PMC4811072_01
Frontal view showing the absence of the maxillary central incisors.
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A 10-year-old male, Caucasian patient was referred to the Continuing Education Clinical Program in Pediatric Dentistry at the Federal University of Rio de Janeiro due to the absence of teeth in the maxillary anterior region; this has influenced his social adjustment, impacting on his quality of life (Figure 1).
Occlusal view disclosing Leong's tubercle on the second mandibular premolars.
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The second usual premolars presented Leong's tubercle, which resulted in occlusal interference, performing a premature contact with their antagonists (Figure 2).
Orthopantomogram. Nine supernumerary teeth distributed in the maxillary and mandibular arches.
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In the mandible, there were four tuberculate teeth arranged in the premolar region, two in the right side and the other ones on the left side (Figure 3).
Nine supernumerary teeth.
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The nine ST were extracted in a single surgical time under general anesthesia (Figure 4).