PMC3576790_01
Frontal view of the patient.
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General physical examination did not show any abnormality (Figure 1). 
Intraoral photograph showing supernumerary teeth in the maxillary arch.
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Other clinical findings included a total of six supernumerary teeth, four in the maxilla, and two in the mandible (Figures 2 and 3).
Intraoral photograph showing supernumerary teeth in the mandibular arch.
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Other clinical findings included a total of six supernumerary teeth, four in the maxilla, and two in the mandible (Figures 2 and 3).
Orthopantomograph showing multiple supernumerary impacted teeth.
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In addition to the clinically noticed supernumerary teeth, the panoramic radiograph revealed the presence of impacted multiple supernumerary third molars in the mandible bilaterally (Figure 4).
Incision and flap design for removal of mandibular third molar.
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In this case, as the chief complaint of the patient was pain on the right side, two impacted third molars were surgically removed on that side under local anesthesia, the third one is left intact as it was asymptomatic, and its removal could cause serious complications like bleeding from the inferior dental canal (IDC) and fracture of the mandible (Figures 5, 6, 7, and 8).
Exposed mandibular impated third molar and supernumerary teeth.
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fig6
In this case, as the chief complaint of the patient was pain on the right side, two impacted third molars were surgically removed on that side under local anesthesia, the third one is left intact as it was asymptomatic, and its removal could cause serious complications like bleeding from the inferior dental canal (IDC) and fracture of the mandible (Figures 5, 6, 7, and 8).
Sockets of extracted mandibular third molar and supernumerary teeth.
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fig7
In this case, as the chief complaint of the patient was pain on the right side, two impacted third molars were surgically removed on that side under local anesthesia, the third one is left intact as it was asymptomatic, and its removal could cause serious complications like bleeding from the inferior dental canal (IDC) and fracture of the mandible (Figures 5, 6, 7, and 8).
Closure of the surgical wound with mersilk suture.
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fig8
In this case, as the chief complaint of the patient was pain on the right side, two impacted third molars were surgically removed on that side under local anesthesia, the third one is left intact as it was asymptomatic, and its removal could cause serious complications like bleeding from the inferior dental canal (IDC) and fracture of the mandible (Figures 5, 6, 7, and 8).