Supernumerary Teeth: Is My Case Unique? - Dentistry

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I would like to confirm if it is a case of supernumerary teeth?


I have five lower front teeth, and currently, they do not affect my occlusion or other functions.
All five have successfully transitioned to permanent teeth, although they slightly crowd the canines, which is not visibly noticeable.
Out of curiosity, I searched online for information and found results mainly about supernumerary teeth, but I couldn't find any cases like mine where an entire row is intact.
I would like to ask if this situation qualifies as supernumerary teeth? Am I considered a more unique case of supernumerary teeth? Thank you, doctor.

Ru, 10~19 year old female. Ask Date: 2021/01/08

Dr. Lin Jiayong reply Dentistry


Hello: To confirm the presence of supernumerary teeth, a full-mouth X-ray is required for verification, along with long-term observation and follow-up.
If you are concerned about other tumors or hyperplastic tissues, it is advisable to visit a medical facility for an X-ray examination.
Thank you! Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/01/08

More Info


Supernumerary teeth, commonly referred to as hyperdontia, are additional teeth that develop in the dental arch beyond the normal number of teeth. Typically, humans have 20 primary (baby) teeth and 32 permanent (adult) teeth. However, in some cases, individuals may develop extra teeth, which can lead to various dental issues, including crowding, misalignment, and complications with eruption.

In your case, having five lower front teeth (incisors) is indeed unusual and could be classified as a form of supernumerary teeth. While most cases of hyperdontia involve one or two extra teeth, there are instances where multiple supernumerary teeth can occur. The fact that your extra teeth have successfully erupted and are not causing any functional issues or significant crowding is a positive aspect of your situation.
It's important to note that supernumerary teeth can vary widely in their presentation. They can appear in various forms, such as supplemental teeth (which resemble normal teeth) or rudimentary teeth (which may be smaller and underdeveloped). The positioning of these extra teeth can also differ; they may be located in the dental arch, behind or in front of the normal teeth, or even in the palate.
Your case may be considered unique, particularly because you have a complete set of five lower incisors without significant complications. However, it is essential to monitor the situation regularly. Even if there are no immediate issues, supernumerary teeth can sometimes lead to problems later in life, such as:
1. Crowding and Misalignment: As you mentioned, the extra teeth are slightly crowding your canine teeth. Over time, this could lead to misalignment of your bite, which may require orthodontic intervention.

2. Eruption Issues: Extra teeth can sometimes interfere with the normal eruption of adjacent teeth, potentially leading to impaction or delayed eruption.

3. Increased Risk of Dental Issues: Supernumerary teeth can be more prone to cavities and periodontal disease due to their positioning and the difficulty of maintaining proper oral hygiene around them.

4. Aesthetic Concerns: Depending on how your teeth align and the overall appearance of your smile, you may eventually wish to consider cosmetic dentistry options to enhance your smile.

Given these considerations, it is advisable to maintain regular dental check-ups. Your dentist can monitor the development of your teeth and assess any changes over time. If any issues arise, such as pain, crowding, or aesthetic concerns, your dentist may recommend orthodontic treatment or other interventions to address these problems.

In summary, while your case of having five lower front teeth is indeed a form of supernumerary teeth, it appears to be a relatively benign situation at present. However, continued monitoring and communication with your dental care provider will be essential to ensure that any potential issues are addressed promptly. If you have any concerns or notice changes in your dental health, do not hesitate to reach out to your dentist for further evaluation and guidance.

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