Diagnosis & Considerations
Supernumerary classified by location and type
Supernumeraries can be classified by their location (i.e. anterior maxilla) and type (i.e. conical, tubcerulate, supplemental, odontome).
Supernumerary associated with syndromes
Syndromic conditions such as Cleft lip and palate, Cleidocranial dysostosis, Gardner syndrome, Ellis-van Creveld and Iconinentia pigmenti are associated with supernumerary teeth. Importantly, patients who have supernumeraries may not necessarily have syndromes.
Clinical Considerations
Asymptomatic supernumeraries
If the supernumerary is unerupted, asymptomatic and not interfering with dental development, oral health or dental treatment then it should be left alone. At times these teeth can erupt and at that stage simple extraction can be performed.