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Palatal Supernumerary Tooth in a Pediatric Patient
Douglas P Nanu1, Nicole M Favre2, Jeremy Walsh2
1Otolaryngology, Washington State University, Spokane, USA.
Cureus
|January 1, 2024
Summary
A rare congenital midline palatal lesion in an infant was identified as a supernumerary tooth. This case highlights the importance of imaging in diagnosing unusual congenital oral findings.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
Background:
- Congenital midline palatal lesions are uncommon and often misdiagnosed.
- Differential diagnoses typically include hamartomas, cysts, epulides, and teratomas.
Observation:
- A 14-month-old male presented with a rapidly growing congenital palatal lesion present since birth.
- The lesion was midline, round, raised, firm, and covered with normal mucosa, located behind the maxillary central incisors.
Findings:
- CT imaging revealed the lesion to be a rudimentary tooth crown.
- Surgical excision confirmed the lesion as a supernumerary tooth.
- The patient experienced an uncomplicated recovery.
Implications:
- Supernumerary teeth should be considered in the differential diagnosis of congenital midline palatal lesions.
- Advanced imaging techniques like CT are crucial for accurate diagnosis and management planning.
- Early identification and treatment of such anomalies can prevent potential complications.
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