INTRODUCTION: Natal or neonatal teeth are a rare anomaly. The distribution ratio between girls and boys is approximately 2:1. When a child is born with teeth, they are called natal teeth, or if teeth erupt in the first month after the birth, they are neonatal. There are many risk factors for their occurrence, but the etiology is unknown. Only 3% of the cases are natal mandibular primary molars or canines.
AIM: This article aimed to report a rare case of a supernumerary mandibular natal tooth in the molar region of a 3-year-old girl.
MATERIALS AND METHODS: The subject of this study was а 3-year-old girl who came to the dental office for the first time at the age of 4 months with a gingival overgrowth along the alveolar ridge, visible on the mandibular molar area. According to the parents, the child was born with this anomaly.
RESULTS: After a period of follow-ups, a controlled clinical examination revealed a difficult eruption of tooth 84 and a delayed eruption of tooth 85. A segmental radiograph was taken, which clearly showed a supernumerary primary molar. The diagnosis was an unerupted natal tooth with visible mucosal swelling. It was decided to extract the tooth under sedation. The patient was sedated and after local anesthesia, the natal tooth was removed.
CONCLUSION: A supernumerary natal tooth in the mandibular molar region is a rare anomaly. A pediatric dentist should recommend early diagnostics of natal/neonatal teeth. Each case is individual, and treatment depends on the clinical and radiographic findings.
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