Supernumerary Teeth: Risks and Removal Options - Dentistry

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Regarding supernumerary teeth?


Hello, doctor: I have an extra tooth behind my front tooth (in the maxilla)! Previously, a dental clinic suggested that I go to a provincial hospital for extraction.
Is the extraction more complicated, which is why they recommended I go to a larger hospital? Are there any associated risks? Thank you!

mermaid, 20~29 year old female. Ask Date: 2005/01/21

Dr. Wang Cunzhen reply Dentistry


Hello, Mer maid: The extraction of supernumerary teeth in the anterior region typically requires a minor surgical procedure, and the difficulty level must be determined through clinical judgment and X-ray diagnosis.
Since this is a surgical procedure, most general practitioners are unable to perform it, so they will refer patients to an oral and maxillofacial surgeon.
This is not a challenging task for oral and maxillofacial surgeons, and it does not necessarily require a larger hospital for management.
The procedure takes about half an hour, and the risks are relatively low (this is a routine surgery for oral and maxillofacial surgeons), so you can feel assured about proceeding with it.
Dr.
Wang Cun-Zhen, Dentist, Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/01/21

More Info


Supernumerary teeth, also known as hyperdontia, refer to the presence of extra teeth beyond the normal set of 20 primary teeth and 32 permanent teeth. These additional teeth can occur anywhere in the dental arch, but they are most commonly found in the anterior maxilla (the upper front teeth area) and can lead to various dental complications.

In your case, having an extra tooth behind your front teeth can potentially cause several issues. These may include misalignment of the surrounding teeth, difficulty in maintaining oral hygiene due to crowded spaces, and an increased risk of dental caries (cavities) or periodontal disease. The extra tooth can also interfere with the normal eruption of adjacent teeth, leading to further complications down the line.

When it comes to the decision of whether to remove a supernumerary tooth, several factors need to be considered. If the extra tooth is causing discomfort, affecting your ability to clean your teeth properly, or leading to misalignment, extraction may be the best option. However, if the tooth is not causing any immediate problems and is not likely to cause issues in the future, your dentist may recommend monitoring it instead.

The extraction of supernumerary teeth can sometimes be more complex than the removal of a regular tooth, especially if the tooth is impacted or located in a challenging position. This is likely why your dentist referred you to a larger hospital or a specialist. The risks associated with the extraction of supernumerary teeth can include:
1. Infection: As with any surgical procedure, there is a risk of infection at the extraction site.

2. Nerve Damage: Depending on the location of the supernumerary tooth, there is a possibility of damaging nearby nerves, which can lead to numbness or tingling in the lip or chin.

3. Bleeding: Some bleeding is normal after an extraction, but excessive bleeding can occur in some cases.

4. Damage to Adjacent Teeth: There is a risk that the extraction process could inadvertently damage nearby teeth or structures.

It is essential to have a thorough examination and possibly imaging studies, such as X-rays, to assess the position of the supernumerary tooth and its relationship with surrounding structures. This will help your dentist or oral surgeon plan the extraction procedure more effectively.

If you decide to proceed with the extraction, ensure that you follow all pre-operative and post-operative instructions provided by your dental care provider. This may include avoiding certain medications, maintaining good oral hygiene, and attending follow-up appointments to monitor healing.

In summary, while the presence of a supernumerary tooth can lead to complications, the decision to remove it should be based on a careful evaluation of your specific situation. Consulting with a dental specialist who has experience in dealing with such cases will provide you with the best options and help mitigate any risks associated with the procedure. Always prioritize open communication with your dental care team to ensure that you are comfortable and informed throughout the process.

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