Retenção de dentes permanentes pela presença de dentes supranumerários: relato de caso

Abstract

To report a clinic case of an eleven-year-old patient who sought dental care at the Faculty of Dentistry of the UDF-University Center complaining of suffering bullying for not having erupted upper central incisors. The information contained in this study was collected through patient history, photographic records and complementary radiographic examinations. After performing and analyzing the exams, the patient was diagnosed with two supernumerary teeth preventing the eruption of the maxillary central incisors. The presence of supernumerary teeth can cause several occlusal complications for patients and the sooner the better the prognosis is discovered. Generally, the presence of supernumerary teeth is found through radiographic examinations, so it is of paramount importance that there is a protocol for children to perform radiographic examinations at the beginning of mixed dentition. In the case presented, the patient had retention of tooth 51, altered eruption axis of the canines and lateral incisors in addition to the impaction of teeth 11 and 21 due to the presence of two supernumerary elements in the premaxilla region. The indicated treatment is surgical removal, but some aspects must be carefully evaluated. when there is delayed eruption of permanent teeth, radiographic examinations make it possible to identify the cause of this delay. It is up to the dental surgeon to perform a careful clinical and radiographic examination thus establishing the correct diagnosis to be successful in the execution and prognosis of treatment.