Variations in presentation of supernumerary teeth: a review-based case series.

Debadyuti Ghosh; Chitrita Gupta Mukherjee; Richa Singh; Nehal Dipti; Shweta Shubham; Shaswat Shrey; Shreeja Mrinal

doi:10.51168/9c15zm24

Authors

Dr. Debadyuti Ghosh Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Chitrita Gupta Mukherjee Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India
Dr. Richa Singh Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Nehal Dipti Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Shweta Shubham Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India
Dr. Shaswat Shrey Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Shreeja Mrinal Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.

DOI:

https://doi.org/10.51168/9c15zm24

Keywords:

supernumerary teeth, hyperdontia, mesiodens, supplemental tooth, peridens, pediatric dentistry, radiographic diagnosis, tooth eruption

Abstract

Background

Supernumerary teeth are developmental anomalies characterized by the presence of teeth in excess of the normal dental formula. They may occur in the maxilla or mandible, in the anterior or posterior regions, and may be erupted, partially erupted or unerupted. Their morphology ranges from conical or rudimentary forms to supplemental teeth closely resembling normal dentition. Although many are asymptomatic, supernumerary teeth can cause delayed eruption, displacement, crowding, malocclusion and aesthetic concerns.

Aim

To describe the varied clinical and radiographic presentations and management of four nonsyndromic patients with supernumerary teeth and to correlate the cases with recent literature

Case Series

Four healthy pediatric patients aged 11–14 years presented with complaints related to supernumerary teeth. Case 1: A 14-year-old male had a mandibular peridens between teeth 32 and 33, discovered incidentally during caries assessment of 36 and extracted under local anesthesia. Case 2: A 12.5-year-old female had a mesiodens between 11 and 21, which was surgically removed. Case 3: A 13-year-old female presented with a forwardly positioned upper anterior tooth; examination revealed a supplemental supernumerary tooth associated with 11, which was extracted. Case 4: An 11-year-old male had a conical mesiodens between 11 and 21, with partially erupted permanent and retained, carious primary teeth. The supernumerary tooth and grossly decayed 54 and 84 were extracted. All patients received oral-hygiene instructions and follow-up care.

Conclusion

The four cases demonstrate considerable variation in the location, morphology and clinical presentation of supernumerary teeth, ranging from a mandibular peridens to maxillary mesiodens and supplemental forms. Careful clinical examination combined with appropriate radiographic evaluation is essential for diagnosis and treatment planning. Early identification and timely removal of problematic supernumerary teeth can minimize disturbances to the developing dentition.

Author Biographies

Dr. Debadyuti Ghosh, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.

is a post Graduate Student, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Chitrita Gupta Mukherjee, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India

is a HOD, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Richa Singh, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.

is a post Graduate Student, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Nehal Dipti, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.

is a post Graduate Student, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Shweta Shubham, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India

is a post Graduate Student, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Shaswat Shrey, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.

is a post Graduate Student, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.
Dr. Shreeja Mrinal, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.

is a post Graduate Student, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna , Bihar, India.

References

1. Gomes CO, Nogueira LB, Goulart PC, Drumond VZ, de Arruda JAA, Abreu LG, et al. Factors associated with single versus multiple supernumerary teeth in a paediatric population: a cross-sectional study. Eur Arch Paediatr Dent. 2026; 27:937-944.

https://doi.org/10.1007/s40368-026-01171-5

2. Dharmani CK, Singh N, Devi WB, Sarada R. Prevalence and characteristics of supernumerary teeth in pediatric population of North East India. J South Asian Assoc Pediatr Dent. 2018;1(2):54-57.

https://doi.org/10.5005/jp-journals-10077-3013

3. Păcurar C, Mesaroș O, Ștețiu AA, Bucur SM, Mihai CN, Păcurar M. Impaction predictors and diagnostic performance of CBCT versus panoramic radiography for supernumerary teeth in a Romanian multicenter cohort. Diagnostics (Basel). 2025;15(23):3019.

https://doi.org/10.3390/diagnostics15233019

4. Davidson CL, Smit C, Nel S. Supernumerary teeth: a pictorial review and revised classification. J Oral Biol Craniofac Res. 2025;15(3):454-462.

https://doi.org/10.1016/j.jobcr.2025.03.005

5. Permana H, Yusuf ASH, Alkaabi SA, Ariestiana YY, Gazali M, Fauzi A, et al. Post-surgical complications of supernumerary teeth in the mandibular premolar area: a systematic review. Heliyon. 2024;10(15): e35386.

https://doi.org/10.1016/j.heliyon.2024.e35386

6. Jethi N, Jugpal GK, Ghumman JS. Endodontic treatment for a mesiodens: a case report. Cureus. 2024;16(4): e57946.

https://doi.org/10.7759/cureus.57946

7. Tapia Contreras P, Jollán Peña F, Díaz Abarza S, Matus-Miranda G. Minimally invasive intraoral removal of mesiodens via a transnasal, non-endoscopic approach: a systematic review on the purpose of 10 cases. Oral Maxillofac Surg. 2024;28(3):1047-1054.

https://doi.org/10.1007/s10006-024-01242-1

8. Seehra J, Mortaja K, Wazwaz F, Papageorgiou SN, Newton JT, Cobourne MT. Interventions to facilitate the successful eruption of impacted maxillary incisor teeth due to the presence of a supernumerary: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2023;163(5):594-608.

https://doi.org/10.1016/j.ajodo.2023.01.004

9. Moradinejad M, Hashemi Ashtiani A, Rakhshan V. Multiple nonsyndromic unerupted supernumerary teeth: a report of a rare case. Case Rep Dent. 2022; 2022:4063856.

https://doi.org/10.1155/2022/4063856

10. Ahammed H, Seema T, Chauhan D, Justa A. Surgical management of impacted supernumerary tooth: a case series. Int J Clin Pediatr Dent. 2021;14(5):726-729.

https://doi.org/10.5005/jp-journals-10005-2008