Management of asymmetrical presentation of non-syndromic mandibular supernumerary teeth: a case report

Hyperdontia, characterized by the presence of supernumerary teeth, is a developmental anomaly with potential clinical implications. Understanding its prevalence, classifications, and associated complications is crucial for early diagnosis and effective management.

This report outlines the case of a 25-year-old lady with a history of extra teeth intruding into her tongue space. The examination revealed bilateral asymmetrical supernumerary teeth in the mandibular premolar region, a presentation not commonly reported. The patient sought expert advice and management due to the familial occurrence of a similar condition.

The presented case deviates from typical reports, being non-syndromic, bilateral, and asymmetrical in supernumerary tooth number. The patient exhibited good oral hygiene and a complete permanent set of teeth in the maxillary arch. In the mandibular arch, fully erupted para premolars were identified, as non-carious, non-mobile, and not fused to any other tooth. Simple exodontia with minimal invasiveness was employed as the treatment modality. The procedure, performed under local anesthesia, involved surgical extraction using forceps and Coupland elevators. Postoperative care included hemostasis, digital reduction of extraction sockets, and prescription of medications. Follow-up assessments and a postoperative orthopantomogram were scheduled to rule out unerupted supernumerary teeth or odontoma.

Following the Surgical CAse REport Guidelines criteria, this case report contributes to understanding hyperdontia variations, emphasizing the importance of early diagnosis and intervention. The non-syndromic, bilateral, and asymmetrical nature of the case challenges existing reports, highlighting the need for diverse data in dental literature, especially from regions like Africa.