Article Data

  • Views 801
  • Dowloads 186

Case Reports

Open Access

Supernumerary Teeth in the Maxillary Anterior Region: The Dilemma of Early Versus Late Surgical Intervention

  • Ofer Sarne1
  • Yehoshua Shapira1,*,
  • Sigalit Blumer2
  • Tamar Finkelstein1
  • Shirley Schonberger1
  • Naomi Bechor1
  • Nir Shpack1

1Department of Orthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel

2Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel

DOI: 10.17796/1053-4628-42.1.10 Vol.42,Issue 1,January 2018 pp.55-61

Published: 01 January 2018

*Corresponding Author(s): Yehoshua Shapira E-mail:


Supernumerary teeth are the most common developmental dental anomalies in the maxillary anterior region causing interference to the developing permanent incisors resulting in poor dental and facial esthetics. Two different opinions regarding the timing for surgical removal of the supernumerary teeth are presented. In this case report, three brothers with supernumerary teeth in the maxillary anterior region are presented, their surgical and orthodontic management and outcome are discussed


Supernumerary teeth, children, orthodontics, timing, surgery

Cite and Share

Ofer Sarne,Yehoshua Shapira,Sigalit Blumer,Tamar Finkelstein,Shirley Schonberger,Naomi Bechor,Nir Shpack. Supernumerary Teeth in the Maxillary Anterior Region: The Dilemma of Early Versus Late Surgical Intervention. Journal of Clinical Pediatric Dentistry. 2018. 42(1);55-61.


1. Di Biase DD. Midline supernumeraries and eruption of the maxillary central incisor. Dent Practit Dent Rec;20:35-40. 1969.

2. Rajab LD, Hamdan MAM. Supernumerary teeth: review of the literature and a survey of 152 cases. Int J Paediatr Dent;12:244-54. 2002.

3. Mason C, Azam N, Holt RD, Rule DC. A retrospective study of unerupted maxillary incisors associated with supernumerary teeth. Brit J Oral Maxil-lofac Surg; 38:62-5. 2000.

4. Brook AH. A unifying aetiological explanation for anomalies of human tooth number and size. Arch Oral Biol;29:373-8. 1984.

5. Brin I, Zilberman Y, Azaz B. The unerupted maxillary central incisor: review of its etiology and treatment. J Dent Child. 49:352-6. 1982.

6. Frame K, Evans RI. Progressive development of supernumerary teeth in cleidocranial dysplasia. Br J Orthod; 16:103-6. 1989.

7. Howard RD. The unerupted incisor. A study of the post-operative eruption history of incisors delayed in their eruption by supernumerary teeth. Dent Pract; 17:332-42. 1976.

8. Thawley SE, La Ferriere KA. Supernumerary nasal tooth. Laryngo-scope;87:1770-3. 1977.

9. Mitchell L, Bennett TG. Supernumerary teeth causing delayed eruption – a retrospective study. Brit J Orthod;19:41-6. 1990.

10. Greg TA, Kinirons MJ. The effect of the position and orientation of unerupted premaxillary supernumerary teeth on eruption and displacement of permanent incisors. Int J Pediatr Dent. 1:3-7. 1991.

11. Hogstrom A, Andersson L. Complications related to surgical removal of anterior supernumerary teeth in children. J Dent Child;54:341-3. 1987.

12. Rotberg S, Kopel HM. Early versus late removal of supernumerary teeth in the premaxilla: a radiographic study. Compend Contin Educ;5:115-9. 1984.

13. Primosch RE. Anterior supernumerary teeth – assessment and surgical inter-vention in children. Pediatr Dent ;3:204-15.1981.

14. Omer RS, Anthonappa RP, King NM. Determination of the optimal time of surgical removal of unerupted anterior supernumerary teeth. Pediatr. Dent;32:14-20. 2010.

15. Gupta S, Marwah N. Impacted supernumerary teeth – early or delayed intervention: decision making dilemma? Int J Clin Pediatr Dent;5:226-230. 2012.

16. Witsenburg B, Boering G. Eruption of impacted permanent upper incisors after removal of supernumerary teeth. Int J Oral Surg;10:423-31. 1981.

17. Ashkenazi M, Greenberg BP, Chodik G, Rakocz M. Postoperative prognosis of unerupted teeth after removal of supernumerary teeth or odontomas. Am J Orthod Dentofac Orthop;131:614-9. 2007.

18. Koch H, Schwartz O, Klausen B. Indications for surgical removal of super-numerary teeth in the premaxilla. Int J Oral Maxillofac Surg;15:273-81. 1986.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

PubMed (MEDLINE) PubMed comprises more than 35 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full text content from PubMed Central and publisher web sites.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 2.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time