Non-syndromic multiple supernumerary teeth: a rare entity.

Hyperdontia or supernumerary teeth without associated syndromes is a rare phenomenon, as supernumerary teeth are usually associated with cleft lip and palate or other syndromes such as Gardeners syndrome, cleidocranial dysplasia, trichorhinophalangic syndrome, etc. A 15-year-old girl reported for orthodontic treatment with a chief complaint of irregular teeth and unaesthetic smile. On examination class I malocclusion with severe crowding of upper anteriors, anterior open bite of 5 mm, cross bite with upper right posteriors, upper midline shift to right by 5 mm and two supernumerary teeth placed buccally in between 16 & 17 and 26 & 27, respectively, were found. On routine radiographical examination, two additional impacted supernumerary teeth were noticed distal to 18 and in mandibular arch in between roots of 35 and 36. A general physician was consulted who confirmed that there was no associated syndrome. Family history did not reveal any positive findings.