had a Class II division 1 incisal relationship on a mild Class II skeletal base. He was severely crowded in the upper arch but the lower arch was well aligned. Oral hygiene was noted to be poor. All treatment was provided under the close supervision of an Associate Specialist in Orthodontics and initially involved extraction of 53 and the palatal supernumerary tooth and thorough oral hygiene instruction and preventive advice. Following further dental development, the megadont tooth and 24 were extracted to facilitate orthodontic alignment with an upper fixed appliance. A heat-treated gold onlay has been provided for 75 and 85 is currently monitored for signs of infraocclusion. There are few reported cases in the literature of concomitant supernumerary teeth and hypodontia. This case describes the multi-disciplinary management of a child with a complex dental problem.
Author(s): Patchett CL, Sargison AE, Cole BO
Publication type: Article
Journal: International Journal of Paediatric Dentistry
Issue: Suppl. 1
ISSN (print): 0960-7439
ISSN (electronic): 1365-263X
Notes: Journal Article
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