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Case 8
A 10 years old male
patient came to Outpatient
Department of
Pedodontics and
Preventive Dentistry, with
the chief complaint of
non-eruption of upper
anterior teeth.
• No contributory medical history was found.
• Dental history – it was his first dental visit.
Intra oral examination
shows patient was in
permanent dentition. There
was a soft tissue bulge
present in relation to 21.
Upper occlusal radiograph
shows a supernumerary
tooth present palatal to 21
Treatment plan:
Extraction of supernumerary tooth along with
excision of the soft tissue overlying 21.
Tooth extracted
Palatal mucoperiosteal flap
elevated
Bone removed by micromotor
handpiece and surgical bur
Excision of soft tissue overlying 21 done
Suture given
Cover plate fitted to upper
arch
After 1 week , suture removed.
Postoperative
After 2 weeks
After 1 year

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