Um caso idiopático de múltiplos dentes supranumerários

Abstract

Supernumerary teeth are a developmental change in the number of teeth, commonly located in the maxilla and more frequent in males, most of the time, they are asymptomatic and can delay tooth eruption. Its etiology is still unclear, and it may be related to syndromic and non-syndromic phenotypes, alterations in the modulation of signaling molecules and an autosomal dominant inheritance relationship. This article reports a rare case of multiple supernumerary teeth in a non-syndromic patient, discovered by radiographic finding. Male patient, 32 years old, sought care for the diagnostic evaluation of hyperdontia, observed in a previous radiographic examination, requested in a private practice. An enhanced investigation was carried out on the systemic conditions and medical history of the patient and his family, including craniofacial alterations and the presence of multiple teeth in other family members, in which two members of his family had extra teeth, however in smaller numbers. Therefore, after questioning and clinical evaluation, the absence of systemic diseases and/or syndromes in the patient is noticed. For planning the extractions, Cone Beam Computed Tomography was performed, verifying the surgical risk of some elements, due to the proximity of noble structures, thus opting for the follow-up and evaluation of a subsequent intervention. Other elements were extracted under local anesthesia, in two stages, without major complications. From this case report, it is concluded that early diagnosis allows relating clinical, imaging and systemic characteristics consistent with syndromes, in particular, craniofacial. Furthermore, it is up to the dental surgeon to intervene at an opportune moment, avoiding invasive conducts that may lead to iatrogenic events.