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Integrative approach for supernumerary teeth: a single-center retrospective analysis
Quintessence International (Berlin, Germany : 1985)
|June 24, 2024
Summary
Early intervention for supernumerary teeth can prevent the need for orthodontic traction. A multidisciplinary approach is recommended for optimal management of these extra teeth.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Orthodontics
Background:
- Supernumerary teeth are a common dental anomaly requiring careful management.
- Optimal treatment timing and strategy are crucial for successful outcomes.
Purpose of the Study:
- To analyze cases of supernumerary teeth to determine optimal treatment timing.
- To provide recommendations for a customized treatment strategy based on tooth presentation.
Main Methods:
- Retrospective analysis of 55 patients with 81 supernumerary teeth.
- Interdisciplinary treatment involving general dentists, orthodontists, and maxillofacial surgeons.
- Utilized Cone-Beam Computed Tomography (CBCT) for treatment planning.
Main Results:
- Younger age correlated with treatment under sedation/general anesthesia and need for orthodontic treatment.
- Early surgical removal often avoided the need for orthodontic traction of permanent teeth.
- Proximity to vital anatomical structures influenced treatment decisions, especially in the premolar region.
Conclusions:
- A team-based approach is essential for managing supernumerary teeth.
- Treatment timing should balance early versus late intervention pros and cons.
- Early intervention may promote spontaneous eruption, reducing the need for orthodontic intervention.
