Non-Syndromic Supernumerary Premolars with Striking Symmetry –A case report

Abstract

Aim and objective - Non-syndromic multiple supernumerary teeth are most commonly seen in mandibular premolar region. Dental literature rarely reports symmetrical supernumerary teeth in all four quadrants.  This case reports the unique distribution of supernumerary premolars symmetrically in all the four quadrants .Early diagnosis helps in treatment planning.Case description – This case describes a 17 year old female patient who presented with the complaint of food impaction in the left mandibular premolar region. Intra oral examination revealed the presence of a supplemental premolar tooth in the same region. A panoramic radiograph revealed four supernumerary premolars, each positioned symmetrically in second premolar regions.Conclusion - Supernumerary premolar teeth are usually detected coincidentally on radiographs. This case report stresses the early detection, radiographic examination and frequent evaluation to detect any complications that may be associated with supernumerary premolars