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Familial multiple impacted supernumerary teeth: Case report
Loulwah K Alothman1, Azizah F Bin Mubayrik1, Reema Alshawaf1
1Oral Medicine and Diagnostic Science Department, College of Dentistry, King Saud University, Saudi Arabia.
Multiple impacted supernumerary teeth, a rare condition, require a multidisciplinary dental approach for management. This case highlights the importance of recognizing potential Gardner syndrome indicators during oral examinations.
Area of Science:
- Dentistry
- Oral Medicine
- Medical Genetics
Background:
- Multiple impacted supernumerary teeth are uncommon dental anomalies.
- A family history of missing teeth suggested a potential genetic link.
- Early identification of dental anomalies is crucial for timely intervention.
Purpose of the Study:
- To present a case of multiple impacted supernumerary teeth.
- To discuss the diagnostic process and multidisciplinary management.
- To emphasize the association with potential Gardner syndrome.
Main Methods:
- Clinical examination and patient history.
- Panoramic and cone-beam computed tomography (CBCT) imaging.
- Multidisciplinary dental team consultation (oral medicine, radiology, orthodontics, prosthodontics, oral surgery).
Main Results:
- The patient presented with multiple impacted supernumerary teeth and a family history of similar complaints.
- Radiographic findings indicated multiple impacted supernumerary teeth, osteomas, and features suggestive of Gardner syndrome.
- Endoscopy was negative for polyps but recommended for follow-up due to potential for delayed gastrointestinal manifestation.
Conclusions:
- A multidisciplinary approach is essential for managing complex cases of multiple impacted supernumerary teeth.
- Radiographic findings suggestive of Gardner syndrome necessitate further investigation and long-term monitoring.
- Dentists play a vital role in identifying atypical oral findings that may indicate systemic conditions.
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