Management and outcome following extraction of 303 supernumerary teeth in pediatric patients.

PURPOSE: The purpose of this study was to describe the treatment of permanent teeth impacted by supernumerary teeth and their outcome following extraction. METHODS: The study population comprised 200 2- to 14-year-olds. RESULTS: A total of 303 supernumerary teeth were removed from the 200 patients. Surgery was performed on: 129 teeth (~43%) from the vestibular and palatine/lingual (mixed) side; 110 teeth (~36%) from the palatine/lingual side; and 64 teeth (~21%) from the vestibular side. Regarding the shape of the supernumerary teeth, the distribution was: 118 conoid teeth; 92 supplementary teeth; 66 tuberculate teeth; and 27 teeth of varied shapes. In approximately 61% of the permanent teeth (159 teeth), the supernumerary teeth caused impaction of the former, while no case of impaction was recorded in the case of the primary dentition. The impacted permanent teeth evolved favorably in 100% of the orthodontic tractions, in 80% of the relocations, and in approximately 65% of the conductive alveolectomies. CONCLUSIONS: The highest percentage success rate in treating permanent teeth impacted by supernumerary teeth corresponded to those cases in which surgery could be combined with orthodontic treatment. There were no displacements of neighboring buds during removal of the supernumerary teeth in the primary dentition.