Medicine (May 2022)

Precise extraction of impacted supernumerary tooth in the maxillary anterior region with a digital guide plate

  • Fangyong Zhu, MD,
  • Deqiang Hou, MD,
  • Chen Zhou, MD,
  • Zhifei Chen, MD,
  • Yannan Cao, MD,
  • Lian Ji, MD,
  • Jianming Zou, MD,
  • Yanhua Xu, MD,
  • Maya Saranathan.

DOI
https://doi.org/10.1097/MD.0000000000029275
Journal volume & issue
Vol. 101, no. 20
p. e29275

Abstract

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Abstract. Rationale:. Removal of impacted supernumerary teeth requires precision and accuracy to prevent iatrogenic injury to important anatomical structures during dental surgery and to improve postoperative healing. Patient concerns:. A 12-year-old girl visited our department for the assessment and management of her deviated front teeth. Diagnosis:. Impacted supernumerary tooth extraction in the maxillary anterior region. Interventions:. The digital guide plate was fabricated after the integration of cone beam computed tomography data with that obtained from scanning the patient's dental model. Impacted supernumerary tooth extraction was performed. Outcomes:. The use of the digital guide plate and planting instruments made the removal of the impacted supernumerary tooth less invasive, faster, and more accurate, whereas the wound was smaller, and the patient experience more comfortable. Lessons:. Combining the digital guide plate with planting instruments offers a useful aid for the removal of impacted supernumerary teeth among the maxillary anterior region and is, thus, worth promoting.