Clinical management of palatal supernumerary teeth in pediatric patients

Penanganan klinis gigi supernumerary palatal pada pasien anak

Abstract

Hyperdontia, or supernumerary teeth, is a dental malformation characterised by an increased number of teeth. The aetiology of this condition is not yet fully understood, but there are various theories, including dental bud dichotomy, localised hyperactivity of the dental lamina, tooth division during the bud stage, and hereditary factors that may be associated with syndromes. Case 1 involved a 12-year-old girl presenting with a complaint of teeth on the her palate. Case 2 in-volved a 7-year-old boy who presented with his mother complaining of supernumerary teeth in the upper front region. Both patients attended Maranatha Den-tal Hospital, where non-surgical extraction of the supernumerary teeth was performed. Mesiodens is one of the most commonly found types of supernumera-ry teeth; however, cases of multiple supernumerary teeth remain clinically rare. This case demonstrates various types of supernumerary teeth occurring in chil-dren; follow-up care after extraction consists of observation without orthodontic treatment. It is concluded that supernumerary teeth frequently occur in the maxil-la, and their management must be carried out accurately, taking complications into account to ensure that the development of other teeth is not disrupted.