I have supernumary teeth. 2 to be exact. they are located inside of my gums belo!
Question:
I have supernumary teeth. 2 to be exact. they are located inside of my gums below my left bottom bicuspid.?
I have been to 2 different dentists and they both said 2 different things. The first dentist told me that since the 2 teeth had no roots and were the size of baby teeth and if they didnt bother me then i did not need to remove them. He said that they arent going to grow any bigger and move anywhere. The second dentist i went to(western dental) said that i need to have them extracted. I went to get my 4 bicuspids removed for orthodontic work but i didnt get the supernumaries removed. I was wondering do I really need to take them out? they havent grown in size or moved since i was 14 and i'm now 20 so please help?
Answers:
The current literature supports the surgical removal of unerupted supernumerary teeth, although this may cause damage to adjacent teeth and structures, particularly in the lower premolar region resulting in possible minor damage of adjacent teeth.
The extraction of supernumerary teeth should always be based on the possible pathological consequences associated with supernumerary teeth. The most common complications associated with the supernumerary teeth in the premolar area are cyst formation (9%) and damage to neighbouring teeth (13%).
the incidence of pathological consequences being relatively low for the premolar cases, some dentist feel prudent to radiographically monitor the impacted supernumerary teeth in the premolar area rather than its removal.
Not all supernumerary teeth require extraction. If it is asymptomatic, it can be left alone and kept under observation. It should also be noted that whenever a single supernumerary tooth is seen, an orthopantomogram(larger x-ray) should be advised as a part of routine investigation to rule out the presence of multiple supernumerary teeth, if any.
To put it in plain words : it is your choice. You can get it extracted but while extraction of these teeth, there are chances of damage to adjacent teeth. If you decide to leave them alone, make sure you make your regular 6 months appointment as they will need to be monitored. At first sign of any patholigical consequences, they should be extracted.