An Unusual Occurrence of Bilateral Maxillary Supernumerary Teeth with Dilaceration in Impacted Tooth

An apparently healthy 12-year-old boy was referred to the Department of Oral and Maxillofacial Pathology whose chief complaint was the presence of an additional tooth in the upper front teeth region. His medical, dental and family history was not relevant. Intraoral examination revealed an erupted, supernumerary tooth palatal to permanent maxillary right central incisor and radiograph revealed another supernumerary tooth with dilaceration. The erupted supernumerary tooth showed presence of a talon’s cusp on the lingual aspect. Occlusal interference, displacement of adjacent teeth and impaired esthetics are the common complications of supernumerary tooth. This report presents a case of talon cusp in a supernumerary tooth and an additional impacted supernumerary with dilaceration which is an extremely rare condition with only few reported cases in the literature.