Retention of central upper incisor by supernumerary teeth associated with both dental crowns

Introduction: the prevalence of supernumerary teeth is two times higher in men than in women. Some authors suggest the treatment of supernumerary teeth is their removal. The exact moment to remove them depends on the tooth position, age, management and the effects the tooth has or can be expected due to the close proximity of teeth. Others suggest that the best moment for the removal of supernumerary teeth is around ten years, when the root development of the central and lateral incisor has completed. Clinical case: a case of a 9 year-old boy with even supernumerary teeth, rudimentary, tubercular shape in the palatal maxillary sector is presented; the tooth link was not performed during the surgical procedure due to the great mobility of 11 and 21 by bone loss and the support afforded by the supernumerary, so the flap is sutured leaving the teeth in its original bed and placing orthodontic brackets. Photographic images are presented. Conclusions: a case of even supernumerary teeth occurred in the midline with retention of upper central incisors. The multidisciplinary treatment was of vital importance for this patient, the physiological descent of both teeth will be observed by X-ray, and once the space is created a link will be planned for its placement in the dental arch and finding a closer level to the top of the alveolar process