Quartos molares superior e inferior inclusos - relato de caso clínico

Abstract

Hyperdontia is a dental abnormality which consists in the development of a larger number of teeth, and additional teeth are called supernumeraries. The fourth molar is a teeth located, in most cases, distal to the third molar. They rarely erupt in the oral cavity and are usually radiographic findings. The aim of the present study is to present a clinical case of a male patient, 24 years old, who was attended at the Maxillofacial Surgery Clinic of the Dentistry curse of UFJF Campus Governador Valadares. During the anamnese, the patient related pain in the region of the posterior teeth. At the radiographic exam, it was diagnosticated the presence of a superior left fourth molar and an inferior right fourth molar not erupted and inferiors third molars semi-included. In virtue of the proximity of the third molars with the mandibular canal, it was requested a cone beam computed tomography exam. The chosen treatment was the surgical extraction of the superior and inferior third molars and also the supernumerary related teeth. The patient did not presented any post surgical complications. The present clinical case showed an unusual case of multiple supernumerary teeth, one in each arch, in a non-syndromic patient, and how clinical, radiographic and histopathological observation are important for diagnosis and adequate treatment, preventing possible complications associated to supernumerary teeth.