Supernumerary Teeth and Staining: Dental Concerns Explained - Dentistry

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Hello, doctor! I have two questions to ask you.
I previously had an X-ray taken, and there is a supernumerary tooth in the gum between my two upper front teeth.
Although I have not experienced any discomfort or issues so far, I would like to know if I can continue to coexist with this supernumerary tooth without any intervention, or should I consider having it surgically removed? My second question is regarding a dental cleaning I had done earlier.
I noticed some dark spots in the gaps between a few of my teeth.
I thought they were cavities that needed filling, but the dentist told me that they were not cavities, just food pigment staining the gaps, and that it was not a concern.
Is that really the case?

Amy, 30~39 year old female. Ask Date: 2019/07/21

Dr. Zeng Guanghui reply Dentistry


1.
The presence of an impacted supernumerary tooth between the two incisors can affect the cleanliness between them, leading to a higher risk of periodontal disease or cavities due to the accumulation of bacteria or food debris over time.
It is still recommended to extract the residual tooth.

2.
If there are dark spots between the teeth, it is important to check whether it is due to cavities or staining.
If it is staining, it will only cause aesthetic issues and will not lead to cavities or periodontal disease.

Reply Date: 2019/07/21

More Info


When it comes to dental health, understanding the implications of supernumerary teeth and staining is crucial. Let's address your concerns one by one.

Supernumerary Teeth: To Extract or Not?
Supernumerary teeth are additional teeth that develop in the dental arch beyond the normal number of teeth. They can occur anywhere in the mouth but are most commonly found in the upper front region. In your case, you have a supernumerary tooth located between your two upper incisors, and you mentioned that it hasn’t caused any discomfort or issues so far.
In general, if a supernumerary tooth is asymptomatic and does not interfere with the alignment of your other teeth, it may be possible to leave it alone. However, there are several factors to consider:
1. Potential for Future Problems: While you may not experience any issues now, supernumerary teeth can sometimes lead to complications later on. They may cause crowding, misalignment, or even impact the eruption of adjacent teeth. Regular monitoring through dental check-ups is essential.

2. Orthodontic Considerations: If you ever plan to undergo orthodontic treatment, the presence of a supernumerary tooth could complicate the process. Orthodontists often prefer to have a clear dental arch to work with, so they may recommend extraction.

3. Oral Hygiene: Maintaining good oral hygiene can become more challenging with an extra tooth in the mouth. If the supernumerary tooth is difficult to clean, it could lead to plaque buildup and subsequent dental issues.

4. Consultation with a Specialist: It’s advisable to consult with an oral surgeon or a dentist specializing in orthodontics. They can provide a thorough evaluation and help you weigh the pros and cons of extraction versus retention.

Staining vs. Cavities: Understanding Dental Stains
Regarding the dark spots you noticed in the spaces between your teeth, it’s understandable to be concerned about potential cavities. However, your dentist has indicated that these stains are likely due to food particles or pigmentation rather than decay. Here are some points to consider:
1. Types of Stains: Dental stains can be extrinsic (surface stains caused by food, drinks, or smoking) or intrinsic (stains that occur within the tooth structure). The black spots you mentioned could be extrinsic stains that accumulate in the interdental spaces.

2. Cleaning and Maintenance: Regular dental cleanings are essential to remove plaque and tartar buildup. If the stains are superficial, professional cleaning can often eliminate them. Additionally, maintaining a good oral hygiene routine at home—brushing twice a day, flossing daily, and using mouthwash—can help prevent staining.

3. Dietary Considerations: Certain foods and beverages, such as coffee, tea, red wine, and dark-colored fruits, can contribute to staining. Being mindful of your diet and rinsing your mouth with water after consuming these items can help reduce discoloration.

4. Whitening Options: If you are concerned about the appearance of your teeth, there are various whitening treatments available, both professional and over-the-counter. However, it’s essential to consult with your dentist before starting any whitening regimen, especially if you have sensitive teeth or existing dental work.

In conclusion, while it may be possible to coexist with a supernumerary tooth if it’s not causing any issues, regular dental evaluations are crucial to monitor its status. As for the staining, maintaining good oral hygiene and consulting with your dentist about any concerns will help ensure your dental health remains optimal. If you have further questions or experience any changes, don’t hesitate to reach out to your dental care provider.

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