International Journal of Clinical Pediatric Dentistry

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VOLUME 11 , ISSUE 4 ( July-August, 2018 ) > List of Articles

ORIGINAL ARTICLE

Evaluation of Surgical Options for Supernumerary Teeth in the Anterior Maxilla

Gianluca Porcaro, Ernesto Amosso

Keywords : Anterior maxilla, Impacted teeth, Mesiodens, Supernumerary teeth, Surgical extraction

Citation Information : Porcaro G, Amosso E. Evaluation of Surgical Options for Supernumerary Teeth in the Anterior Maxilla. Int J Clin Pediatr Dent 2018; 11 (4):294-298.

DOI: 10.5005/jp-journals-10005-1529

License: CC BY-NC 4.0

Published Online: 01-03-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Aim: The purpose of this study was to evaluate the surgical options for supernumerary teeth (SNT) in the premaxillary region of children. Materials and methods: A total of 69 patients with 82 partially or completely formed SNT in the anterior maxillary region were identified over a 3-year period. All selected patients were assessed for the number, location, and family history of SNT, damage to adjacent roots, and associated symptoms. The surgical approaches used for removal were recorded. Postoperative clinical sequelae (loss of vitality, periodontal problems, pain, bleeding, and enanthema) were evaluated. Results: A total of 43, 30, and 9 SNT were extracted with palatal, buccal, and bicortical approaches respectively. Periodontal and vitality assessments revealed no problems in adjacent teeth at 6 months after surgery. Postoperative pain was within acceptable levels in all patients and subsided within 3 to 7 days. Mild postoperative bleeding occurred in eight patients. Enanthema subsided within 10 days in all patients. Conclusion: Our results suggest that early diagnosis and appropriate surgical treatment of SNT are important to decrease the risk of clinical complications.


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