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Late developing supernumerary teeth in the mandible

S M Cochrane¹, J R Clark, N P Hunt

¹Department of Orthodontics, Eastman Dental Institute, London, UK.

British Journal of Orthodontics

|February 12, 1998

Summary

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Supplemental premolars, or supernumerary teeth, can be incidentally discovered. These late-developing teeth, even in unusual locations, may impact orthodontic treatment and should be considered.

Area of Science:

Dentistry
Orthodontics
Dental Anomalies

Background:

Dental anomalies, including variations in tooth number and form, are relatively common occurrences.
Supplemental teeth (supernumerary teeth) represent a specific type of dental anomaly.
Late development of supernumerary teeth is less frequently encountered but clinically significant.

Observation:

Two distinct cases are presented where supplemental premolars were identified incidentally.
One case highlighted the unusual developmental site of a late-forming supernumerary tooth.
These findings underscore the variability in the presentation of supernumerary teeth.

Findings:

The study identified late-forming supernumerary premolars as incidental findings in two patients.

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The developmental timing and location of these supplemental teeth varied.

The presence of supernumerary teeth can occur even when not initially suspected.

Implications:

Routine screening for late tooth development is not standard during orthodontic treatment.
Clinicians must consider the potential impact of supernumerary teeth on occlusal development.
Interference with orthodontic mechanics, such as space closure, is a key concern requiring awareness.