A feminine affected person aged round 25 visited our Clinic (Knowledge Tremendous speciality Dental Clinic) with a complain of further tooth on the internal facet of the Decrease Jaw obstructing with the Tongue and Speech. On Medical Examination we now have noticed that the affected person had a supernumerary Premolar or Para Premolar within the third and 4th quadrants. The Para Premolar within the 4th quadrant was a standard formed supernumerary premolar whereas the one within the third Quadrant was a really Not often seen – Para Premolar + Gemination the place the Root is fused whereas the there are two separate crowns. Consult with the under picture exhibiting medical image of the third quadrant.
Para Premolar (Supernumerary tooth within the Premolar area) are very Uncommon and reported to be within the vary of 0.01 and 1 p.c. The supernumerary premolars come below the submit everlasting collection of tooth creating from the extensions of the dental lamina. Gemination comes below the Developmental anomaly the place it happens in the course of the initiation of tooth growth.
On Radiographic examination it was noticed that the Root of the Geminated Para Premolar was positioned in between the first and 2nd Premolar Roots. The Para Premolar has been positioned Lingual to Bucally with the Crown positioned Lingually whereas the Root is positioned inter dentally between the Roots of the two premolars closed to the apical a part of the first Premolar. This may be seen within the Radiograph uploaded under.
Because the affected person was dealing with problem in daily exercise it was determined to Extract the Supernumerary Para Premolars on each quadrants, the 4th Quadrant one was a easy extraction because it was not diagonally positioned in between different tooth however parallel to the Pre Molars which made it straightforward to luxate.
The Para Premolar within the third Quadrant with the Gemination was just a little tough with the Root situated in between the Premolars. The tooth was luxated and within the course of because of the shut proximity with the first Pre molar it had develop into cellular (Grade 1). After the Extraction of the Para Premolar Bone Graft was used to shut the Socket and Sutures given. Affected person was recalled after 5 days for observe up.
It’s advisable to extract the Supernumerary Premolars within the Mandible area as they’ll result in Caries because of the problem in Cleansing and in addition trigger elevated meals impaction resulting from its proximity to the tongue.
Picture and Case Credit score:
- Knowledge Tremendous speciality Dental Clinic – Hyderabad
