14-year-old boy with a missing #21 (#9). A supernumerary too | Figure 1

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14-year-old boy with a missing #21 (#9). A supernumerary tooth interfering with its eruption. Idea was to surgically expose the area, remove the supernumerary and bring out the central incisor with traction. Upon surgical opening, the supernumerary was extracted. It was a fused tooth with another supernumerary that was not evident clinically or radiographically. More info in comments.

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10 yo healthy male referred for delayed eruption of permanent left maxillary central incisor. No significant past medical history. Past surgical history significant for removal of supernumerary tooth removed 1.5 years ago from anterior maxilla by a different provider. Pt is asymptomatic.

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The most curved ever
A surgical extraction of an impacted supernumerary premolar by using a lingual approach and a flap without releasing incisions.

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Supernumerary tooth erupting behind incisor, no damage to permanent teeth.

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Impaction from supernumerary tooth.
Teeth 3.8, 4.8 and 4.9 planned for surgical extraction; one intervention under GA.