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

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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… Click to show full abstract

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.

Keywords: maxillary anterior; supernumerary tooth; impacted supernumerary; digital guide; guide plate

Journal Title: Medicine
Year Published: 2022

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