Nonsyndromic impacted triple supernumerary teeth in the maxilla, including single dens in dente malformation: a case report with a two-year follow-up

Ivan Šarčev; Branislava Petronijević Šarčev; Siniša Mirković

doi:10.2298/VSP201115140S

Ivan Šarčev University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Branislava Petronijević Šarčev University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
Siniša Mirković University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia

DOI: https://doi.org/10.2298/VSP201115140S

Keywords: cone-beam computed tomography, congenital abnormalities, dens in dente, oral surgical procedures, tooth, supernumerary

Abstract

Introduction. Mesiodens is a midline supernumerary tooth, mostly located in the maxillary arch. We presented a rare case of a patient with nonsyndromic impacted triple supernumerary teeth precluding the eruption of central maxillary incisors. Case report. In addition to providing a detailed 3D picture of the patient’s dentition, cone-beam computed tomography (CBCT) scan analysis revealed dens in dente malformation of one of the supernumeraries. Following surgical removal of all supernumerary teeth, the maxillary central incisors erupted spontaneously after a two-year period. Conclusion. To the best of our knowledge, no similar case report has been published in scientific literature. This case report highlights the importance of CBCT for proper diagnosis of supernumerary teeth as well as additional anomalies.

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