case_images: PMC4811072_01
case_images: Frontal view showing the absence of the maxillary central incisors.
case_images: CRID2016-8641867.001.jpg
case_images: PMC4811072_01_CRID2016-8641867.001.jpg
case_images: fig1
case_images: A 10-year-old male, Caucasian patient was referred to the Continuing Education Clinical Program in Pediatric Dentistry at the Federal University of Rio de Janeiro due to the absence of teeth in the maxillary anterior region; this has influenced his social adjustment, impacting on his quality of life (Figure 1).
case_images: Occlusal view disclosing Leong's tubercle on the second mandibular premolars.
case_images: CRID2016-8641867.002.jpg
case_images: PMC4811072_01_CRID2016-8641867.002.jpg
case_images: fig2
case_images: The second usual premolars presented Leong's tubercle, which resulted in occlusal interference, performing a premature contact with their antagonists (Figure 2).
case_images: Orthopantomogram. Nine supernumerary teeth distributed in the maxillary and mandibular arches.
case_images: CRID2016-8641867.003.jpg
case_images: PMC4811072_01_CRID2016-8641867.003.jpg
case_images: fig3
case_images: In the mandible, there were four tuberculate teeth arranged in the premolar region, two in the right side and the other ones on the left side (Figure 3).
case_images: Nine supernumerary teeth.
case_images: CRID2016-8641867.004.jpg
case_images: PMC4811072_01_CRID2016-8641867.004.jpg
case_images: fig4
case_images: The nine ST were extracted in a single surgical time under general anesthesia (Figure 4).