An unusual step-ladder pattern of impacted supernumerary teeth – A case report

Abstract

The aim of this study was to report in literature a rare pattern of supernumerary teeth for the enhancement of data. Supernumerary tooth is also called as hyperdontia. It may cause a delayed eruption, malalignment of erupted teeth, etc. A 37-year-old male patient reported with a chief complaint of pain in the upper left back region of the jaw in the past 2 days. There was an accidental finding of bilaterally impacted supernumerary premolars. On the left side, there was a pair of impacted premolars with one tooth supernumerary and the other was first premolar. There was no history of any systemic disease. The presence of supernumerary teeth which may or may not be impacted can cause discomfort, malalignment of teeth, pathology, etc. Hence, proper history and record should be obtained to rule out any syndrome and systemic disease associated with supernumerary teeth as reported in the literature. Clinical Significance:A rare pattern of bilaterally impacted premolar with a pair of supernumerary and first premolar in the lower left quadrant with a step-ladder pattern.