2020 Volume 58 Issue 1 Pages 17-22
In this patient, plaque control in the molar region was considered to be difficult due to bilateral supernumerary teeth based on X-ray imaging, CBCT imaging, and the eruption state of the supernumerary tooth on the left side at the initial visit. Since the presence of supernumerary teeth may affect the development of caries in adjacent teeth, extraction of the bilateral supernumerary teeth was indicated.
An impacted fourth molar was confirmed on the left side but not on the right side. CBCT revealed an impacted fourth molar buccodistal to the third molar. Therefore, we decided on a conservative treatment course of regularly examining this fourth molar as well as the molar region on the right side.
Extraction of the supernumerary teeth facilitated plaque control in the maxillary second molar region, reducing plaque deposits.