Supernumerary Teeth in all 4 Quadrants of a Non-Syndromic Patient with a Positive Family History: A Case Report

Human growth and development of dentition generally follows an orderly pattern of an eruption sequence of primary dentition of 20 teeth, followed by an interim time of mixed dentition and concluding with 32 permanent teeth. The literature is rich with descriptions of variation of this pattern largely based on addition or deletion of the genetic code which may include geographic isolation and or unexplained point mutations. Generally tooth eruption follows, concluding with the 3rd molar Layman’s terminology “wisdom tooth” by age 25. The literature describes patients with extra teeth referred to as supernumerary teeth. Common patient’s diagnosis for additional teeth includes syndromes such as Cleidocranial dysplasia or Gardner’s Syndrome. In some patients as with this case report, the finding doesn’t seem to point out the existence of a syndrome. This paper highlights a case of 6 supernumerary teeth located in all 4 quadrants of a patient with a positive family history of supernumerary teeth, who came in for a routine new patient screening at The New Patient Diagnostic Clinic” of theUniversity of Texas School of Dentistry at Houston. His subsequent treatment plan is discussed as well as a brief review of literature for supernumerary teeth.