case_images: PMC4306249_01
case_images: Preoperative intraoral photographs.
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case_images: fig1
case_images: The patient was in the mixed dentition stage and had a Class I molar relationship (Figures 1(a)-1(e)).
case_images: PMC4306249_02
case_images: Preoperative radiographs showing multiple supernumerary teeth. (a) The arrows show 9 supernumerary teeth in both jaws. (b) The arrows show 2 supernumerary teeth in the upper anterior region.
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case_images: fig2
case_images: Radiographic examination showed 9 retained supernumerary teeth: 2 mesiodens, 4 in the mandibular left and right premolar regions, 2 in the maxillary right premolar region, and 1 in the maxillary right canine region (Figures 2(a)-2(b)).
case_images: Postsurgical photographs showing extracted teeth. (a) Maxillary extracted primary molars and supernumerary teeth. (b) Mandibular extracted primary molars and supernumerary teeth.
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case_images: fig3
case_images: With their permission, 20 teeth were extracted under general anesthesia (11 primary teeth and 9 impacted supernumerary teeth) (Figures 3(a)-3(b)).
case_images: Intraoral and panoramic views 1 month after the extractions. (a) Postoperative panoramic radiograph. (b, c) Postoperative intraoral views of the patient. (d, e) Space maintainers were prepared for maxillary and mandibular regions.
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case_images: fig4
case_images: Figures 4(a)-4(e) shows an intraoral view and panoramic radiograph of the patient 1 month after the extractions.
case_images: (a, b) Six-month and 12-month follow-up radiographs.
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case_images: fig5
case_images: The patient was also provided with removable space maintainers and routine clinical and radiographic follow-up was performed at 6, 12, and 24 months in order to detect any possible delayed appearance of new supernumerary teeth.  Figure 5 shows the panoramic radiographs of 6th and 12th months.
case_images: Two-year follow-up radiograph showing 2 additional supernumerary teeth, 1 in the maxillary left premolar region and 1 in the maxillary anterior region.
case_images: CRID2015-840460.006.jpg
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case_images: fig6
case_images: After 2 years of follow-up, 2 additional supernumerary teeth were observed, 1 in the maxillary left premolar region and 1 in the maxillary anterior region (Figure 6).
case_images: (a, b) Postsurgical photographs of the extracted supernumerary teeth and panoramic view.
case_images: CRID2015-840460.007.jpg
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case_images: fig7
case_images: Extraction of the new supernumerary teeth was performed (Figures 7(a)-7(b)), and orthodontic treatment was initiated.
case_images: (a-e) Intraoral views of the patient after completion of orthodontic treatment.
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case_images: fig8
case_images: At the end of a 3-year follow-up, orthodontic treatment using fixed mechanics was shown to have achieved good esthetics with an ideal overjet and overbite relation (Figures 8(a)-8(e) and Figure 9).
case_images: Panoramic view of the patient at the end of 3-year follow-up.
case_images: CRID2015-840460.009.jpg
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case_images: fig9
case_images: At the end of a 3-year follow-up, orthodontic treatment using fixed mechanics was shown to have achieved good esthetics with an ideal overjet and overbite relation (Figures 8(a)-8(e) and Figure 9).
case_images: Panoramic radiograph of the patient's brother showing impacted supernumerary tooth.
case_images: CRID2015-840460.010.jpg
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case_images: fig10
case_images: Panoramic radiograph of the younger brother of the patients' at age 5 showed an impacted supernumerary tooth in the mandibular left canine region (Figure 10).