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Article: Volume 44 Number 8 Page 787 - September 2017

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  Dent Update 2017; 44: 787-792

Orthodontics:  A Case of Five Mandibular Incisors

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Abstract: Supernumeraries in the mandible is a rare phenomenon with a prevalence of 1% and varied aetiology. An additional mandibular incisor is a common clinical finding. Diagnosis is purely by clinical evaluation and a decision to extract or retain such teeth is critical in treatment planning. This is a case report of a 14-year-old female patient with forwardly placed front teeth. Intra-oral examination revealed a lingually erupting mandibular incisor. Diagnosis of the mandibular incisor supernumerary and its management will be discussed.

Clinical relevance: Differentiating a supplemental incisor can be quite challenging.

Author notes: Madhumitha Natarajan, MDS, Associate Professor, Department of Orthodontics, Manipal College of Dental Sciences, Bharath Rao, MDS, Associate Professor, Department of Oral Biology, Faculty of Dentisty, Melaka Manipal Medical College (MMMC), Manipal University, Manipal and Arun S Urala, MDS, Professor and HOD, Department of Orthodontics, Manipal College of Dental Sciences, Manipal University, Manipal, Karnataka, India.

Objective: To understand the clinical implications of retaining the additional incisor on delayed or ectopic eruption of adjacent teeth, crowding, cystic formation, impaction and root resorption of adjacent teeth.