# Multiple Impacted Supernumerary Teeth in a Non-syndromic Class III Malocclusion Patient: A Case Report

## TL;DR

A 21-year-old man with a non-syndromic Class III malocclusion had multiple impacted extra teeth, which were surgically removed to enable successful orthodontic treatment.

## Contribution

This case report highlights the rare occurrence of multiple supernumerary teeth in a non-syndromic patient and their impact on dental alignment.

## Key findings

- Five supernumerary teeth were found in a non-syndromic patient with Class III malocclusion.
- Extraction of the supernumerary teeth allowed for correction to a Class I occlusion.
- The case emphasizes the importance of panoramic radiographs in early detection during mixed dentition.

## Abstract

Supernumerary teeth are considered a numerical dental anomaly characterized by an excess of teeth. They may appear as single, double, or, more rarely, multiple teeth and can be associated with various syndromes.

A 21-year-old male patient presented to the orthodontic department at the Dental Consultation and Treatment Center in Rabat, Morocco, seeking care for esthetic concerns.

Clinical examination revealed a Class III malocclusion with crowding, the absence of tooth 44, and arch asymmetry. Panoramic radiography revealed the impaction of tooth 44 along with five additional supernumerary teeth: two supplementary canines in the maxillary jaw located between the lateral incisors and canines bilaterally, one paramolar situated between the left mandibular premolars, and two paramolars in the right mandibular premolar region.

The supernumerary teeth, as well as teeth 14, 24, and 34, were extracted before initiating orthodontic treatment. A Class I occlusion was achieved.

The incidental discovery of multiple supernumerary teeth with consequences on dental arches in patients with no systemic conditions underscores the importance of panoramic radiographs during the mixed dentition period for preventive purposes.