Temporary supplementary supernumerary canines in a non-syndromic patient: case report.

Abstract

Introduction: Hyperdonce is an alteration of dental development of multifactorial origin, linked to a hyperactivity of the dental sheet. Its prevalence varies between 0.3%-3.8%, being more frequent in men and in permanent dentition. Supernumerary teeth may have normal or anomalous morphology, and are related to alterations in eruption and malocclusions, impacting occlusal development as well as the oral health of pediatric patients. The treatment must be customized and will depend on the exhaustive analysis of the professional. The objective is to report a clinical case of supplementary temporary canines associated with malocclusion, relevant to the pediatric dentistry, where documentation in the literature is scarce. Case report: 7 years old male patient is presented with dental pain. The clinical examination evidenced multiple caries and two temporary supplementary supernumerary canines in the maxilla that cause occlusal interference, inverted bite and displacement of the midline. The treatment refers to pain management, conservation of supplementary canines with their respective rehabilitation, and selective wear in interference areas. Quarterly monitoring is planned due to its high cariogenic risk. Conclusion: early detection of supplementary supernumerary teeth and interdisciplinary management are essential to avoid functional complications and favor the harmonious development of the stomatognathic system.