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Updated: Mar 7, 2026

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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
Published on: August 22, 2022
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Bilateral supplemental maxillary central incisors with double-tooth like appearance
R P Anthonappa1, S Sudhakar2, N M King3
1Paediatric Dentistry, School of Dentistry, The University of Western Australia, 17 Monash Avenue, Nedlands, WA 6009, Australia. robert.anthonappa@uwa.edu.au.
Summary
Bilateral supplemental incisors, a rare dental anomaly, can present with a double-tooth appearance. This case highlights unusual variations in supplemental teeth, challenging conventional dental wisdom.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
Background:
- Supplemental teeth are supernumerary teeth resembling the normal dentition.
- Bilateral supplemental central incisors are rare, and their occurrence with a double-tooth morphology is exceptionally uncommon in dental literature.
Observation:
- A case report of an 8-year-old Indian boy with delayed eruption of permanent maxillary incisors.
- Clinical and radiographic examination revealed bilateral supplemental central incisors with a double-tooth like appearance.
Findings:
- Two supplemental incisors near the midline were extracted under local analgesia.
- Both extracted supplemental incisors exhibited a double-tooth like morphology.
Implications:
- This case challenges the traditional understanding that supplemental teeth are typically smaller and located distally.
- Clinicians must be aware of rare variations in supplemental tooth development and presentation.
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