Journal de science et médecine dentaires

Abstrait

Improving Facial Esthetics for a Young Patient with Class III Malocclusion and Retention of Maxillary Central Incisors due to Supernumerary Teeth

Benkaddour A, Bahoum A, El Mohtarim B, Benyahia H, Zaoui F

Supernumerary teeth are more frequently located in the premaxillary region. Mesiodentesare the most common supernumerary teeth, occurring in 0.15% to 1.9% of the population. They are frequently diagnosed in a random radiograph, or after clinical symptoms appear. The majority of the complications consist of retention or impaction, delayed or ectopic eruption of the permanent incisors. The present case report describes the clinical management of two impacted supernumerary teeth, which impeded the eruption of the maxillary central incisors in a 9-year-old patient with class III malocclusion, who was referred to our department of dento facial orthopedics with the chief complaint of his unsightly smile. A multidisciplinary treatment approach was planned, including the surgical removal of the supernumerary teeth and the orthodontic correction of the malocclusion and the unerupted permanent maxillary central incisors. Combined surgical and orthodontic treatment resulted in an aesthetically pleasant and balanced profile and occlusion. Thus, early multidisciplinary treatment is required for greater hard and soft tissue preservation, but also to have an immediate positive esthetic impact and redirect the unfavorable maxillary growth.