Dentes supranumerários bilaterais impactados em região anterior de maxila em paciente pediátrico: Relato de caso

Abstract

Supernumerary teeth are manifestations of congenital anomalies on the development of the amount of teeth, once its clinical manifestations can be of a greater severity depending on the number of teeth, location and associated pathologies.The early diagnosis of this anomaly enables a treatment with proper time for intervention. Our proposal is to report a clinical case of bilateral supernumerary teeth impacted in the anterior region of the maxilla in a male 9 years-old child. After radiographic and clinical exams, the presence of two supernumerary teeth was detected and it was also observed that the patient had a crossbite. Through surgical intervention, the elements 51 and 61 between 11’s and 21’s crown were removed, which consequently were avoiding their eruptions. A topical and infiltrative anesthesia was used in the vestibular fundus of the central incisors, followed by syndesmotomy for displacement of the fibers of the periodontium and dislocation and extraction with the aid of forceps No 1. The Chompret maneuver was performed for hemostasis and non-suture of the alveoli with the purpose of facilitating the movement of the supernumerary teeth.The patient was monitored periodically for observation of the eruption movement through periapical radiographies. After four months of monitoring, it was necessary a second intervention for the supernumerary teeth removal, aiming a natural movement of the permanent teeth. Thus we reiterate the importance of the dental surgeon’s detection of deviations of abnormality so a precocious diagnosis and a proper treatment for each case can be established, minimizing or avoiding future complications