Supernumerary Mandibular Premolar Developing In Late Stages During Orthodontic Treatment: A Case Report

Authors : Zeynep Bastaban, İbrahim Erhan Gelgör

Pages : 135-142

Doi:10.51122/neudentj.2025.148

View : 44 | Download : 40

Publication Date : 2025-04-28

Article Type : Research Paper

Abstract :Supernumerary teeth represent one of the developmental anomalies observed in the jaws. While the precise etiology of supernumerary teeth remains incompletely understood, it is believed to arise from a combination of genetic and environmental factors. These additional teeth, which may appear singly or in multiples within both the maxilla and mandible, typically manifest without symptoms. Notably, supernumerary premolar teeth exhibit a greater prevalence in the mandible compared to other supernumerary types. Supernumerary premolar teeth, which are similar to premolar teeth in terms of morphology, tend to form at a later stage than the normal development period. Supernumerary teeth emerging during or subsequent to orthodontic treatment may occasionally be encountered. It is crucial to diagnose these teeth, typically detected incidentally during radiographic examinations, owing to the potential complications they may entail. In instances where these supernumerary teeth remain undiagnosed, complications such as cyst formation, root resorption, and dental crowding may arise, potentially compromising the stability of orthodontic treatment. Therefore, the decision regarding whether to extract or monitor the supernumerary tooth should be approached with caution, considering the balance between potential benefits and risks, in addition to a thorough evaluation through detailed radiographic examination. This case report presents an instance of a supernumerary tooth developing belatedly during orthodontic treatment in the mandibular right premolar region of a 15-year and 11-month-old female patient.
Keywords : Premolar, Süpernumere diş, Ortodontik tedavi