Estratégia ortodôntico-cirúrgica em relação ao elemento supranumerário, localizado na região do incisivo lateral superior em indivíduo jovem: relato de caso

Abstract

Given as a number anomaly due to the overactivity of the dental lamina, supernumerary teeth have their origin due to genetic causes, being present in congenital dysplasias presenting in the most different forms, from malformed to normal, uni or bilateral, in the maxilla and mandible. In some cases, they also come in multiple forms. An early and correct approach, in young patients, facing a developmental change, aiming at the presence of supernumerary teeth modifying the occlusion, has been showing satisfactory and important results, to maintain the function and aesthetics of the oral cavity. It can be diagnosed early, between 5 to 7 years of age, clinically and / or by periapical radiography (Clark technique), and also through cone beam computed tomography. The removal of supernumerary is done when they interfere with normal occlusion, delay in the eruption of permanent teeth, as well as in aesthetics. Radiographic monitoring of the patient is required. This article reports a clinical case of a young patient, 9 years old, in which procedures such as radiographic monitoring with periapical and panoramic radiographs and rapid maxillary expansion were adopted. Through the rapid expansion of the maxilla, the objective was to induce the passive eruption of the supernumerary for simple extraction in the region of the dental element 12.