An Unusual Case of Bilateral Maxillary and Mandibular Para Premolar: A Case Report
A 35-year-old man came to the Department of Conservative Dentistry and Endodontics, Bhabha College of Dental Sciences, Bhopal with a chief complaint of pain in relation to the lower left first molar. The family, medical and dental history was negative. The patient was healthy with no mental retardation.The facial appearance was normal and presented no skeletal or other abnormalities suggestive of any syndrome ().\nExtra oral examination did not reveal any abnormalities. Intra oral examination revealed presence of full complement of permanent teeth except for the lower third molars, and supernumerary teeth were present in all four quadrants. A deep carious lesion with pulpal involvement was present in relation to 36. Another finding was a grossly decayed 18.\nIn the upper arch, supernumerary teeth resembling conical or triangular shaped crown were present in between normally appearing 14 and 15, 24 and 25 without any displacement of the permanent teeth.\nIn the lower arch, four erupted supplemental teeth resembling premolars were present. Two were located lingual to 34 and 35 and subsequently displacing same. On the right side, two supplemental teeth were present; of which one was lingual to 44 and 45 and the other was between 45 and 46 ( and ).\nA panoramic radiograph was taken to rule out any underlying pathology or unerupted supernumerary teeth that showed unerupted 13 present at the floor of the right maxillary sinus and apex of 14 and 15.\nSupplemental supernumerary teeth showed a small crown-root proportion with a conical-shaped root and no bone or root resorption. Panoramic radiograph showed impacted 38 and 48 with over-retained deciduous canine in relation to 13 (). 36 was treated endodontically, followed by a full metal crown.18 was extracted under local anesthesia. Supernumerary teeth were not causing any kind of discomfort for the patient and patient was informed about the position of his teeth and importance of regular follow-ups.